Trial Outcomes & Findings for Concurrent Treatment for Depressed Parents and DepressedAdolescents (NCT NCT00951821)

NCT ID: NCT00951821

Last Updated: 2015-08-31

Results Overview

self-report measure of depressed mood - range of scores 0 to 60; higher scores indicate worse depression. The data in this outcome refer to change from baseline to 12 month follow-up, per the adolescent self-report.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

24 participants

Primary outcome timeframe

12 months

Results posted on

2015-08-31

Participant Flow

Participant milestones

Participant milestones
Measure
Concurrent Treatment
Adolescent participants and their parents will receive concurrent cognitive behavioral therapy. Concurrent cognitive behavioral therapy (CBT): Individual CBT sessions for parents and adolescents plus combined parent-adolescent family sessions, delivered weekly for 3 months in the acute phase and bimonthly for 3 months in the maintenance phase. The techniques used to teach cognitive restructuring and problem solving to parents will be similar to those taught to the adolescents, except emotion regulation skills will be added to the parent treatment.
Adolescent Treatment Only
Only adolescent participants will receive cognitive behavioral therapy. Adolescent only cognitive behavioral therapy (CBT): Individual CBT for adolescents only plus combined parent-adolescent family sessions, delivered weekly for 3 months in the acute phase and bimonthly for 3 months in the maintenance phase
Overall Study
STARTED
16
8
Overall Study
COMPLETED
16
8
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Concurrent Treatment for Depressed Parents and DepressedAdolescents

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Concurrent Treatment
n=16 Participants
Adolescent participants and their parents will receive concurrent cognitive behavioral therapy. Concurrent cognitive behavioral therapy (CBT): Individual CBT sessions for parents and adolescents plus combined parent-adolescent family sessions, delivered weekly for 3 months in the acute phase and bimonthly for 3 months in the maintenance phase. The techniques used to teach cognitive restructuring and problem solving to parents will be similar to those taught to the adolescents, except emotion regulation skills will be added to the parent treatment.
Adolescent Treatment Only
n=8 Participants
Only adolescent participants will receive cognitive behavioral therapy. Adolescent only cognitive behavioral therapy (CBT): Individual CBT for adolescents only plus combined parent-adolescent family sessions, delivered weekly for 3 months in the acute phase and bimonthly for 3 months in the maintenance phase
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
14.69 years
STANDARD_DEVIATION 1.78 • n=93 Participants
14.0 years
STANDARD_DEVIATION 1.69 • n=4 Participants
14.45 years
STANDARD_DEVIATION 1.72 • n=27 Participants
Sex: Female, Male
Female
14 Participants
n=93 Participants
6 Participants
n=4 Participants
20 Participants
n=27 Participants
Sex: Female, Male
Male
2 Participants
n=93 Participants
2 Participants
n=4 Participants
4 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
White
10 Participants
n=93 Participants
5 Participants
n=4 Participants
15 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=93 Participants
1 Participants
n=4 Participants
3 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=93 Participants
2 Participants
n=4 Participants
5 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
15 Participants
n=93 Participants
7 Participants
n=4 Participants
22 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
United States
16 participants
n=93 Participants
8 participants
n=4 Participants
24 participants
n=27 Participants
Beck Depression Inventory
29.32 units on a scale
n=93 Participants
19.13 units on a scale
n=4 Participants
24.65 units on a scale
n=27 Participants
Beck Suicide Ideation Scale
9.81 units on a scale
n=93 Participants
5.75 units on a scale
n=4 Participants
8.12 units on a scale
n=27 Participants

PRIMARY outcome

Timeframe: 12 months

Population: intent to treat

self-report measure of depressed mood - range of scores 0 to 60; higher scores indicate worse depression. The data in this outcome refer to change from baseline to 12 month follow-up, per the adolescent self-report.

