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Youth with depressive symptoms are at risk for a range of problems later in life. This includes problematic interpersonal relationships, occupational stress, and the occurrence of adult mental disorders. The main purpose of this study is to test how effective two types of group therapy are at reducing depressive symptoms in youth. A focus on group therapy is important because group therapy allows for many youth to be treated in a short amount of time. Group therapy is also helpful because youth can get social support and feel less alone in their symptoms when they participate in group. This study compares two groups, one that targets skills for managing difficult emotional experiences (dialectical behavior therapy skills group) and another group focuses on psychoeducation and is based on a publicly available treatment manual from the Services for Teens At Risk (STAR) Center at the University of Pittsburgh. The results of this study will provide insights regarding the comparative efficacy of these two treatments, and regarding predictors of treatment response.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dialectical Behavior Therapy Skills Group | Experimental | Twelve week skills based group therapy include four modules: mindfulness, emotion regulation, distress tolerance, and walking the middle path |
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| Psychoeducation group treatment | Experimental | The comparison group used in the present study is based on a publicly available treatment manual from the Services for Teens At Risk (STAR) Center at the University of Pittsburgh |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dialectical Behavior Therapy Skills Group | Behavioral |
| ||
| Psychoeducation group treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Children's Depression Rating Scale - Revise (CDRS-R) | Measure mood symptom severity. Response is defined as greater than or equal to 50% reduction in CDRS-R score | Change from baseline to endpoint (assessed at weeks 0, 12, 24) |
| The Longitudinal Interval Follow-up Evaluation for adolescents (A-LIFE) | Used to track symptom severity, treatment (both psychosocial and psychotropic), self-injurious/suicidal behavior and psychosocial functioning over time. | Change from baseline to endpoint (assessed at weeks 0, 12 and 24) |
| Measure | Description | Time Frame |
|---|---|---|
| The Adverse Childhood Experiences | Used to measure adverse events that have happened up until the 18th year of life | Assessed at baseline |
| The Children's Affective Lability Scale | Used to ascertain adolescent and parent reported affect regulation, during the preceding year or time since last assessment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Benjamin I Goldstein, MD | Sunnybrook Health Science Centre | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sunnybrook Health Sciences Centre | Toronto | Ontario | M4N3M5 | Canada |
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| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| Behavioral |
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| Change from baseline to endpoint (assessed at weeks 0, 4, 12 and 24) |
| The Stressful Life Events Schedule | Used to ascertain 80 adolescent and parent reported negative life events, during the preceding year or time since last assessment | Change from baseline to endpoint (assessed at weeks 0, 4, 12, and 24) |
| The DBT Ways of Coping Checklist | This is a self-reported questionnaire used to assess adaptive and maladaptive ways to cope with negative emotions or problematic situations | Change from baseline to endpoint (assessed at weeks 0, 4, 12, and 24) |
| The Life Problems Inventory | This is a self-reported questionnaire (adolescent-reported) used to assess emotion dysregulation in the adolescent. | Change from baseline to endpoint (assessed at weeks 0, 4, 12, and 24) |