Depression Clinical Trial
Official title:
Parent Psychoeducation Intervention in CBT for Depressed Latino Youth
This study will determine the effectiveness of adding a parent-involved intervention to cognitive behavior therapy in reducing depressive symptoms among Latino adolescents with depression.
Adolescent depression can have a devastating impact on social, emotional, and family
functioning. Cognitive behavior therapy (CBT) is the most common treatment for depression;
however, not all patients respond adequately to CBT. In addition, data on the effects of CBT
among ethnic minorities are limited. Because Latinos are the largest minority group in the
United States, the development of treatments specifically designed for depressed Latino
youth are needed. This study will determine whether adding a psychoeducation intervention
with parent involvement will be more effective in reducing depressive symptoms among Latino
adolescents than treatment with CBT alone.
The treatment phase of this study will last 12 weeks. Participants will be randomly assigned
to receive 12 weeks of either CBT alone or CBT with psychoeducation. The psychoeducation
will consist of 8 sessions over the 12-week treatment period. During the sessions,
participants and their parents will be given detailed information about depression and ways
the condition can be treated. They will also be taught coping skills and ways to recognize a
relapse. CBT sessions will take place weekly during the study. During the sessions, a
therapist will work with participants to modify the behavior and thinking patterns that
cause and are associated with their depressive symptoms. Both participants and their parents
will undergo interviews at study start, study completion, and 3, 9, and 15 months after
study completion. During the interviews, participants' depressive symptoms, school
attendance, and overall functional status will be assessed. Parents' stress levels and work
attendance will also be assessed. At Months 6 and 12 after study completion, participants
and their parents will complete questionnaires to assess any relapses in depressive
symptoms.
Study hypothesis: Active treatment with psychoeducation will be superior to no
psychoeducation in reducing depression post-treatment. Because the psychoeducation
intervention is designed to involve parents and thus impact other aspects of the family
system, the treatment is expected to produce better outcomes in several functional domains.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Open Label
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