Article

The brief cognitive-behavioral COPE intervention for depressed adolescents: outcomes and feasibility of delivery in 30-minute outpatient visits.

Arizona State University College of Nursing & Health Innovation, 500 North 3rd Street, Phoenix, AZ, USA.
Journal of the American Psychiatric Nurses Association 05/2011; 17(3):226-36. DOI: 10.1177/1078390311404067
Source: PubMed

ABSTRACT Despite a U.S. prevalence of 9%, less than 25% of depressed adolescents receive treatment because of time constraints in clinical practice and lack of mental health providers available to deliver it.
To assess the feasibility and effects of a brief manualized seven-session cognitive-behavioral skills building intervention entitled COPE (Creating Opportunities for Personal Empowerment) delivered to 15 depressed adolescents in routine 30-minute mental health medication management outpatient visits.
A preexperimental one group pre- and posttest design was used.
Adolescents reported significant decreases in depression, anxiety, anger, and destructive behavior as well as increases in self-concept and personal beliefs about managing negative emotions. Evaluations indicated that COPE was a positive experience for teens and parents.
COPE is a promising brief cognitive-behavior therapy-based intervention that can be delivered within 30-minute individual outpatient visits. With this intervention, advanced practice nurses can work with practice time limitations and still provide evidence-based treatment for depressed teens.

1 Bookmark
 · 
190 Views
  • Journal of Child and Adolescent Psychiatric Nursing 02/2014; 27(1).
  • [Show abstract] [Hide abstract]
    ABSTRACT: Anxiety is the most common mental health problem in children, yet less than one third of children with anxiety disorders seek treatment. Cognitive-behavioral therapy (CBT) is recommended as a first-line treatment for childhood anxiety. However, current practice generally does not include CBT due to issues of feasibility, affordability, and transportability. The primary purpose of this review was to appraise current literature regarding the effectiveness of individual CBT for childhood anxiety. Secondary purposes were to identify reasons for the discrepancy between current evidence and practice as well as to offer suggestions to overcome this dilemma. A systematic review of the literature published between 2007 and 2012 was conducted, searching four databases-Cochrane, PubMed, CINAHL, and PsycINFO. In all 10 studies reviewed, individual CBT significantly reduced rates of anxiety diagnoses when compared with controls, and was equally effective or superior to comparison therapies. The only exception was when CBT was compared to a combination of CBT and pharmacological management, in which case the latter was more effective. Each study included in this review employed hour-long sessions over a minimum of 12 visits. In order to meet clinical demands and patient preferences, affordability, and feasibility of CBT interventions must be addressed. A brief, manualized CBT program that can be supported to be clinically effective is proposed as an evidence-based solution for anxious children in outpatient mental health and primary care settings.
    Worldviews on Evidence-Based Nursing 01/2014; · 1.35 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Physical exercise and other activity-promoting behaviors, including sports, hold incalculable benefits for children and adolescents besides physical and psychological health and quality of life. A multitude factors contribute to increased brain and functional integrity and optimal development through exercise. Concurrently, a vast range of situations and techniques have demonstrated the marked cognitive, emotional] and neuroimmunological functioning manifestations. Unsurprisingly, the influence of physical exercise upon school and academic performance is an issue of some magnitude.
    International Journal of School and Cognitive Psychology. 01/2014; 1(1).

Full-text

Download
28 Downloads
Available from
May 22, 2014