TY - JOUR
T1 - Extreme thinking in clinically depressed adolescents
T2 - Results from the Treatment for Adolescents with Depression Study (TADS)
AU - Jacobs, Rachel H.
AU - Reinecke, Mark A
AU - Gollan, Jacqueline K
AU - Jordan, Neil
AU - Silva, Susan G.
AU - March, John S.
PY - 2010/11
Y1 - 2010/11
N2 - The purpose of this report is to examine relations between extreme thinking, as measured by the Dysfunctional Attitudes Scale, and the maintenance of gains among adolescents who participated in the Treatment for Adolescents with Depression Study (TADS). We examine extreme thinking among 327 adolescents (mean age. = 14.56, 57% female, 75% White) who received cognitive behavior therapy (CBT), fluoxetine (FLX), or a combination of CBT and FLX (COMB). Among those who met remission status on the Children's Depression Rating Scale - Revised (CDRS-R ≤ 28; 56 at week 12, 79 at week 18) extreme thinking did not predict failure to maintain remission. This is in contrast to findings with depressed adults. Treatment influenced level of extreme thinking, and this appeared to be driven by greater endorsement of positively valenced beliefs as opposed to a decrease in negatively valenced beliefs. Developmental or investigation characteristics may account for the discrepancy in findings.
AB - The purpose of this report is to examine relations between extreme thinking, as measured by the Dysfunctional Attitudes Scale, and the maintenance of gains among adolescents who participated in the Treatment for Adolescents with Depression Study (TADS). We examine extreme thinking among 327 adolescents (mean age. = 14.56, 57% female, 75% White) who received cognitive behavior therapy (CBT), fluoxetine (FLX), or a combination of CBT and FLX (COMB). Among those who met remission status on the Children's Depression Rating Scale - Revised (CDRS-R ≤ 28; 56 at week 12, 79 at week 18) extreme thinking did not predict failure to maintain remission. This is in contrast to findings with depressed adults. Treatment influenced level of extreme thinking, and this appeared to be driven by greater endorsement of positively valenced beliefs as opposed to a decrease in negatively valenced beliefs. Developmental or investigation characteristics may account for the discrepancy in findings.
KW - Adolescents
KW - Cognitive therapy
KW - Major depressive disorder
KW - Recovery
UR - http://www.scopus.com/inward/record.url?scp=77957878699&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77957878699&partnerID=8YFLogxK
U2 - 10.1016/j.brat.2010.08.001
DO - 10.1016/j.brat.2010.08.001
M3 - Article
C2 - 20843506
AN - SCOPUS:77957878699
SN - 0005-7967
VL - 48
SP - 1155
EP - 1159
JO - Behavioral Assessment
JF - Behavioral Assessment
IS - 11
ER -
