School-Based Delivery of Combined Cognitive Behavioral Therapy Plus Caregiver Sessions for Youth Depression

Date of Award


Degree Name

Doctor of Philosophy



First Advisor

Dr. Galen Alessi

Second Advisor

Dr. Scott Gaynor

Third Advisor

Dr. Helen Pratt

Fourth Advisor

Dr. Amy Naugle


Major depressive disorder is one of the most common psychiatric disorders in children and affects 1-3% of youth. Rates of dysthymic disorder and minor depression in this population are estimated to be even higher. Cognitive behavioral therapy (CBT) is the most efficacious psychosocial treatment for youth depression. This study employed a naturalistic, single-subject multiple baseline design to examine the effects of school-based delivery of combined Primary and Secondary Control Enhancement Training and Child Caregiver Relationships Enhancement Training on children's depressive symptoms. Nine participants, ages 8-14, and their custodial caregivers completed treatment. Treatment outcome was not only assessed at pretreatment, mid-treatment, and post-treatment but weekly, repeated measures of self-reported depressive symptoms were also examined. For seven of the nine participants, the majority of change in depressive symptoms occurred during baseline phase, resulting in change independent of treatment. These data support the need for ongoing research to examine the process of change in CBT for youth depression.

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Dissertation-Abstract Only

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