Systematic evaluation reveals cognitive behavioral therapy improves depressive symptoms in adolescents, indicating its role as a vital intervention.
This article systematically evaluates and analyzes the role and effect of CBT as a single and auxiliary treatment for adolescent depression. The CWD-A course significantly alleviated adolescent depressive symptoms through breathing regulation, cognitive reshaping, behavioral changes and family courses, and showed sustained efficacy in follow-up of 6 to 24 months. The RIAT reanalysis of the TADS study showed that combined treatment (CBT + fluoxetine) had the best short-term efficacy, but CBT alone was less effective than drug therapy or combined therapy, and an increased rate of fluoxetine-related adverse events was found, including suicide-related events. In summary, CBT has important value as an intervention for adolescent depression, especially for patients with mild to moderate depression or who have concerns about drug treatment, but it is necessary to pay attention to individualized program design, family participation and timely intervention in high-risk behaviors to improve efficacy and reduce risks.
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Dian He (2025) studied this question.
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