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

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00669526
Recruitment Status : Completed
First Posted : April 30, 2008
Last Update Posted : April 30, 2008
National Institute of Mental Health (NIMH)
William T. Grant Foundation
Information provided by:
Robert Wood Johnson Foundation

Brief Summary:
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.

Condition or disease Intervention/treatment Phase
Depression Anxiety Behavioral: BCBT Behavioral: SMHC referral Phase 2

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 60 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Clinical and Cost Effectiveness of Brief CBT for Pediatric Internalizing Disorders
Study Start Date : October 2004
Actual Primary Completion Date : March 2007
Actual Study Completion Date : April 2007

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Anxiety
U.S. FDA Resources

Arm Intervention/treatment
Active Comparator: SMHC referral
Referral to local Specialty Mental Health Care Services
Behavioral: SMHC referral
Referral to local Speciality Mental Health Care. Families were referred to local mental health care providers, and could freely choose any treatment or combination of treatments offered (e.g., anti-depressant medication, individual psychotherapy, family psychotherapy, etc.).
Experimental: BCBT
Brief Cognitive Behavioral Therapy
Behavioral: BCBT
Brief Cognitive Behavioral Therapy. This BCBT protocol consists of up to 8 CBT sessions to be conducted over a maximum of 12 weeks.
Other Names:
  • CBT
  • Cognitive-Behavioral Therapy

Primary Outcome Measures :
  1. Clinician Global Impressions - Improvement (CGI-I) [ Time Frame: weeks 12 and 24 ]

Information from the National Library of Medicine

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Ages Eligible for Study:   7 Years to 17 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00669526

United States, Pennsylvania
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, United States, 15213
Sponsors and Collaborators
Robert Wood Johnson Foundation
National Institute of Mental Health (NIMH)
William T. Grant Foundation
Principal Investigator: V. Robin Weersing, Ph.D. SDSU/UCSD Joint Doctoral Program in Clinical Psychology

Additional Information:
Weersing, V. R., Gonzalez, A., Campo, J. V., & Lucas, A. N. Brief Behavioral Therapy for Pediatric Anxiety and Depression: Piloting an Integrated Treatment Approach. Cognitive and Behavioral Practice (in press), 2008.

Responsible Party: V. Robin Weersing, Ph.D. / Principal Investigator, SDSU/UCSD Joint Doctoral Program in Clinical Psychology Identifier: NCT00669526     History of Changes
Other Study ID Numbers: 051653
First Posted: April 30, 2008    Key Record Dates
Last Update Posted: April 30, 2008
Last Verified: April 2008

Keywords provided by Robert Wood Johnson Foundation:
Major Depressive Disorder
Cognitive-Behavioral Therapy
primary care

Additional relevant MeSH terms:
Behavioral Symptoms