Book contents
- Brief Psychosocial Intervention for Adolescents
- Brief Psychosocial Intervention for Adolescents
- Copyright page
- Contents
- Acknowledgements
- 1 Adolescence and the Psychotherapies
- 2 Evidence-Based Psychotherapy
- 3 Evolving the BPI Method
- 4 The Evidence Base for BPI
- 5 Practice Framework and Clinical Principles
- 6 Clinical Styles and Therapy Tools
- 7 BPI in Clinical Practice: Part One
- 8 BPI in Clinical Practice: Part Two
- 9 Top Tips for Best Practice
- Index
- References
4 - The Evidence Base for BPI
Published online by Cambridge University Press: 16 March 2023
Book contents
- Brief Psychosocial Intervention for Adolescents
- Brief Psychosocial Intervention for Adolescents
- Copyright page
- Contents
- Acknowledgements
- 1 Adolescence and the Psychotherapies
- 2 Evidence-Based Psychotherapy
- 3 Evolving the BPI Method
- 4 The Evidence Base for BPI
- 5 Practice Framework and Clinical Principles
- 6 Clinical Styles and Therapy Tools
- 7 BPI in Clinical Practice: Part One
- 8 BPI in Clinical Practice: Part Two
- 9 Top Tips for Best Practice
- Index
- References
Summary
Brief psychosocial intervention was first used as a non-manualised reference treatment for depressed adolescents receiving the antidepressant fluoxetine with or without CBT. Both the treatment groups received the forerunner of BPI, specialist clinical care, as their general clinical support. The surprise was that CBT provided no added value over fluoxetine and specialist clinical care by the end of the study, which was only a short-term outcome of some 28 weeks [1]. This was the first finding that specialist clinical care provided by psychiatrists and mental health nurses to depressed adolescents may be as clinically effective as specialised psychological treatments such as CBT.
An interesting consequence of this study was to ask: what exactly did the therapists do when delivering specialist clinical care and how was it delivered?
- Type
- Chapter
- Information
- Brief Psychosocial Intervention for AdolescentsKeep it Simple; Do it Well, pp. 33 - 46Publisher: Cambridge University PressPrint publication year: 2023
References
Goodyer, I, Dubicka, B, Wilkinson, P, Kelvin, R, Roberts, C, Byford, S et al. Selective serotonin reuptake inhibitors (SSRIs) and routine specialist care with and without cognitive behaviour therapy in adolescents with major depression: randomised controlled trial. BMJ. 2007;335(7611):142.Google Scholar
Goodyer, IM, Reynolds, S, Barrett, B, Byford, S, Dubicka, B, Hill, J et al. Cognitive-behavioural therapy and short-term psychoanalytic psychotherapy versus brief psychosocial intervention in adolescents with unipolar major depression (IMPACT): a multicentre, pragmatic, observer-blind, randomised controlled trial. Health Technol Assess. 2017;21(12):1–94.Google Scholar
Goodyer, IM, Reynolds, S, Barrett, B, Byford, S, Dubicka, B, Hill, J et al. Cognitive behavioural therapy and short-term psychoanalytical psychotherapy versus a brief psychosocial intervention in adolescents with unipolar major depressive disorder (IMPACT): a multicentre, pragmatic, observer-blind, randomised controlled superiority trial. Lancet Psychiatry. 2017;4(2):109–19.CrossRefGoogle ScholarPubMed
Davies, SE, Neufeld, SAS, van Sprang, E, Schweren, L, Keivit, R, Fonagy, P et al. Trajectories of depression symptom change during and following treatment in adolescents with unipolar major depression. J Child Psychol Psychiatry. 2020;61(5):565–74.CrossRefGoogle ScholarPubMed
O’Keeffe, S, Martin, P, Goodyer, IM, Kelvin, R, Dubicka, B, IMPACT consortium et al. Prognostic implications for adolescents with depression who drop out of psychological treatment during a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2019;58(10):983–92.Google Scholar
Midgley, N, Hayes, J, Cooper, M, editors. Essential Research Findings in Child and Adolescent Counselling and Psychotherapy. London: Sage; 2017.Google Scholar
Weisz, JR, Kuppens, S, Ng, MY, Eckshtain, D, Ugueto, AM, Vaughn-Coaxum, R et al. What five decades of research tells us about the effects of youth psychological therapy: a multilevel meta-analysis and implications for science and practice. Am Psychol. 2017;72(2):79–117.Google Scholar
Eckshtain, D, Kuppens, S, Ugueto, A, Ng, MY, Vaughn-Coaxum, R, Corteselli, K et al. Meta-analysis: 13-year follow-up of psychotherapy effects on youth depression. J Am Acad Child Adolesc Psychiatry. 2020;59(1):45–63.Google Scholar
Goodyer, IM, Dubicka, B, Wilkinson, P, Kelvin, R, Roberts, C, Byford, S et al. A randomised controlled trial of cognitive behaviour therapy in adolescents with major depression treated by selective serotonin reuptake inhibitors: the ADAPT trial. Health Technol Assess. 2008;12(14):iii–iv, ix–60.Google Scholar
Schweren, L, van Borkulo, CD, Fried, E, Goodyer, IM. Assessment of symptom network density as a prognostic marker of treatment response in adolescent depression. JAMA Psychiatry. 2018;75(1):98–100.CrossRefGoogle ScholarPubMed
March, J, Silva, S, Petrycki, S, Curry, J, Wells, K, Fairbank, J et al. Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents With Depression Study (TADS) randomized controlled trial. JAMA. 2004;292(7):807–20.Google Scholar