{"title":"Effectiveness of psychological treatments for depression in childhood and adolescence: A review of reviews","authors":"J. Espada","doi":"10.21134/rpcna.2023.10.1.6","DOIUrl":null,"url":null,"abstract":"Depression in childhood and adolescence is a public health problem due to its high prevalence and the impact it has in the individual development. There is clear evidence of the efficacy of Interpersonal Therapy (IPT) and Cognitive-Behavioural Therapy (CBT) in the treatment of depression in children and adolescents; however, recent reviews and meta-analyses provide new perspectives for treatment. The purpose of this work is to synthesize the bibliography available through a systematic review of systematic reviews and meta-analysis that summarizes in a comprehensive way the evidence of the last two decades on the effectiveness of psychological interventions for infant-juvenile depression. A systematic review of systematic reviews and meta-analyses was performed. A search was conducted in the Web of Science and Scopus databases. Eight records met the inclusion criteria, 2 were analysed in their entirety and from the remaining 6 the information needed for independent analysis was extracted. Seven different psychotherapies were studied: CBT and IPT were the most studied (n=7; 87.5%), followed by family therapy (n=5; 62.5%), psychodynamic therapy (n=3; 37.5%), behavioural therapy (n=3; 37.5%), computerised CBT (n=2; 25%), problem-solving therapy (n=1; 12.5%) and supportive therapy (n=1; 12.5%). IPT and CBT were shown to be effective in the treatment of adolescent depression. Half of the reviews (n=4; 50%) had a low methodological quality and the other half (n=4; 50%) were classified as critically low. In general, psychological interventions for child and adolescent depression produce significant, but modest effects. Specifically, IPT and CBT can be considered the main treatment alternatives for adolescent depression. There is insufficient data of specific psychological treatment for children diagnosed with a depressive disorder. It is suggested that research should be increased to improve the methodological quality and increase the number of studies aimed at the children population.","PeriodicalId":43399,"journal":{"name":"Revista de Psicologia Clinica con Ninos y Adolescentes","volume":"1 1","pages":""},"PeriodicalIF":0.8000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista de Psicologia Clinica con Ninos y Adolescentes","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21134/rpcna.2023.10.1.6","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHOLOGY, DEVELOPMENTAL","Score":null,"Total":0}
引用次数: 2
Abstract
Depression in childhood and adolescence is a public health problem due to its high prevalence and the impact it has in the individual development. There is clear evidence of the efficacy of Interpersonal Therapy (IPT) and Cognitive-Behavioural Therapy (CBT) in the treatment of depression in children and adolescents; however, recent reviews and meta-analyses provide new perspectives for treatment. The purpose of this work is to synthesize the bibliography available through a systematic review of systematic reviews and meta-analysis that summarizes in a comprehensive way the evidence of the last two decades on the effectiveness of psychological interventions for infant-juvenile depression. A systematic review of systematic reviews and meta-analyses was performed. A search was conducted in the Web of Science and Scopus databases. Eight records met the inclusion criteria, 2 were analysed in their entirety and from the remaining 6 the information needed for independent analysis was extracted. Seven different psychotherapies were studied: CBT and IPT were the most studied (n=7; 87.5%), followed by family therapy (n=5; 62.5%), psychodynamic therapy (n=3; 37.5%), behavioural therapy (n=3; 37.5%), computerised CBT (n=2; 25%), problem-solving therapy (n=1; 12.5%) and supportive therapy (n=1; 12.5%). IPT and CBT were shown to be effective in the treatment of adolescent depression. Half of the reviews (n=4; 50%) had a low methodological quality and the other half (n=4; 50%) were classified as critically low. In general, psychological interventions for child and adolescent depression produce significant, but modest effects. Specifically, IPT and CBT can be considered the main treatment alternatives for adolescent depression. There is insufficient data of specific psychological treatment for children diagnosed with a depressive disorder. It is suggested that research should be increased to improve the methodological quality and increase the number of studies aimed at the children population.
儿童期和青少年期抑郁症发病率高,对个人发展有重大影响,是一个公共卫生问题。人际关系治疗(IPT)和认知行为治疗(CBT)治疗儿童和青少年抑郁症的疗效有明确的证据;然而,最近的综述和荟萃分析为治疗提供了新的视角。这项工作的目的是通过对系统综述和荟萃分析的系统综述来综合现有的参考书目,以全面的方式总结了过去二十年来关于婴幼儿抑郁症心理干预有效性的证据。对系统评价和荟萃分析进行系统评价。在Web of Science和Scopus数据库中进行了搜索。8例符合纳入标准,2例进行完整分析,其余6例提取独立分析所需的信息。研究了七种不同的心理疗法:CBT和IPT是研究最多的(n=7;87.5%),其次是家庭治疗(n=5;62.5%)、心理动力疗法(n=3;37.5%)、行为治疗(n=3;37.5%),计算机化CBT (n=2;25%)、问题解决疗法(n=1;12.5%)和支持治疗(n=1;12.5%)。IPT和CBT在治疗青少年抑郁症方面被证明是有效的。一半的评论(n=4;50%)方法学质量较低,另一半(n=4;50%)被列为极低。一般来说,对儿童和青少年抑郁症的心理干预产生显著但适度的效果。具体来说,IPT和CBT可以被认为是青少年抑郁症的主要治疗方案。对于被诊断患有抑郁症的儿童,具体的心理治疗数据不足。建议应增加研究,以提高方法质量,并增加针对儿童人口的研究数量。