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Clinical Messages From the Treatment for Adolescents With Depression Study (TADS) (2009)

Clinical Messages From the Treatment for Adolescents With Depression Study (TADS) (2009)

  1. Calliope
    Am J Psychiatry 2009; 166:1118–1123

    John S. March, M.D., M.P.H. Benedetto Vitiello, M.D.

    Objective: The purpose of this report was to summarize the key clinical messages from the Treatment for Adolescents with Depression Study (TADS).

    Methods: TADS is a National Institute of Mental Health (NIMH)-funded randomized controlled trial designed to evaluate the relative effectiveness of fluoxetine, cognitive-behavioral therapy (CBT), and the combination of fluoxetine plus CBT across acute treatment, maintenance treatment, and naturalistic follow-up periods among adolescents with major depressive disorder.

    Results: Findings revealed that 6 to 9months of combined fluoxetine plus CBT should be the modal treatment from a public health perspective as well as to maximize benefits and minimize harms for individual patients.

    Conclusion: The combination of fluoxetine and CBT appears to be superior to both CBT monotherapy and fluoxetine monotherapy as a treatment for moderate to severe major depressive disorder in adolescents.