Interpersonal problem-solving interactions of depressed adolescents and their parents.

Research to date suggests that the family plays a significant role in the development, perpetuation, and relapse of depression in its members. This study examined the videotaped interactions of parents with a depressed adolescent and control parents and youth during a conflictual, problem-solving task. In comparison with parents of nondepressed adolescents, parents of depressed adolescents engaged in higher rates of incongruent communication in which aversive content behavior was linked with positive affective behavior. Adolescent depressed content behavior led to greater suppression of parent aversive content behavior in nondepressed families than in depressed families. The findings argue that dysfunctional family communication may be associated with the development or maintenance of depression in the child. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Treatment outcomes for adolescent substance abuse at 4- and 7-month assessments.

This randomized clinical trial evaluated individual cognitive-behavioral therapy (CBT), family therapy, combined individual and family therapy, and a group intervention for 114 substance-abusing adolescents. Outcomes were percentage of days marijuana was used and percentage of youths achieving minimal use. Each intervention demonstrated some efficacy, although differences occurred for outcome measured, speed of change, and maintenance of change. From pretreatment to 4 months, significantly fewer days of use were found for the family therapy alone and the combined interventions. Significantly more youths had achieved minimal use levels in the family and combined conditions and in CBT. From pretreatment to 7 months, reductions in percentage of days of use were significant for the combined and group interventions, and changes in minimal use levels were significant for the family, combined, and group interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)