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Therapie

Evaluation eines kognitiv-verhaltenstherapeutischen Gruppenprogramms für depressive Jugendliche und junge Erwachsene

Published Online:September 01, 2006https://doi.org/10.1026//0942-5403.11.4.238

Abstract

Zusammenfassung. Im Rahmen der vorliegenden Studie wurde ein Gruppenprogramm in Anlehnung an den Adolescent Coping with Depression Course (CWD-A) der Arbeitsgruppe um Lewinsohn bei depressiven Jugendlichen und jungen Erwachsenen erprobt und auf seine Wirksamkeit hin überprüft. Das hochstrukturierte, psychoeduktive Gruppenprogramm wird in Kursen mit vier bis acht Teilnehmern über 10 zweistündige Sitzungen durchgeführt. Es werden vor allem soziale und kognitive Fertigkeiten, die Planung angenehmer Aktivitäten, Kommunikations- und Problemlösefertigkeiten sowie Entspannungsübungen fokussiert, deren Vermittlung über protokollierte Selbstbeobachtung, Rollenspiele und Verhaltensübungen realisiert wird. Bisher fanden vier Kurse mit insgesamt 24 Teilnehmern statt, die Depressionen in subklinischer oder klinisch relevanter Ausprägung bzw. komorbide depressive Störungen aufwiesen. Erste Analysen zeigen neben einer signifikanten Verringerung depressiver Symptomatik und irrationalen Denkens auch eine bedeutsame Zunahme erwünschter Verhaltens- und Erlebensweisen wie angenehmer Aktivitäten, Peerintegration, Optimismus und psychologischen Wohlbefindens. Zum Zeitpunkt des Kursendes waren 56 % der ursprünglich depressiven Teilnehmer remittiert.


Evaluation of a cognitive-behavioral group intervention for depressed adolescents and young adults

Abstract. In the present study a group intervention in the tradition of the Adolescent Coping with Depression Course (CWD-A) of Lewinsohn and colleagues was conducted and evaluated with adolescents and young adults. This highly structured, psychoeducational intervention includes ten 2-hour group sessions that take place in courses with four to eight participants. The treatment focuses on social and cognitive skills, planning pleasant activities, communication, negotiation, and problem-solving skills, as well as relaxation techniques taught by recorded self-monitoring, role play, and repeated practice of skills. In the presented study four courses with 24 participants suffering from subclinical or clinically relevant depressive disorders or comorbid depressive disorders took place. Initial analysis show significant decreases in depressive symptoms and irrational beliefs, and significant increases in pleasant activities, peerintegration, optimism, and psychological well-being. At post-treatment, 56 % of the initially depressive participants showed remission.

Literatur

  • American Psychological Association Task Force on Psychological Intervention Guidelines (1995). Template for developing guidelines. Interventions for mental disorders and psychosocial aspects of physical disorders. Washington, DC: American Psychological Association. First citation in articleGoogle Scholar

  • Anderson, J. C. , McGee, R. (1994). Comorbidity of depression in children and adolescents. In W. M. Reynolds & H. F. Johnston (Eds.), Handbook of depression in children and adolescents (pp.581-601). New York: Plenum. First citation in articleCrossref, Google Scholar

  • Biederman, J. , Faraone, S. , Mick, E. , Lelon, E. (1995). Psychiatric comorbidity among referred juveniles with major depression: fact or artifact?. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 579– 590 First citation in articleCrossref, Google Scholar

  • Birmaher, B. , Ryan, N. D. , Williamson, D. E. , Brent, D.A. , Kaufman, J. , Dahl, R. E. , Perel, J. , Nelson, B. (1996a). Childhood and adolescent depression: a review of the past 10 years. Part I. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1427– 1439 First citation in articleCrossref, Google Scholar

  • Birmaher, B. , Ryan, N. D. , Williamson, D. E. , Brent, D. A. (1996b). Childhood and adolescent depression: a review of the past 10 years. Part II. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1575– 1583 First citation in articleCrossref, Google Scholar

  • Brent, D. A. , Holder, D. , Kolko, D. , Birmaher, B. , Baugher, M. , Roth, C. , Iyengar, S. , Johnson, B. A. (1997). A clinical psychotherapy trial for adolescent depression comparing cognitive, family, and supportive therapy. Archives of General Psychiatry, 54, 877– 885 First citation in articleCrossref, Google Scholar

  • Brunstein, J. C. (1986). Attributionsstil und Depression: Erste Befunde zur Reliabilität und Validität eines deutschsprachigen Attributionsstil-Fragebogens. Zeitschrift für Differentielle und Diagnostische Psychologie, 7, 45– 53 First citation in articleGoogle Scholar

  • Burke, K. C. , Burke, J. D. , Regier, D. A. , Rae, D. S. (1990). Age of onset of selected mental disorders in five community populations. Archives of General Psychiatry, 47, 511– 518 First citation in articleCrossref, Google Scholar

  • Cicchetti, D. , Toth, S. L. (1998). The development of depression in children and adolescents. American Psychologist, 53, 221– 241 First citation in articleCrossref, Google Scholar

