Document Type
Article
Journal Title
Journal of clinical child and adolescent psychology
Publication Date
11-2009
Volume
38
Abstract
This article explores aspects of family environment and parent-child conflict that may predict or moderate response to acute treatments among depressed adolescents (N = 439) randomly assigned to fluoxetine, cognitive behavioral therapy, their combination, or placebo. Outcomes were Week 12 scores on measures of depression and global impairment. Of 20 candidate variables, one predictor emerged: Across treatments, adolescents with mothers who reported less parent-child conflict were more likely to benefit than their counterparts. When family functioning moderated outcome, adolescents who endorsed more negative environments were more likely to benefit from fluoxetine. Similarly, when moderating effects were seen on cognitive behavioral therapy conditions, they were in the direction of being less effective among teens reporting poorer family environments.
MeSH Headings
Adolescent, Child, Cognitive Therapy, Depressive Disorder, Major, Double-Blind Method, Family, Female, Fluoxetine, Humans, Male, Research Design, Serotonin Uptake Inhibitors, Single-Blind Method, Social Environment, Treatment Outcome
DOI Link
ISSN
1537-4424
Recommended Citation
Feeny, Norah C.; Silva, Susan G.; Reinecke, Mark A.; McNulty, Steven; Findling, Robert L.; Rohde, Paul; Curry, John F.; Ginsburg, Golda S.; Kratochvil, Christopher J.; Pathak, Sanjeev M.; May, Diane E.; Kennard, Betsy D.; Simons, Anne D.; Wells, Karen C.; Robins, Michele; Rosenberg, David; and March, John S., "An exploratory analysis of the impact of family functioning on treatment for depression in adolescents." (2009). Journal Articles: Psychiatry. 9.
https://digitalcommons.unmc.edu/com_psych_articles/9
Comments
This is an Accepted Manuscript of an article published by Taylor & Francis Group in Journal of clinical child and adolescent psychology on 11/2009, available online at: http://www.tandfonline.com/10.1080/15374410903297148.