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Investigation of consumer satisfaction with cognitive-behaviour therapy and sertraline in the treatment of adolescent depression

Dudley, Amanda L., Melvin, Glenn A., Williams, Nicola J., Tonge Bruce J. and King, Neville J. 2005, Investigation of consumer satisfaction with cognitive-behaviour therapy and sertraline in the treatment of adolescent depression, Australian & New Zealand journal of psychiatry, vol. 39, no. 6, pp. 500-506, doi: 10.1111/j.1440-1614.2005.01610.x.

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Title Investigation of consumer satisfaction with cognitive-behaviour therapy and sertraline in the treatment of adolescent depression
Author(s) Dudley, Amanda L.
Melvin, Glenn A.
Williams, Nicola J.
Tonge Bruce J.
King, Neville J.
Journal name Australian & New Zealand journal of psychiatry
Volume number 39
Issue number 6
Start page 500
End page 506
Total pages 6
Publisher Sage
Place of publication London, Eng.
Publication date 2005-06
ISSN 1440-1614
Keyword(s) adolescent depression
cognitive-behavioural therapy
consumer satisfaction
sertraline antidepressant medication
treatment satisfaction
Summary Objective: A new instrument, the Adolescent Depression Treatment Satisfaction Questionnaire (ADTSQ) was devised to measure the consumer satisfaction of depressed adolescents and their parents. The objectives of the paper were to present the psychometric proper ties ofthe ADTSQ and to investigate the relative consumer satisfaction with cognitive-behavioural therapy (CBT), sertraline (SRT) and a combined treatment of CBT and SRT (COMBINED) for the treatment of adolescent depression. In addition, participants were asked to rank their most preferred treatment from the following approaches: medication, individual counselling, group program and family therapy.Method: Thirty-eight adolescents with a unipolar depressive disorder and 37 parents who participated in a randomized clinical trial of CBT versus SRT versus COMBINED completed the ADTSQ following the completion of acute treatment.Results: The ADTSQ was found to have high internal consistency and exploratory factor analysis detected three underlying factors. High levels of consumer satisfaction were reported by both adolescents and parents in all three treatments. Those treated with CBT treatments reported higher levels of skill acquisition than those treated with SRT. Of the four treatment approaches, most parents and adolescentsrated individual counsellingas their first preference.Conclusions: The ADTSQ is a useful measure of consumer satisfaction for depressed adolescents and their parents. CBT, SRT and COMBINED were shown to have high consumer satisfaction with CBT's higher skills training content reflected in the participants' reports. Individual counselling was perceived as the most favourable choice of treatment for adolescent depression. Although limitations associated with the measurement of consumer satisfaction and of the study are acknowledged, it is recommended that the inclusion of consumer satisfaction measures be considered in clinical trials that examine treatment efficacy.
Language eng
DOI 10.1111/j.1440-1614.2005.01610.x
Field of Research 179999 Psychology and Cognitive Sciences not elsewhere classified
Socio Economic Objective 970117 Expanding Knowledge in Psychology and Cognitive Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30065786

Document type: Journal Article
Collection: School of Psychology
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