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Pragmatic Quasi-Experimental Controlled Trial Evaluating the Outcomes of Blended CBT Compared to Face-to-Face CBT and Treatment as Usual for Adolescents with Depressive Disorders

Author

Listed:
  • Sanne P.A. Rasing

    (Clinical Child and Family Studies, Utrecht University, 3508 TC Utrecht, The Netherlands
    Child and Adolescent Psychiatry, GGZ Oost Brabant, 5427 EM Boekel, The Netherlands)

  • Yvonne A.J. Stikkelbroek

    (Clinical Child and Family Studies, Utrecht University, 3508 TC Utrecht, The Netherlands
    Child and Adolescent Psychiatry, GGZ Oost Brabant, 5427 EM Boekel, The Netherlands)

  • Wouter den Hollander

    (Trimbos Institute, 3521 VS Utrecht, The Netherlands)

  • Heleen Riper

    (Department of Clinical, Neuro- and Developmental Psychology, VU University, 1081 HV Amsterdam, The Netherlands
    Department of Psychiatry, VU University Medical Centre, 1081 HV Amsterdam, The Netherlands
    APH Institute for Health and Care Research, VU University Medical Centre, 1081 HV Amsterdam, The Netherlands)

  • Maja Deković

    (Clinical Child and Family Studies, Utrecht University, 3508 TC Utrecht, The Netherlands)

  • Maaike H. Nauta

    (Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, 9712 CP Groningen, The Netherlands
    Accare Child and Adolescent Psychiatry, Groningen University Centre, 9712 CP Groningen, The Netherlands)

  • Daan H.M. Creemers

    (Child and Adolescent Psychiatry, GGZ Oost Brabant, 5427 EM Boekel, The Netherlands
    Behavioural Science Institute, Radboud University, 6525 XZ Nijmegen, The Netherlands)

  • Marianne C.P. Immink

    (Triversum, GGZ Noord-Holland-Noord, 1817 EZ Alkmaar, The Netherlands)

  • Mariken Spuij

    (Clinical Child and Family Studies, Utrecht University, 3508 TC Utrecht, The Netherlands
    TOPP-Zorg, Driebergen-Rijsenburg, 3972 WG Driebergen-Rijsenburg, The Netherlands)

  • Denise H.M. Bodden

    (Clinical Child and Family Studies, Utrecht University, 3508 TC Utrecht, The Netherlands
    Child and Youth Psychiatry, Altrecht, 3524 SH Utrecht, The Netherlands)

Abstract

Depression is a major problem in youth mental health. Current treatment is on average effective, but adolescents are hesitant to seek help. Blended treatment could lower the barriers to seeking treatment. Evidence on effectiveness is, however, scarce. The present pragmatic quasi-experimental controlled trial aimed to compare the outcomes of blended cognitive behavioral therapy (CBT) to face-to-face CBT and treatment as usual. A total of 129 adolescents with clinical depression (82.2% female), aged 13–22 ( M = 16.60, SD = 2.03) received blended CBT, face-to-face CBT or treatment as usual. Clinical diagnosis, depressive symptoms, and secondary outcomes were assessed at baseline, post-intervention, and six-months follow-up. Participants receiving blended CBT were, compared to participants receiving face-to-face CBT and treatment as usual, evenly likely to be in remission from their depressive disorder at post-intervention and at six-month follow-up. Depressive symptoms decreased significantly over time in all three conditions, and changes were not significantly different between conditions. Other secondary outcomes (suicide risk, internalizing and externalizing symptoms, severity of depression, and global functioning) did not differ between treatment conditions at post-intervention and six-month follow-up. Since there was no evidence for favorable outcomes for face-to-face therapies above blended CBT, blended CBT may also be an effective treatment format in clinical practice.

Suggested Citation

  • Sanne P.A. Rasing & Yvonne A.J. Stikkelbroek & Wouter den Hollander & Heleen Riper & Maja Deković & Maaike H. Nauta & Daan H.M. Creemers & Marianne C.P. Immink & Mariken Spuij & Denise H.M. Bodden, 2021. "Pragmatic Quasi-Experimental Controlled Trial Evaluating the Outcomes of Blended CBT Compared to Face-to-Face CBT and Treatment as Usual for Adolescents with Depressive Disorders," IJERPH, MDPI, vol. 18(6), pages 1-17, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:3102-:d:519103
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    References listed on IDEAS

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    1. Kenneth F Schulz & Douglas G Altman & David Moher & for the CONSORT Group, 2010. "CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-7, March.
    2. van Buuren, Stef & Groothuis-Oudshoorn, Karin, 2011. "mice: Multivariate Imputation by Chained Equations in R," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 45(i03).
    3. Bates, Douglas & Mächler, Martin & Bolker, Ben & Walker, Steve, 2015. "Fitting Linear Mixed-Effects Models Using lme4," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 67(i01).
    4. David Daniel Ebert & Anna-Carlotta Zarski & Helen Christensen & Yvonne Stikkelbroek & Pim Cuijpers & Matthias Berking & Heleen Riper, 2015. "Internet and Computer-Based Cognitive Behavioral Therapy for Anxiety and Depression in Youth: A Meta-Analysis of Randomized Controlled Outcome Trials," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-15, March.
    5. Gavin Andrews & Pim Cuijpers & Michelle G Craske & Peter McEvoy & Nickolai Titov, 2010. "Computer Therapy for the Anxiety and Depressive Disorders Is Effective, Acceptable and Practical Health Care: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 5(10), pages 1-6, October.
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