Outcome measures

Outcome measures
Measure
Concurrent Treatment
n=16 Participants
Adolescent participants and their parents will receive concurrent cognitive behavioral therapy. Concurrent cognitive behavioral therapy (CBT): Individual CBT sessions for parents and adolescents plus combined parent-adolescent family sessions, delivered weekly for 3 months in the acute phase and bimonthly for 3 months in the maintenance phase. The techniques used to teach cognitive restructuring and problem solving to parents will be similar to those taught to the adolescents, except emotion regulation skills will be added to the parent treatment.
Adolescent Treatment Only
n=8 Participants
Only adolescent participants will receive cognitive behavioral therapy. Adolescent only cognitive behavioral therapy (CBT): Individual CBT for adolescents only plus combined parent-adolescent family sessions, delivered weekly for 3 months in the acute phase and bimonthly for 3 months in the maintenance phase
Beck Depression Inventory - Adolescent Report, Change in Symptom Level
-17.5 change in BDI (-60 to 60 possible range)
Standard Error 2.8
-14.1 change in BDI (-60 to 60 possible range)
Standard Error 3.4

SECONDARY outcome

Timeframe: Measured at 12 months

Population: intent to treat

measure of suicidal ideation - scale ranges from 0 to 38 - higher scores indicate higher suicidal ideation. These data refer to adolescent respondents. The outcome is a change score so range is from -38 to 38.

Outcome measures

Outcome measures
Measure
Concurrent Treatment
n=16 Participants
Adolescent participants and their parents will receive concurrent cognitive behavioral therapy. Concurrent cognitive behavioral therapy (CBT): Individual CBT sessions for parents and adolescents plus combined parent-adolescent family sessions, delivered weekly for 3 months in the acute phase and bimonthly for 3 months in the maintenance phase. The techniques used to teach cognitive restructuring and problem solving to parents will be similar to those taught to the adolescents, except emotion regulation skills will be added to the parent treatment.
Adolescent Treatment Only
n=8 Participants
Only adolescent participants will receive cognitive behavioral therapy. Adolescent only cognitive behavioral therapy (CBT): Individual CBT for adolescents only plus combined parent-adolescent family sessions, delivered weekly for 3 months in the acute phase and bimonthly for 3 months in the maintenance phase
Beck Suicide Scale - Adolescent Response
-1.7 units on a scale
Standard Error 1.4
-2.1 units on a scale
Standard Error 1.3

Adverse Events

Concurrent Treatment

Serious events: 5 serious events
Other events: 2 other events
Deaths: 0 deaths

Adolescent Treatment Only

Serious events: 2 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Concurrent Treatment
n=16 participants at risk
Concurrent treatment - experimental condition: Adolescent participants and their parents will receive concurrent cognitive behavioral therapy. Concurrent treatment: Individual CBT sessions for parents and adolescents plus combined parent-adolescent family sessions, delivered weekly for 3 months in the acute phase and bimonthly for 3 months in the maintenance phase. The techniques used to teach cognitive restructuring and problem solving to parents will be similar to those taught to the adolescents, except emotion regulation skills will be added to the parent treatment.
Adolescent Treatment Only
n=8 participants at risk
Adolescent treatment only - Active Comparator: Only adolescent participants will receive cognitive behavioral therapy. Adolescent treatment only: Individual CBT for adolescents only plus combined parent-adolescent family sessions, delivered weekly for 3 months in the acute phase and bimonthly for 3 months in the maintenance phase
Psychiatric disorders
Inpatient Hospitalization; ED visit
31.2%
5/16 • Number of events 7 • I year
25.0%
2/8 • Number of events 2 • I year

Other adverse events

Other adverse events
Measure
Concurrent Treatment
n=16 participants at risk
Concurrent treatment - experimental condition: Adolescent participants and their parents will receive concurrent cognitive behavioral therapy. Concurrent treatment: Individual CBT sessions for parents and adolescents plus combined parent-adolescent family sessions, delivered weekly for 3 months in the acute phase and bimonthly for 3 months in the maintenance phase. The techniques used to teach cognitive restructuring and problem solving to parents will be similar to those taught to the adolescents, except emotion regulation skills will be added to the parent treatment.
Adolescent Treatment Only
n=8 participants at risk
Adolescent treatment only - Active Comparator: Only adolescent participants will receive cognitive behavioral therapy. Adolescent treatment only: Individual CBT for adolescents only plus combined parent-adolescent family sessions, delivered weekly for 3 months in the acute phase and bimonthly for 3 months in the maintenance phase
Psychiatric disorders
Behavior problems involving legal authorities
12.5%
2/16 • Number of events 2 • I year
12.5%
1/8 • Number of events 1 • I year

Additional Information

Anthony Spirito

Brown University

Phone: 401-444-1929

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place