Brief Cognitive Behavioral Therapy (CBT) for Pediatric Anxiety and Depression in Primary Care

Conditions

Anxiety, Depression

Keywords

Child, adolescent, anxiety, depression, internalizing, cognitive behavioral therapy, pediatric primary care

Brief summary

The purpose of this study is to determine whether a brief (12 week) psychological treatment program, based in primary care, can help youths struggling with anxiety and/or depression. This brief cognitive behavioral therapy program will be compared to enhanced referral to specialty mental health care.

Detailed description

Mood and anxiety disorders in childhood and adolescence are disabling, distressing, and prevalent and produce added costs to health systems. This two-site randomized controlled trial will test the effects of a brief cognitive behavioral therapy (BCBT) protocol (8-12 sessions) in a large sample (N=210) of children and adolescents (age 8-16) presenting with anxiety and/or depression in primary care. Clinical and cost-effectiveness of BCBT will be compared to a plausible public health alternative - enhanced referral to specialty mental health care (SMHC). This investigation is noteworthy in adopting a deployment-focused model and testing this intervention early in its development within a real world context (primary care) and against a plausible public health comparison condition (SMHC) relevant for future treatment dissemination.

Baca SA, Goger P, Glaser D, Rozenman M, Gonzalez A, Dickerson JF, Lynch FL, Porta G, Brent DA, Weersing VR.

2023-03-082 citations

10.1016/j.brat.2023.104290

Brief Behavioral Therapy for Anxiety and Depression in Pediatric Primary Care: Breadth of Intervention Impact.

Schwartz KTG, Kado-Walton M, Dickerson JF, Rozenman M, Brent DA, Porta G, Lynch FL, Gonzalez A, Weersing VR.

2022-08-245 citations

10.1016/j.jaac.2022.08.007

Brief Behavioral Therapy for Pediatric Anxiety and Depression in Primary Care: A Follow-up.

Brent DA, Porta G, Rozenman MS, Gonzalez A, Schwartz KTG, Lynch FL, Dickerson JF, Iyengar S, Weersing VR.

2019-07-0318 citations

10.1016/j.jaac.2019.06.009

Brief Behavioral Therapy for Pediatric Anxiety and Depression in Primary Care

V. Robin Weersing, David A. Brent, Michelle Rozenman, Araceli González, Megan Jeffreys et al. (9 authors)

JAMA Psychiatry2017-04-19126 citations

10.1001/jamapsychiatry.2017.0429

Interventions

BEHAVIORALBrief Cognitive Behavioral Therapy (BCBT)

BCBT: 8-12 sessions over 16 weeks of cognitive-behavioral therapy administered by Master's-level clinicians in primary care setting

BEHAVIORALSpecialty mental health care referral (SMHC)

SMHC: specialty mental health care referrals provided

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

8 Years to 16 Years

Healthy volunteers

No

Inclusion criteria

* meet full or probable diagnostic criteria for Separation Anxiety Disorder, Generalized Anxiety Disorder, Social Phobia, Major Depression, Dysthymic Disorder, or Minor Depression * age 8.0 to 16.9 * live with legal, consenting guardian for at least 6 months

Exclusion criteria

* youths requiring alternate intervention (e.g., youths with bipolar disorder, psychosis, active suicidal ideation with plan, PTSD, substance dependence, current physical or sexual abuse, or mental retardation * suffer from serious or unstable physical illness (e.g., uncontrolled diabetes) * currently in active, alternate intervention for anxiety or depression (e.g., antidepressant use)

Design outcomes

Primary

Measure	Time frame
Clinical Global Impression	measured at baseline (week 0)

Secondary

Measure	Time frame	Description
Pediatric Anxiety Rating Scale	measured at baseline (week 0)	—
Children's Depression Rating Scale - Revised	measured at baseline (week 0)	—
Health Utilities Index	measured at baseline (week 0)	This measure will aid in cost-effectiveness analyses.

Countries

United States

Outcome results

None listed