Mindful Continuing Education

Cognitive Behavioral Group Therapy for Depressed Adolescents

1. In a meta-analysis of cognitive behavioral therapy (CBT) treatments, group therapy was found to have several advantages over individual therapy, including each of the following EXCEPT:

A. The group process can positively affect recovery, and group members can learn from each other and give each other feedback B. There is less stigmatization with group therapy C. Individuals with social anxiety or introversion are given the opportunity to interact with others and make themselves heard in a group setting D. The group process may be more economical

2. When looking at analyzing group therapy treatments for depression, researchers found that more sessions per week led to a larger effect size while every additional week of therapy reduced effects, which suggests there may be advantages to interventions that are short and intensive.

A. True B. False

3. An important component of Manualized Intervention to Cope with Depressive Symptoms, Help Strengthen Resources, and Improve Emotion Regulation (MICHI), is psychoeducation about symptoms and causes of depression, as well as information on:

A. Dysfunctional cognitions B. Treatment options C. Co-occurring disorders D. How to best manage and live with depression

Table 1 Contents of MICHI sessions

4. Group therapy problem-solving skills to prevent relapse into depression include learning how to solve problems in a theoretical stepwise manner and promoting relationships of trust.

A. True B. False

Table 3-Evaluation Questionnaire for the Assessment of Acceptance

5. When participants were allowed to evaluate their experiences in group, the most positive responses related to learning and interacting with other adolescents and the least favorable were regarding:

A. The expectation that family and friends would be able to help with future problems B. How skills learned were helpful in family life C. The transfer of the things learned in the homework to daily life D. How skills learned were helpful in school and work life

Discussion

6. One positive result from the group study was that adolescents participated on a regular basis and rarely missed sessions, despite the low level of psychosocial functioning usually associated with a major depressive disorder.

A. True B. False

7. Following the group interventions, participants reported significant improvement in measures of depression, and parents also reported great improvements in their children's moods and self-esteem.

A. True B. False

8. Although the pilot study found overall positive results and the need for further research in this area, limitations included:

A. A small sample size B. The absence of a control group, which allows for only weak conclusions about efficacy C. The inclusion of participants who were receiving medication for depression D. All of the above


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