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4 - The Evidence Base for BPI

Published online by Cambridge University Press:  16 March 2023

Ian Goodyer  and
Raphael Kelvin
Ian Goodyer
Affiliation:
University of Cambridge
Raphael Kelvin
Affiliation:
MindEd, UK
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Summary

Brief psychosocial intervention was first used as a non-manualised reference treatment for depressed adolescents receiving the antidepressant fluoxetine with or without CBT. Both the treatment groups received the forerunner of BPI, specialist clinical care, as their general clinical support. The surprise was that CBT provided no added value over fluoxetine and specialist clinical care by the end of the study, which was only a short-term outcome of some 28 weeks [1]. This was the first finding that specialist clinical care provided by psychiatrists and mental health nurses to depressed adolescents may be as clinically effective as specialised psychological treatments such as CBT.

An interesting consequence of this study was to ask: what exactly did the therapists do when delivering specialist clinical care and how was it delivered?

Type
Chapter
Information
Brief Psychosocial Intervention for Adolescents
Keep it Simple; Do it Well
 , pp. 33 - 46
Publisher: Cambridge University Press
Print publication year: 2023

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References

Goodyer, I, Dubicka, B, Wilkinson, P, Kelvin, R, Roberts, C, Byford, S et al. Selective serotonin reuptake inhibitors (SSRIs) and routine specialist care with and without cognitive behaviour therapy in adolescents with major depression: randomised controlled trial. BMJ. 2007;335(7611):142.Google Scholar
Goodyer, IM, Reynolds, S, Barrett, B, Byford, S, Dubicka, B, Hill, J et al. Cognitive-behavioural therapy and short-term psychoanalytic psychotherapy versus brief psychosocial intervention in adolescents with unipolar major depression (IMPACT): a multicentre, pragmatic, observer-blind, randomised controlled trial. Health Technol Assess. 2017;21(12):1–94.Google Scholar
Goodyer, IM, Reynolds, S, Barrett, B, Byford, S, Dubicka, B, Hill, J et al. Cognitive behavioural therapy and short-term psychoanalytical psychotherapy versus a brief psychosocial intervention in adolescents with unipolar major depressive disorder (IMPACT): a multicentre, pragmatic, observer-blind, randomised controlled superiority trial. Lancet Psychiatry. 2017;4(2):109–19.CrossRefGoogle ScholarPubMed
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O’Keeffe, S, Martin, P, Goodyer, IM, Kelvin, R, Dubicka, B, IMPACT consortium et al. Prognostic implications for adolescents with depression who drop out of psychological treatment during a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2019;58(10):983–92.Google Scholar
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Goodyer, IM, Dubicka, B, Wilkinson, P, Kelvin, R, Roberts, C, Byford, S et al. A randomised controlled trial of cognitive behaviour therapy in adolescents with major depression treated by selective serotonin reuptake inhibitors: the ADAPT trial. Health Technol Assess. 2008;12(14):iii–iv, ix–60.Google Scholar
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March, J, Silva, S, Petrycki, S, Curry, J, Wells, K, Fairbank, J et al. Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents With Depression Study (TADS) randomized controlled trial. JAMA. 2004;292(7):807–20.Google Scholar

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