
@article{ref1,
title="Social problem-solving among adolescents treated for depression",
journal="Behaviour research and therapy",
year="2010",
author="Becker-Weidman, Emily G. and Jacobs, Rachel H. and Reinecke, Mark A. and Silva, Susan G. and March, John S.",
volume="48",
number="1",
pages="11-18",
abstract="Studies suggest that deficits in social problem-solving may be associated with increased risk of depression and suicidality in children and adolescents. It is unclear, however, which specific dimensions of social problem-solving are related to depression and suicidality among youth. Moreover, rational problem-solving strategies and problem-solving motivation may moderate or predict change in depression and suicidality among children and adolescents receiving treatment. The effect of social problem-solving on acute treatment outcomes were explored in a randomized controlled trial of 439 clinically depressed adolescents enrolled in the Treatment for Adolescents with Depression Study (TADS). Measures included the Children's Depression Rating Scale-Revised (CDRS-R), the Suicidal Ideation Questionnaire--Grades 7-9 (SIQ-Jr), and the Social Problem-Solving Inventory-Revised (SPSI-R). A random coefficients regression model was conducted to examine main and interaction effects of treatment and SPSI-R subscale scores on outcomes during the 12-week acute treatment stage. Negative problem orientation, positive problem orientation, and avoidant problem-solving style were non-specific predictors of depression severity. In terms of suicidality, avoidant problem-solving style and impulsiveness/carelessness style were predictors, whereas negative problem orientation and positive problem orientation were moderators of treatment outcome. Implications of these findings, limitations, and directions for future research are discussed.<p /> <p>Language: en</p>",
language="en",
issn="0005-7967",
doi="10.1016/j.brat.2009.08.006",
url="http://dx.doi.org/10.1016/j.brat.2009.08.006"
}