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Cognitive behavioural therapy, short-term psychoanalytical psychotherapy and brief psychosocial intervention are all effective in the treatment of depression in adolescents
  1. Ramya Srinivasan1,2,
  2. Susan Walker1,2,
  3. Justin Wakefield3
  1. 1Division of Psychiatry, University College London, London, UK
  2. 2UCL Great Ormond Street Institute of Child Health, University College London, London, UK
  3. 3Child and Adolescent Mental Health Service (CAMHS), East London NHS Foundation Trust, London, London, UK
  1. Correspondence to Dr Ramya Srinivasan, Division of Psychiatry, University College London, London WC1E 6BT, UK; ramya.srinivasan.12{at}ucl.ac.uk

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Study question

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.

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.

Outcomes: The …

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