  • Clarke, G. N. , Lewinsohn, P. M. (1986). Leader manual for the adolescent coping with depression course. Unpublished manuscript, Oregon Research Institute. First citation in articleGoogle Scholar

  • Clarke, G. N. , Lewinsohn, P. M. , Hops, H. (1990a). Leader's manual for adolescent groups. Adolescent coping with depression course. Eugene: Castalia. First citation in articleGoogle Scholar

  • Clarke, G. N. , Lewinsohn, P. M. , Hops, H. (1990b). Student workbook. Adolescent coping with depression course. Eugene: Castalia. First citation in articleGoogle Scholar

  • Clarke, G. N. , Rohde, P. , Lewinsohn, P. M. , Hops, H. , Seeley, J. R. (1999). Cognitive-behavioral treatment of adolescent depression: efficacy of acute group treatment and booster sessions. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 272– 279 First citation in articleCrossref, Google Scholar

  • Essau, C. A. , Karpinski, N. , Petermann, F. , Conradt, J. (1998). Häufigkeit und Komorbidität psychischer Störungen bei Jugendlichen: Ergebnisse der Bremer Jugendstudie. Zeitschrift für Klinische Psychologie, Psychopathologie und Psychotherapie, 46, 105– 124 First citation in articleGoogle Scholar

  • Esser, G. , Ihle, W. (2000). Die Peerliste - Beliebtheit bei Gleichaltrigen, Probleme im Umgang mit Gleichaltrigen und Attribution von Freundschaften. Potsdam: Unveröffentlichtes Manuskript. First citation in articleGoogle Scholar

  • Fava, G. A. , Rafanelli, C. , Cazzaro, M. , Conti, S. , Grandi, S. (1998). Well-being therapy. A novel psychotherapeutic approach for residual symptoms of affective disorders. Psychological Medicine, 28, 475– 480 First citation in articleCrossref, Google Scholar

  • Feehan, M. , McGee, R. , Nada-Raja, S. , Williams, S. M. (1994). DSM-III-R disorders in New Zealand. 18-year-olds. Australian and New Zealand Journal of Psychiatry, 28, 87– 99 First citation in articleCrossref, Google Scholar

  • Fergusson, D. M. , Horwood, L. J. , Lynskey, M. T. (1993). Prevalence and comorbidity of DSM-III-R diagnoses in a birth cohort of 15-year-olds. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 1127– 1134 First citation in articleCrossref, Google Scholar

  • Fydrich, T. , Sommer, G. , Brähler, E. (2000). Fragebogen zur Sozialen Unterstützung (F-SozU). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Herrle, J. (2000). Skala Irrationaler Grundüberzeugungen nach Ellis (SIGE). Mannheim: Unveröffentlichtes Manuskript. First citation in articleGoogle Scholar

  • Ihle, W. , Esser, G. , Schmidt, M. H. , Blanz, B. (2000). Prävalenz, Komorbidität und Geschlechtsunterschiede psychischer Störungen vom Grundschul- bis ins frühe Erwachsenenalter. Zeitschrift für Klinische Psychologie und Psychotherapie, 29, 263– 275 First citation in articleLink, Google Scholar

  • Ihle, W. , Herrle, J. (2002aimDruck). Prävention, Behandlung und Rückfallprophylaxe depressiver Störungen im Jugendalter. Ein kognitiv-verhaltenstherapeutisches Gruppenprogramm nach Clarke & Lewinsohn. Tübingen: DGVT. First citation in articleGoogle Scholar

  • Ihle, W. , Herrle, J. (2002bimDruck). Mit depressiven Störungen im Jugendalter umgehen lernen. Ein Arbeitsbuch für Kursteilnehmer. Tübingen: DGVT. First citation in articleGoogle Scholar

  • Johnston, H. F. , Fruehling, J. J. (1994). Pharmacotherapy for depression in children and adolescents. In W. M. Reynolds & H. F. Johnston (Eds.), Handbook of depression in children and adolescents (pp.365-397). New York: Plenum. First citation in articleCrossref, Google Scholar

  • Kandel, D. B. , Davis, M. (1986). Adult sequelae of adolescent depressive symptoms. Archives of General Psychiatry, 43, 255– 262 First citation in articleCrossref, Google Scholar

  • Kaslow, N. J. , Thompson, M. P. (1998). Applying the criteria for empirically supported treatments to studies of psychosocial interventions for child and adolescent depression. Journal of Clinical Child Psychology, 27, 146– 155 First citation in articleCrossref, Google Scholar

  • Keller, M. B. , Ryan, N. D. , Strober, M. , Klein, R. G. , Kutcher, S. P. , Birmaher, B. , Hagino, O. R. , Koplewicz, H. , Carlson, G. A. , Clarke, G. N. , Emslie, G. J. , Feinberg, D. , Geller, B. , Kusumakar, V. , Papatheodorou, G. , Sack, W. H. , Sweeney, M. , Wagner, K. D. , Weller, E. B. , Winters, N. C. , Oakes, R. , McCafferty, J. P. (2002). Efficacy of paroxetine in the treatment of adolescent major depression: a randomized, controlled trial. Journal of the American Academy of Child and Adolescents Psychiatry, 40, 762– 772 First citation in articleCrossref, Google Scholar

