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Archives of Disease in Childhood - Education and Practice 2007;92:ep128
Copyright © 2007 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health
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EVIDENCE-BASED MEDICINE

Review: 3 of 4 RCTs on the treatment of adolescent depression in primary care have positive results

Stein RE, Zitner LE, Jensen PS. Interventions for adolescent depression in primary care. Pediatrics 2006;118:669–82.[Abstract/Free Full Text]

Q In adolescents in primary care settings, is treatment of depression (ie, psychosocial, educational, and/or supportive interventions) effective?

Clinical impact ratings GP/FP/Primary care ******{star} Paediatrics ******{star} Psychiatry ******{star}

Keywords: depression; psychotherapy (brief); social support

The first 150 words of the full text of this article appear below.


METHODS

Formula

Data sources: Medline, PsycINFO, and the Cochrane library (1999 to June 2005); reference lists; and experts in the field.


Formula

Study selection and assessment: English language studies that investigated treatment or psychosocial support for depression. Articles on case studies, evaluations of a particular measure or tool, purely psychopharmacological treatments, adult specialty care treatment, or long term treatment for children and adolescents were excluded. Before and after studies were included in the review but are not summarised in this abstract. Studies contributing indirect evidence (ie, on depression management in adults in primary care or on other childhood mental health conditions in primary care) were also included in the review; this abstract focuses on the direct evidence pertaining to the research question. 4 randomised controlled trials (RCTs) examined the effectiveness of primary care practitioners in recognising and treating depression in adolescents (age 10–18 y).


Formula

Outcomes: depression and function scale scores.


MAIN RESULTS
In the largest . . . [Full text of this article]

Amy Cheung, MD

University of Toronto
Toronto, Ontario, Canada






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