Clinical and Cost Effectiveness of Brief Cognitive-Behavioral Therapy (CBT) for Pediatric Internalizing Disorders

NCT ID: NCT00669526

Last Updated: 2008-04-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-10-31

Study Completion Date

2007-04-30

Brief Summary

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This project assesses the clinical and cost effectiveness of brief cognitive-behavioral therapy (CBT) for depressed (ages 11-17) and anxious (ages 8-17) youths seen for services in pediatric primary care. This study is designed to compare the impact of brief CBT delivered on-site in pediatric primary care to referral to specialty mental health care (SMHC), as well as obtain an estimate of the total costs of the CBT protocols for depression and anxiety and the cost-effectiveness of the protocols compared to referral to and utilization of SMHC services.

Detailed Description

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Conditions

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Depression Anxiety

Keywords

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anxiety depression Major Depressive Disorder child adolescent CBT Cognitive-Behavioral Therapy primary care

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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SMHC referral

Referral to local Specialty Mental Health Care Services

Group Type ACTIVE_COMPARATOR

SMHC referral

Intervention Type BEHAVIORAL

Referral to local Speciality Mental Health Care. Families were referred to local mental health care providers, and could freely choose any treatment or combination of treatments offered (e.g., anti-depressant medication, individual psychotherapy, family psychotherapy, etc.).

BCBT

Brief Cognitive Behavioral Therapy

Group Type EXPERIMENTAL

BCBT

Intervention Type BEHAVIORAL

Brief Cognitive Behavioral Therapy. This BCBT protocol consists of up to 8 CBT sessions to be conducted over a maximum of 12 weeks.

Interventions

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BCBT

Brief Cognitive Behavioral Therapy. This BCBT protocol consists of up to 8 CBT sessions to be conducted over a maximum of 12 weeks.

Intervention Type BEHAVIORAL

SMHC referral

Referral to local Speciality Mental Health Care. Families were referred to local mental health care providers, and could freely choose any treatment or combination of treatments offered (e.g., anti-depressant medication, individual psychotherapy, family psychotherapy, etc.).

Intervention Type BEHAVIORAL

Other Intervention Names

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CBT Cognitive-Behavioral Therapy

Eligibility Criteria

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Inclusion Criteria

* Ages 11 to 17 years
* Meet diagnostic criteria for Major Depression, Dysthymia, or Minor Depression
* Live with a legal guardian


* Ages 7 to 17 years
* Meet full or probable (missing one, non-core symptom) diagnostic criteria for Separation Anxiety Disorder, Generalized Anxiety Disorder, Social Phobia, or Specific Phobia
* Live with a legal guardian

Exclusion Criteria

* Require treatment other than brief CBT (namely, youths with bipolar disorder, psychosis, active suicidal ideation with plan, post-traumatic stress disorder, substance dependence, or mental retardation
* Experience of recent physical or sexual maltreatment
* Serious or unstable physical illness
* Current participation in an alternate, active intervention for the target condition of interest
Minimum Eligible Age

7 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

William T. Grant Foundation

OTHER

Sponsor Role collaborator

Robert Wood Johnson Foundation

OTHER

Sponsor Role lead

Responsible Party

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SDSU/UCSD Joint Doctoral Program in Clinical Psychology

Principal Investigators

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V. Robin Weersing, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

SDSU/UCSD Joint Doctoral Program in Clinical Psychology

Locations

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University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Countries

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United States

References

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Weersing, V. R., Gonzalez, A., Campo, J. V., & Lucas, A. N. Brief Behavioral Therapy for Pediatric Anxiety and Depression: Piloting an Integrated Treatment Approach. Cognitive and Behavioral Practice (in press), 2008.

Reference Type BACKGROUND

Related Links

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http://www.nimh.nih.gov/

The National Institute of Mental Health (NIMH) is the largest scientific organization in the world dedicated to research focused on the understanding, treatment, and prevention of mental disorders and the promotion of mental health.

http://www.rwjf.org/

The Robert Wood Johnson Foundation (RWJF) focuses on the pressing health and health care issues facing our country.

http://www.wtgrantfoundation.org/

William T. Grant Foundation's mission focuses on improving the lives of youth ages 8 to 25 in the United States. We accomplish this by providing grants primarily for high-quality empirical studies.

Other Identifiers

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051653

Identifier Type: -

Identifier Source: org_study_id