  • Kovacs, M. , Krol, R. S. M. , Voti, L. (1994). Early onset psychopathology and the risk for teenage pregnancy among clinically referred girls. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 106– 122 First citation in articleCrossref, Google Scholar

  • Kühner, C. (1997). Fragebogen zur Depressionsdiagnostik nach DSM-IV (FDD-DSM-IV). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Kutcher, S. P. (1997). Pharmacotherapy of depression: a review of current evidence and practical clinical directions. In C. A. Essau & F. Petermann (Eds.), Developmental psychopathology: epidemiology, diagnostics, and treatment (pp.437-457). London: Harwood Academic Publishers. First citation in articleGoogle Scholar

  • Lewinsohn, P. M. , Clarke, G. N. , Hops, H. , Andrews, J. (1990). Cognitive-behavioral group treatment of depression in adolescents. Behavior Therapy, 21, 385– 401 First citation in articleCrossref, Google Scholar

  • Lewinsohn, P. M. , Hops, H. , Roberts, J. R. , Seeley, J. R. , Andrews, J. A. (1993). Adolescents psychopathology: I. Prevalence and incidence of depression and other DSM-III-R disorders in high school students. Journal of Abnormal Psychology, 102, 133– 144 First citation in articleCrossref, Google Scholar

  • Lewinsohn, P. M. , Rohde, P. , Seeley, J. R. (1998). Major depressive disorder in older adolescents: prevalence, risk factors, and clinical implications. Clinical Psychology Review, 18, 765– 794 First citation in articleCrossref, Google Scholar

  • Murray, C. J. L. , Lopez, A. D. (1997). Alternative projections of mortality and disability by cause 1990-2020: global burden of disease study. Lancet, 349, 1498– 1504 First citation in articleCrossref, Google Scholar

  • Peterson, C. , Semmel, A. , Metalsky, G. , Abramson, L. Y. , Baeyer, C. v. , Seligman, M. E. P. (1982). The attributional style questionnaire. Cognitive Therapy and Research, 6, 287– 300 First citation in articleCrossref, Google Scholar

  • Puig-Antich, J. , Kaufman, J. , Ryan, N. D. , Williamson, D. E. , Dahl, R. E. , Lukens, E. , Todak, G. , Ambrosini, P. , Rabinovich, H. , Nelson, B. (1993). The psychosocial functioning and family environment of depressed adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 244– 251 First citation in articleCrossref, Google Scholar

  • Reinecke, D. , Ryan, N. E. , DuBois, D. L. (1998). Cognitive-behavioral therapy of depression and depressive symptoms during adolescence: a review and meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 26– 34 First citation in articleCrossref, Google Scholar

  • Rohde, P. , Lewinsohn, P. M. , Seeley, J. R. (1991). Comorbidity of unipolar depression: II. Comorbidity with other mental disorders in adolescents and adults. Journal of Abnormal Psychology, 100, 214– 222 First citation in articleCrossref, Google Scholar

  • Ryff, C. D. (1989). Happiness is everything, or isn't it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57, 1069– 1081 First citation in articleCrossref, Google Scholar

  • Saß, H. , Wittchen, H.-U. , Zaudig, M. (1996). Diagnostisches und Statistisches Manual Psychischer Störungen (DSM-IV). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Scheier, M. F. , Carver, C. S. (1985). Optimism, coping, and health: assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219– 247 First citation in articleCrossref, Google Scholar

  • Stikkelbroek, Y. , Cuijpers, P. (1998). De cursus “Omgaan met depressie“: handleiding, draaiboek, cursistenmaterialen. Utrecht: Trimboos-instituut, unveröffentlichtes Manuskript. First citation in articleGoogle Scholar

  • Wittchen, H.-U. , Nelson, C. , Lachner, G. (1998). Prevalence of mental disorders and psychosocial impairments in adolescents and young adults. Psychological Medicine, 28, 109– 126 First citation in articleCrossref, Google Scholar

  • Wittchen, H.-U. , Wunderlich, U. , Gruschwitz, S. , Zaudig, M. (1997). SKID-I Strukturiertes Klinisches Interview für DSM-IV Achse I: Psychische Störungen. Interview und Begleitheft. Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Wood, A. , Harrington, R. , Moore, A. (1996). Controlled trial of brief cognitive-behavioral intervention in adolescent patients with depressive disorders. Journal of Child Psychology and Psychiatry, 37, 737– 746 First citation in articleCrossref, Google Scholar

  • Zimmer, F. T. (1990). Tübinger Anhedonie-Fragebogen. In G. Hank, K. Hahlweg & N. Klann (Hrsg.), Diagnostische Verfahren für Berater. Materialien zur Diagnostik und Therapie in Ehe-, Familien- und Lebensberatung. Weinheim: Beltz. First citation in articleGoogle Scholar