Maintaining Your Health Winter 2004/2005
  
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Maintaining Your Health Online Winter/Spring 2005

   
  A Media Advisory by the National Institute of Mental Health reported the results of a recent clinical trial. The trial involved 439 adolescents with major depression and found a combination of medication and psychotherapy to be the most effective treatment. Funded by the NIH's National Institute of Mental Health (NIMH), the study compared cognitive-behavioral therapy (CBT) with fluoxetine, currently the only antidepressant approved by the Food and Drug Administration for use in children and adolescents.
 
John March, M.D., Duke University, and colleagues, report on findings of the multi-site trial in the August 18, 2004, Journal of the American Medical Association (JAMA).

The results of the first 12 weeks of the Treatment for Adolescents with Depression Study (TADS), conducted at 13 sites nationwide, show that 71 percent responded to the combination of fluoxetine and CBT. The other three treatment groups, of participants between the ages of 12 and 17, also showed improvement, with a 60.6 percent response to fluoxetine-only treatment, and 43.2 percent response from those receiving only CBT. The response rate was 34.8 percent for a group that received a placebo. The difference in response rates for the latter two treatment groups was not statistically significant.

 
Stress Resources
Available Online
The National Mental Health
Institute offers a wellspring of information about the signs and symptoms, diagnosis and treatment for a variety of mentally-related disorders, including:
Anxiety Disorders
Bipolar Disorder
Depression
Eating Disorders
Obsessive - Compulsive Disorder
Panic Disorder
Post-trauma Stress Disorders
Social Phobia
plus more
To access these resources, visit the National Mental Health Institute Online.

The $17 million study is the first large, federally funded study using an antidepressant medication to treat adolescents suffering with moderate to severe depression. The study was conducted between the spring of the year 2000 and the summer of 2003.

Clinically significant suicidal thinking, which was present in 29 percent of the volunteers at the beginning of the study, improved significantly in all four treatment groups, with those receiving medication and therapy showing the greatest reduction.

For more information from the National Mental Health Institute on child and teen mental health, visit the federal website.



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