Outcomes with CCT for Adolescents

In contrast to the research on adults we reviewed earlier, two studies have provided mixed support for postacute CT with adolescents. In a pilot study (Kroll, Harrington, Jayson, Fraser, & Gowers, 1996), adolescents who responded to A-CT and received continuation sessions every 2-4 weeks relapsed (met MDE criteria) less frequently over 6 months (20%) than did a historical control group that received no treatment beyond A-CT (50%). However, a larger randomized clinical trial (Clarke, Rohde, Lewinsohn, Hops, & Seeley, 1999) yielded less favorable results. Adolescents completing A-CT were assigned randomly to 24 months of assessments every 4 months plus CT booster sessions (including self-monitoring, lifestyle change interventions to cope with stress, and social support interventions) assessments only every 4 months, or assessments only every 12 months. Among A-CT responders, recurrence (meeting MDE criteria) did not differ significantly among booster session, frequent assessment, and annual assessment groups at 12 monthly (27, 0, and 14, respectively) or 24 months (36, 0, and 23%, respectively). Additional research is needed to develop and evaluate C-CT and M-CT for adolescents and for children.

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