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 (Impact Factor: 0.98). 05/2011; 17(3):226-36. DOI: 10.1177/1078390311404067
Source: PubMed


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.

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    • "Content validity was established by eight adolescent health specialists. Cronbach's alpha reliabilities for this scale have exceeded .85 in prior studies with adolescents (Lusk & Melnyk, 2011; Melnyk et al., 2009, 2013a, 2013b). "
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    ABSTRACT: ProblemDespite the increasing prevalence of mental health disorders in university students, few receive needed evidence-based treatment.Objective The purpose of this study was to assess the feasibility and preliminary effects of a seven-session online cognitive-behavioral skill-building intervention (i.e., COPE, Creating Opportunities for Personal Empowerment) versus a comparison group on their anxiety, depressive symptoms, and grade performance.MethodsA randomized controlled pilot study was conducted from September 2012 to May 2013 with 121 college freshmen enrolled in a required one credit survey course.FindingsAlthough there were no significant differences in anxiety and depressive symptoms between the groups, only COPE students with an elevated level of anxiety at baseline had a significant decline in symptoms. Grade point average was higher in COPE versus comparison students. Evaluations indicated that COPE was a positive experience for students.ConclusionsCOPE is a promising brief intervention that can be integrated effectively into a required freshman course.
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    • "The sample size also was small , which limits generalizability of the findings . Despite these limitations , this pilot study contributes to the growing body of research that supports COPE as effective management for anxiety , depression , anger , disruptive behavior , and improved functioning in chil - dren and adolescents ( Lusk & Melnyk , 2011a , 2011b , 2013 ; Melnyk et al . , 2007 , 2013 ; Melnyk & Jensen , 2013 ) . "
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    ABSTRACT: Anxiety is the most common mental health disorder in children. Many communities have shortages of mental health providers, and the majority of children with anxiety are not receiving the evidence-based treatment they need. The purpose of this pilot study was to assess the feasibility and effects of a brief seven-session cognitive behavioral skills-building intervention, Creating Opportunities for Personal Empowerment (COPE), which was delivered to anxious children by a pediatric nurse practitioner in a primary care setting. A pre-experimental, one-group, pretest and post-test design was used. Children who participated had a significant decrease in anxiety symptoms (13.88 points, SD = 17.96, 95% confidence interval [CI] = -1.13-28.89), as well as an increase in knowledge of cognitive-behavioral coping skills (M = 11.38, CI = 5.99-8.26, p = .00) and improved functioning (at school and at home). Evaluations by parents and children were positive. COPE is a promising evidence-based intervention for children with anxiety with feasible delivery by pediatric nurse practitioners in primary care. Copyright © 2015 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.
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    • ") and England (Department of Health, 2008). Consequently , the reference to, and use of, treatment manuals has grown substantially in recent years in psychotherapy research and practice (Crits-Christoph et al., 2009; Fluckiger et al., 2012; Lusk and Melnyk, 2011; Nelson et al., 2012; Weck et al., 2011). Manuals offer an opportunity to create a replicable and systematized approach to therapeutic interventions, to control extraneous variables and to test the efficacy of new treatments (Crits-Christoph et al., 1990). "
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