Outcome at 6 months for 50 adolescents with major depression treated in a health maintenance organization

Author(s): Bridge, J.

Journal/Book: J Amer Acad Child Adolesc Psy. 1999; 38: 227 East Washington Sq, Philadelphia, PA 19106, USA. Lippincott Williams & Wilkins. 1340-1346.

Abstract: Objective: To examine the short-term outcome of adolescents with major depressive disorder treated in a health maintenance organization (HMO) setting. Method: Fifty consecutive adolescents meeting DSM-IV criteria for major depressive disorder at intake to an HMO clinic completed a Beck Depression Inventory (BDI), Columbia Impairment Scale, and Youth Self-Report (YSR), and a parent completed a Child Behavior Checklist at intake and 2, 4, and 6 months later, Results: Thirty-three percent, 40.6%, and 33% of reporting subjects showed improved mood (defined as BDI score < 9), with 78%, 64%, and 72% reporting (defined as completing a BDI) at 2, 4, and 6 months, respectively, Initial level of impairment correlated with BDI score at 2 months (p = .02) and 4 months (p = .01). Attention problems at intake as measured by the YSR correlated with BDI score at 2 months (p = .002) and 6 months (p = .003). Conclusions: A minority of adolescents treated with limited, nonspecific psychotherapy and selective serotonin reuptake inhibitors have a BDI score of less than 9 at 2, 4, or 6 months. Self-report of attention problems at intake correlates with ongoing depressive symptomatology.

Note: Article Hamilton JD, 2025 Morse Ave, Sacramento,CA 95825 USA

Keyword(s): adolescent; depression; outcome; health maintenance organization; PSYCHIATRIC DIAGNOSES; CONTROLLED TRIAL; CHILD; PSYCHOTHERAPY; CONVERGENCE; COMORBIDITY

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