Clinical and Cost Effectiveness of Brief Cognitive-Behavioral Therapy (CBT) for Pediatric Internalizing Disorders

Robert Wood Johnson Foundation

Status and phase

Completed

Phase 2

Conditions

Depression

Anxiety

Treatments

Behavioral: BCBT

Behavioral: SMHC referral

Study type

Interventional

Funder types

Other

NIH

Identifiers

NCT00669526

051653

Details and patient eligibility

About

This project assesses the clinical and cost effectiveness of brief cognitive-behavioral therapy (CBT) for depressed (ages 11-17) and anxious (ages 8-17) youths seen for services in pediatric primary care. This study is designed to compare the impact of brief CBT delivered on-site in pediatric primary care to referral to specialty mental health care (SMHC), as well as obtain an estimate of the total costs of the CBT protocols for depression and anxiety and the cost-effectiveness of the protocols compared to referral to and utilization of SMHC services.

Enrollment

60 patients

Sex

All

Ages

7 to 17 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria for depression:

Ages 11 to 17 years
Meet diagnostic criteria for Major Depression, Dysthymia, or Minor Depression
Live with a legal guardian

Inclusion Criteria for anxiety:

Ages 7 to 17 years
Meet full or probable (missing one, non-core symptom) diagnostic criteria for Separation Anxiety Disorder, Generalized Anxiety Disorder, Social Phobia, or Specific Phobia
Live with a legal guardian

Exclusion Criteria:

Require treatment other than brief CBT (namely, youths with bipolar disorder, psychosis, active suicidal ideation with plan, post-traumatic stress disorder, substance dependence, or mental retardation
Experience of recent physical or sexual maltreatment
Serious or unstable physical illness
Current participation in an alternate, active intervention for the target condition of interest