rct · 2017 · en

Cognitive-behavioural therapy and short-term psychoanalytic psychotherapy versus brief psychosocial intervention in adolescents with unipolar major depressive disorder (IMPACT): a multicentre, pragmatic, observer-blind, randomised controlled superiority trial

Goodyer IM, Reynolds S, Barrett B, Byford S, Dubicka B, Hill J, Holland F, Kelvin R, Midgley N, Roberts C, Senior R, Target M, Widmer B, Wilkinson P, Fonagy P

Lancet Psychiatry 4(2):109-119

Evidencia · SeminalOpen Access

DOI · 10.1016/S2215-0366(16)30378-9

Síntesis

IMPACT - RCT pragmatico britanico (N=470, 11-17 anos) comparando CBT, psicoterapia psicoanalitica breve y intervencion psicosocial breve (BPI) en depresion adolescente moderada/severa. Las tres modalidades equivalentes en reduccion sintomatica (~70% reduccion DSRS-R a 86 semanas). BPI (12 sesiones supportive case management) es mas barato y ofrece valor comparable: implicacion masiva para sistemas publicos.

Etapas

12-18

Dominios

depression, cbt, mental-health