Riggs Et Al

Question 1

Method

Answer 1

Independent measures

Randomised controlled

CBT directed at substance abuse rather than depression

Question 2

Participants

Answer 2

126 adolescents with depression

Also had diagnosed conduct disorder and substance abuse disorder

Question 3

Procedure

Answer 3

16 weeks being treated with either:

Fluoxetine and a course of CBT directed at dealing with substance abuse

Placebo and a course of CBT directed at substance abuse

Question 4

Results

Answer 4

Combination of fluoxetine and CBT may be the most effective option as it led to significant improvements in one measure of depression in comparison with CBT and placebo

Question 5

Conclusion

Answer 5

Fluoxetine and CBT had greater results than placebo and CBT on one depression measure

Fluoxetine and CBT wasn’t associated with less substance abuse and les conduct disorder

The CBT that focused in conduct disorder may have contributed to the mixed effectiveness findings

Question 6

aim

Answer 6

To evaluate effectiveness of fluoxetine vs placebo in combination with CBT on depression, substance abuse disorder and conduct disorder

Question 7

Background

Answer 7

Aim of cognitive therapy is to change negative thoughts into positive ones (irrational to rational)

Four assumptions underlying CBT:
1) patients respond to situations in bais of own negative interpretations

2) thoughts behaviour and feelings are inter related and influence each other. Recognise all equally important
3) therapists need to change way people think about themselves and world
4) necessary to change beliefs and behaviour