Effectiveness of trauma-focused treatment for adolescents with major depressive disorder

Autor: Alexandra E. Dingemans, Corine Paauw, Carlijn de Roos, Ad de Jongh, Judith Tummers
Přispěvatelé: Oral Public Health
Rok vydání: 2019
Předmět:
050103 clinical psychology
medicine.medical_specialty
lcsh:RC435-571
medicine.medical_treatment
Trastorno Depresivo Mayor
Tratamiento centrado en el trauma
青少年
behavioral disciplines and activities
EMDR
03 medical and health sciences
0302 clinical medicine
SDG 3 - Good Health and Well-being
Intervention (counseling)
lcsh:Psychiatry
trauma focused treatment
Eye movement desensitization and reprocessing
mental disorders
medicine
0501 psychology and cognitive sciences
adolescents
Estudio piloto
Psychological abuse
Psychiatry
Adolescentes
Depression (differential diagnoses)
Physical neglect
Clinical Research Article
major depressive disorder
创伤中心治疗
business.industry
重度抑郁症
05 social sciences
pilot study
• Major Depressive Disorder (MDD) can be treated in adolescents using a trauma focused treatment approach.• EMDR therapy is effective in adolescents with a primary diagnosis of MDD.• Sixty percent no longer fulfilled the MDD diagnosis after 6 sessions of EMDR.• Symptoms of anxiety
post-traumatic stress
somatic complaints also decreased significantly and overall social-emotional functioning improved
medicine.disease
030227 psychiatry
试研究
Anxiety
Major depressive disorder
medicine.symptom
business
After treatment
Zdroj: European Journal of Psychotraumatology
Paauw, C, de Roos, C, Tummers, J, de Jongh, A & Dingemans, A 2019, ' Effectiveness of trauma-focused treatment for adolescents with major depressive disorder ', European Journal of Psychotraumatology, vol. 10, no. 1, 1682931 . https://doi.org/10.1080/20008198.2019.1682931
European Journal of Psychotraumatology, Vol 10, Iss 1 (2019)
European journal of psychotraumatology, 10(1), e1682931
Print: 2000-8198
European Journal of Psychotraumatology, 10(1):1682931. Co-Action Publishing
ISSN: 2000-8066
2000-8198
DOI: 10.1080/20008198.2019.1682931
Popis: Background: Major Depressive Disorder (MDD) in adolescence has a high prevalence and risk of disability, but current treatments show limited effectiveness and high drop-out and relapse rates. Although the role of distressing experiences that relate to the development and maintenance of MDD has been recognized for decades, the efficacy of a trauma-focused treatment approach for MDD has hardly been studied.Objective: To determine the effectiveness of eye movement desensitization and reprocessing (EMDR) therapy as a stand-alone intervention in adolescents diagnosed with MDD. We hypothesized that reprocessing core memories related to the onset and maintenance of MDD using EMDR therapy would be associated with a significant decrease in depressive and comorbid symptoms.Method: We recruited 32 adolescents (12–18 years) fulfilling DSM-IV criteria for mild to moderate-severe MDD from an outpatient youth mental health care unit. Treatment consisted of six weekly 60-min individual sessions. Presence or absence of MDD classification (ADIS-C), symptoms of depression (CDI), symptoms of posttraumatic stress (UCLA), anxiety (SCARED), somatic complaints (CSI), and overall social-emotional functioning (SDQ) were assessed pre and post-treatment and 3 months after treatment.Results: 60.9% of the adolescents completing treatment no longer met DSM-IV criteria for MDD after treatment anymore, and 69.8% at follow-up. Multilevel analyses demonstrated significant posttreatment reductions of depressive symptoms (CDI: Cohen’s d = 0.72), comorbid posttraumatic stress, anxiety and somatic complaints, while overall social-emotional functioning improved. These gains were maintained at 3-month follow-up (Cohen’s d = 1.11). Severity of posttraumatic stress reactions significantly predicted the posttreatment outcome; however, duration of MDD, number of comorbid disorders, or having a history of emotional abuse, emotional neglect or physical neglect were not predictive for outcome.Conclusions: This is the first study suggesting that EMDR therapy is associated with a significant reduction of depressive symptoms and comorbid psychiatric problems in adolescents with mild to moderate-severe MDD.
Databáze: OpenAIRE
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