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Setting: 15 National Health Service (NHS) child and adolescent mental health service (CAMHS) clinics in three regions of England: East Anglia, North London and North-West England.
Patients: 470 adolescents aged 11 to 17 years with a diagnosis of DSM IV major depressive disorder.1
Interventions: A manualised cognitive behavioural therapy (CBT) model adapted for adolescents delivered by clinical psychologists or CAMHS clinicians for up to 20 sessions over 30 weeks. Short-term psychoanalytical psychotherapy (STPP) comprised a planned programme of 28 sessions over 30 weeks, delivered by CAMHS clinicians with psychoanalytical psychotherapy training. Parents or carers were offered up to seven sessions with a separate parent worker. Brief psychosocial intervention (BPI) was a manualised intervention based on routine specialist clinical care, consisting of 12 sessions over 20 weeks and included up to 4 family sessions.
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