Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-12-03T10:05:32.575Z Has data issue: false hasContentIssue false

4 - The Evidence Base for BPI

Published online by Cambridge University Press:  16 March 2023

Ian Goodyer
Affiliation:
University of Cambridge
Raphael Kelvin
Affiliation:
MindEd, UK
Get access

Summary

Brief psychosocial intervention was first used as a non-manualised reference treatment for depressed adolescents receiving the antidepressant fluoxetine with or without CBT. Both the treatment groups received the forerunner of BPI, specialist clinical care, as their general clinical support. The surprise was that CBT provided no added value over fluoxetine and specialist clinical care by the end of the study, which was only a short-term outcome of some 28 weeks [1]. This was the first finding that specialist clinical care provided by psychiatrists and mental health nurses to depressed adolescents may be as clinically effective as specialised psychological treatments such as CBT.

An interesting consequence of this study was to ask: what exactly did the therapists do when delivering specialist clinical care and how was it delivered?

Type
Chapter
Information
Brief Psychosocial Intervention for Adolescents
Keep it Simple; Do it Well
, pp. 33 - 46
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Goodyer, I, Dubicka, B, Wilkinson, P, Kelvin, R, Roberts, C, Byford, S et al. Selective serotonin reuptake inhibitors (SSRIs) and routine specialist care with and without cognitive behaviour therapy in adolescents with major depression: randomised controlled trial. BMJ. 2007;335(7611):142.Google Scholar
Goodyer, IM, Reynolds, S, Barrett, B, Byford, S, Dubicka, B, Hill, J et al. Cognitive-behavioural therapy and short-term psychoanalytic psychotherapy versus brief psychosocial intervention in adolescents with unipolar major depression (IMPACT): a multicentre, pragmatic, observer-blind, randomised controlled trial. Health Technol Assess. 2017;21(12):194.Google Scholar
Goodyer, IM, Reynolds, S, Barrett, B, Byford, S, Dubicka, B, Hill, J et al. Cognitive behavioural therapy and short-term psychoanalytical psychotherapy versus a brief psychosocial intervention in adolescents with unipolar major depressive disorder (IMPACT): a multicentre, pragmatic, observer-blind, randomised controlled superiority trial. Lancet Psychiatry. 2017;4(2):109–19.CrossRefGoogle ScholarPubMed
Davies, SE, Neufeld, SAS, van Sprang, E, Schweren, L, Keivit, R, Fonagy, P et al. Trajectories of depression symptom change during and following treatment in adolescents with unipolar major depression. J Child Psychol Psychiatry. 2020;61(5):565–74.CrossRefGoogle ScholarPubMed
O’Keeffe, S, Martin, P, Goodyer, IM, Kelvin, R, Dubicka, B, IMPACT consortium et al. Prognostic implications for adolescents with depression who drop out of psychological treatment during a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2019;58(10):983–92.Google Scholar
Midgley, N, Hayes, J, Cooper, M, editors. Essential Research Findings in Child and Adolescent Counselling and Psychotherapy. London: Sage; 2017.Google Scholar
Weisz, JR, Kuppens, S, Ng, MY, Eckshtain, D, Ugueto, AM, Vaughn-Coaxum, R et al. What five decades of research tells us about the effects of youth psychological therapy: a multilevel meta-analysis and implications for science and practice. Am Psychol. 2017;72(2):79117.Google Scholar
Eckshtain, D, Kuppens, S, Ugueto, A, Ng, MY, Vaughn-Coaxum, R, Corteselli, K et al. Meta-analysis: 13-year follow-up of psychotherapy effects on youth depression. J Am Acad Child Adolesc Psychiatry. 2020;59(1):4563.Google Scholar
Goodyer, IM, Dubicka, B, Wilkinson, P, Kelvin, R, Roberts, C, Byford, S et al. A randomised controlled trial of cognitive behaviour therapy in adolescents with major depression treated by selective serotonin reuptake inhibitors: the ADAPT trial. Health Technol Assess. 2008;12(14):iiiiv, ix60.Google Scholar
Borsboom, D. A network theory of mental disorders. World Psychiatry. 2017;16(1):513.Google Scholar
Schweren, L, van Borkulo, CD, Fried, E, Goodyer, IM. Assessment of symptom network density as a prognostic marker of treatment response in adolescent depression. JAMA Psychiatry. 2018;75(1):98100.CrossRefGoogle ScholarPubMed
March, J, Silva, S, Petrycki, S, Curry, J, Wells, K, Fairbank, J et al. Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents With Depression Study (TADS) randomized controlled trial. JAMA. 2004;292(7):807–20.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×