The Role of Readiness to Change in Response to Treatment of Adolescent Depression
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| Title: | The Role of Readiness to Change in Response to Treatment of Adolescent Depression |
|---|---|
| Language: | English |
| Authors: | Lewis, Cara C., Simons, Anne D., Silva, Susan G. |
| Source: | Journal of Consulting and Clinical Psychology. Jun 2009 77(3):422-428. |
| Availability: | American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications |
| Peer Reviewed: | Y |
| Physical Description: | |
| Page Count: | 7 |
| Publication Date: | 2009 |
| Document Type: | Journal Articles Reports - Evaluative |
| Descriptors: | Prediction, Rating Scales, Adolescents, Depression (Psychology), Outcomes of Treatment, Behavior Change, Drug Therapy, Cognitive Restructuring, Behavior Modification, Questionnaires, Scores |
| DOI: | 10.1037/a0014154 |
| ISSN: | 0022-006X |
| Abstract: | The effect of readiness to change on treatment outcome was examined among 332 adolescents (46% male, 74% Caucasian), ages 12 through 17 years (M = 14.6, SD = 1.5), with major depressive disorder who were participating in the Treatment for Adolescents With Depression Study (TADS). TADS is a randomized clinical trial comparing the effectiveness of fluoxetine (an antidepressant medication), cognitive-behavioral therapy, their combination, and a pill placebo. An abbreviated Stages of Change Questionnaire was used to obtain 4 readiness to change scores: precontemplation, contemplation, action, and maintenance. The association between each readiness score and depression severity across 12 weeks of acute treatment for depression, as measured by the Children's Depression Rating Scale--Revised, was examined. Although treatment response was not moderated by any of the readiness scores, baseline action scores predicted outcome: Higher action scores were associated with better outcome regardless of treatment modality. Furthermore, treatment effects were mediated by change in action scores during the first 6 weeks of treatment, with increases in action scores related to greater improvement in depression. Assessing readiness to change may have implications for tailoring treatments for depressed adolescents. (Contains 5 tables and 1 figure.) |
| Abstractor: | As Provided |
| Number of References: | 20 |
| Entry Date: | 2009 |
| Accession Number: | EJ842432 |
| Database: | ERIC |
| Abstract: | The effect of readiness to change on treatment outcome was examined among 332 adolescents (46% male, 74% Caucasian), ages 12 through 17 years (M = 14.6, SD = 1.5), with major depressive disorder who were participating in the Treatment for Adolescents With Depression Study (TADS). TADS is a randomized clinical trial comparing the effectiveness of fluoxetine (an antidepressant medication), cognitive-behavioral therapy, their combination, and a pill placebo. An abbreviated Stages of Change Questionnaire was used to obtain 4 readiness to change scores: precontemplation, contemplation, action, and maintenance. The association between each readiness score and depression severity across 12 weeks of acute treatment for depression, as measured by the Children's Depression Rating Scale--Revised, was examined. Although treatment response was not moderated by any of the readiness scores, baseline action scores predicted outcome: Higher action scores were associated with better outcome regardless of treatment modality. Furthermore, treatment effects were mediated by change in action scores during the first 6 weeks of treatment, with increases in action scores related to greater improvement in depression. Assessing readiness to change may have implications for tailoring treatments for depressed adolescents. (Contains 5 tables and 1 figure.) |
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| ISSN: | 0022-006X |
| DOI: | 10.1037/a0014154 |
