Contextual Emotion-Regulation Therapy for Childhood Depression: Description and Pilot Testing of a New Intervention

Autor/inn/en	Kovacs, Maria; Sherrill, Joel; George, Charles J.; Pollock, Myrna; Tumuluru, Rameshwari V.; Ho, Vincent
Titel	Contextual Emotion-Regulation Therapy for Childhood Depression: Description and Pilot Testing of a New Intervention
Quelle	In: Journal of the American Academy of Child & Adolescent Psychiatry, 45 (2006) 8, S.892-903 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-8567
DOI	10.1097/01.chi.0000222878.74162.5a
Schlagwörter	Intervention; Children; Therapy; Depression (Psychology); Self Control; Pilot Projects; Questionnaires; Mothers; Educational Attainment; Outcomes of Treatment; Anxiety; Symptoms (Individual Disorders) + Suchen Sie Ihr Suchwort? Child; Kind; Kinder; Therapie; Selbstbeherrschung; Pilot project; Modellversuch; Pilotprojekt; Fragebogen; Mother; Mutter; Bildungsabschluss; Bildungsgut; Angst; Psychiatrische Symptomatik
Abstract	Objective: To pilot test the acceptability and efficacy of contextual emotion-regulation therapy (CERT), a new, developmentally appropriate intervention for childhood depression, which focuses on the self-regulation of dysphoria. Method: Two samples of convenience (n = 29, n = 2) served to verify some CERT constructs; it was then operationalized in a treatment manual. To pilot test CERT, 20 children (ages 7-12; 35% girls) with "DSM" dysthymic disorder (mean duration 24.4 months) entered an open, 30-session, 10-month, 4-phase trial, with 6- and 12-month follow-up. Assessments included independent clinical evaluations and self-rated questionnaires. Results: Fifteen children completed therapy, four were administratively terminated and one dropped out. Completers did not clinically differ from the rest, but they were more likely to have better educated and less depressed mothers and intact families. At the end of treatment, 53% of the completers had full and 13% partial remission of dysthymia (remission from superimposed major depression was 80%). By 6- and 12-month follow-up, 79% and 92% had full remission of dysthymia (p less than 0.0001). Self-reported depressive and anxiety symptoms significantly declined by the end of treatment (p less than 0.001) and remained so throughout follow-up. Conclusions:: CERT enables clinicians to "match" the intervention to children's emotion regulatory needs and symptoms and was readily accepted by families. The promising results suggest the need for a randomized trial. (Contains 1 table and 1 figure.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10