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Article on CBT for depressed teens » BirdSong

Posted by jane d on June 18, 2009, at 5:36:08

In reply to Re: New psychiatrist/analyst can't ) Birdsong((ASP, posted by BirdSong on June 18, 2009, at 1:56:19

>
> 3) http://health.usnews.com/blogs/on-parenting/2009/06/04/prevent-depression-in-teens-with-cognitive-behavioral-therapy.html
> This study reports the results from a recent study from Vanderbilt University reported in JAMA that basically discusses the success of CBT for depression. There are tons of others going back many years. This one focuses on teens.

I found the description in the linked article annoyingly vague. Here's the abstract itself which isn't much better.
http://jama.ama-assn.org/cgi/content/abstract/301/21/2215

Neither says how the outcome was measured. Self report and unspecified clinical diagnosis. Of course in depression that's also based on self report. And therein lies the problem with this study and tons of others.

The USNews blurb about the study described cbt as follows.

"Thus if people change how they think about a situation and how they respond to it, they can feel better, even if the situation hasnt changed."

The problem is that it's so easy to teach people to change how they REPORT thinking about a situation and that will change how they score on most checklists used to diagnose depression. Voila! Instant cure.

Perhaps that isn't how depression was measured this time. The abstract doesn't say. It would certainly make a nice change.


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poster:jane d thread:901600
URL: http://www.dr-bob.org/babble/psycho/20090614/msgs/901719.html