View in EDS

The Role of Readiness to Change in Response to Treatment of Adolescent Depression

Saved in:
Bibliographic Details
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: PDF
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
FullText Text:
  Availability: 0
Header DbId: eric
DbLabel: ERIC
An: EJ842432
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: The Role of Readiness to Change in Response to Treatment of Adolescent Depression
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Lewis%2C+Cara+C%2E%22">Lewis, Cara C.</searchLink><br /><searchLink fieldCode="AR" term="%22Simons%2C+Anne+D%2E%22">Simons, Anne D.</searchLink><br /><searchLink fieldCode="AR" term="%22Silva%2C+Susan+G%2E%22">Silva, Susan G.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="SO" term="%22Journal+of+Consulting+and+Clinical+Psychology%22"><i>Journal of Consulting and Clinical Psychology</i></searchLink>. Jun 2009 77(3):422-428.
– Name: Avail
  Label: Availability
  Group: Avail
  Data: 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
– Name: PeerReviewed
  Label: Peer Reviewed
  Group: SrcInfo
  Data: Y
– Name: PhysDesc
  Label: Physical Description
  Group: PhysDesc
  Data: PDF
– Name: Pages
  Label: Page Count
  Group: Src
  Data: 7
– Name: DatePubCY
  Label: Publication Date
  Group: Date
  Data: 2009
– Name: TypeDocument
  Label: Document Type
  Group: TypDoc
  Data: Journal Articles<br />Reports - Evaluative
– Name: Subject
  Label: Descriptors
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Prediction%22">Prediction</searchLink><br /><searchLink fieldCode="DE" term="%22Rating+Scales%22">Rating Scales</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescents%22">Adolescents</searchLink><br /><searchLink fieldCode="DE" term="%22Depression+%28Psychology%29%22">Depression (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Outcomes+of+Treatment%22">Outcomes of Treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+Change%22">Behavior Change</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+Therapy%22">Drug Therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+Restructuring%22">Cognitive Restructuring</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+Modification%22">Behavior Modification</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Scores%22">Scores</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1037/a0014154
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 0022-006X
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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.)
– Name: AbstractInfo
  Label: Abstractor
  Group: Ab
  Data: As Provided
– Name: Ref
  Label: Number of References
  Group: RefInfo
  Data: 20
– Name: DateEntry
  Label: Entry Date
  Group: Date
  Data: 2009
– Name: AN
  Label: Accession Number
  Group: ID
  Data: EJ842432
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ842432
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1037/a0014154
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 422
    Subjects:
      – SubjectFull: Prediction
        Type: general
      – SubjectFull: Rating Scales
        Type: general
      – SubjectFull: Adolescents
        Type: general
      – SubjectFull: Depression (Psychology)
        Type: general
      – SubjectFull: Outcomes of Treatment
        Type: general
      – SubjectFull: Behavior Change
        Type: general
      – SubjectFull: Drug Therapy
        Type: general
      – SubjectFull: Cognitive Restructuring
        Type: general
      – SubjectFull: Behavior Modification
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Scores
        Type: general
    Titles:
      – TitleFull: The Role of Readiness to Change in Response to Treatment of Adolescent Depression
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Lewis, Cara C.
      – PersonEntity:
          Name:
            NameFull: Simons, Anne D.
      – PersonEntity:
          Name:
            NameFull: Silva, Susan G.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 06
              Type: published
              Y: 2009
          Identifiers:
            – Type: issn-print
              Value: 0022-006X
          Numbering:
            – Type: volume
              Value: 77
            – Type: issue
              Value: 3
          Titles:
            – TitleFull: Journal of Consulting and Clinical Psychology
              Type: main
ResultId 1