Effectiveness of Six Sessions CBT for Adolescents With Emotional Problems in Community Clinics (SMART)

University of Tromso (UiT)

Status: Completed

Conditions: Social Phobia; Panic Disorder; Generalized Anxiety Disorder; Depression; Agoraphobia

Treatments: Behavioral: SMART manual cognitive behavioral therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT02150265

8563/PFP1112-13 (Other Grant/Funding Number)

2011/1937

Details and patient eligibility

About

Background: There is need for more effectiveness studies concerning treatment of emotional symptom problems indicating anxiety and depression in adolescents. SMART is the only treatment manual for combined emotional disorders developed in Norwegian.

Purpose: To find the best individualized treatment for adolescents with emotional difficulties by: Finding criteria for the selection of appropriate patients for treatment with cognitive-behavior therapy program SMART in an outpatient population (14-18 years). Finding predictors of completion of treatment program SMART. Examining the effects of treatment with the SMART program at 6 months follow-up.

Design: A randomized controlled study in six outpatient clinics in the north of Norway. N= 160 referred adolescents (14-18 years) with score above 6 on the Emotional Problems scale of the Strength and Difficulties Questionnaire (SDQ). Two thirds are treated according to the SMART-manual immediately, while the waiting list control group is treated with SMART after six weeks.

Hypothesis: The SMART treatment is an effective treatment for emotional symptom problems.

Publication: The results sought published internationally and nationally and will be communicated to clinicians.

Enrollment: 163 patients

Sex: All

Ages: 14 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Age 14 to 18 years Referred to Community Mental Health Clinic for Children and Adolescents

• Score above 6 on Emotional symptoms scale on the SDQ Fluent Norwegian language

Exclusion criteria

• Indicators for Pervasive Developmental Disorder (PDD) Acute suicidal symptoms Psycho-active drug treatment start coinciding with start of intervention Symptoms indicating psychotic disorder

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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163 participants in 2 patient groups

Waiting list control group

No Intervention group

Description:

6 week waiting list

Individual cognitive behavioral therapy with SMART

Experimental group

Description:

SMART manual cognitive behavioral therapy individual weekly sessions for 6 weeks

Treatment:

Behavioral: SMART manual cognitive behavioral therapy