Minggu, 03 Juni 2012

the 9th article (Teen Depression and the effective response from Antidepressants and Psychotherapy)


Many parents have been stressed after having a preliminary antidepressant prescribed to their depressed teenagers and still no response. Now, new research from a recent study may give hope.
Changing medications and simultaneously including behavioral talk therapy in the treatment was the most effective alternative in the study. Merely switching medications brought out a positive effect for a number of teens.
Study author Dr. David Brent, a professor of psychiatry at the University of Pittsburgh School of Medicine, said "On average, these kids were ill for two years and no matter which treatment they got, at least 40 percent responded within 12 weeks. I really think the take-home message to families is if you don't respond to the first treatment, don't give up."
Despite past research which found a higher rate of suicidal thoughts and behavior in those teens taking antidepressants, recent research has shown that the benefits of antidepressants are greater than any possible risks for those teenagers under 19 years old.

Around 60 percent of teenagers with depression had a good response to the antidepressants such as selective serotonin reuptake inhibitors (SSRIs).
For the most recent study, 334 patients from ages 12-18 years were picked by the researchers. All of these teens had major depressive disorder and were unresponsive to 2 months of SSRI treatment. These patients were randomly chosen to be exposed to 1 of four treatment options for a period of 12 weeks: a second, different SSRI; a different SSRI along with cognitive behavioral therapy; Effexor (a serotonin-norepinephrine reuptake inhibitor, or SNRI); or Effexor with cognitive behavioral therapy. The drugs were given for the full 12 weeks while therapy comprised of nine sessions.
A 54.8 percent response rate occurred for the teenagers who switched to talk therapy along with medication. A 40.5 percent response rate occurred for the switch of only medication. No change in response rates occurred between Effexor and a second SSRI. Although, an increase in blood pressure and pulse along with more frequent skin problems occurred with Effexor compared to other medication.
The results of this study may encourage primary-care doctors to not only write a prescription but to also recommend therapy. It is a challenge to find a good cognitive behavioral therapist.
Dr. Jane Ripperger-Suhler, a psychiatrist with Scott & White Mental Health Center in Temple and an assistant professor of psychiatry and behavioral science at Texas A&M Health Science Center College of Medicine, said "To do cognitive behavioral therapy effectively you really need someone who is well-trained and there aren't very many."

LIST OF VOCABULARY:
§  Preliminary                : persiapan
§  Despite                     : meskipun, walaupun
§  simultaneously           : secara serempak serentak
§  Disorder                   : kekacauan
§  Recent                      : baru saja(diterima)
§  Response                   : jawaban, balasan
§  Inhibitor                   : penghalang, pencegah
§  Switched                  : dirubah
§  Possible                     : mungkin
§  Encourage                 : menganjurkan, mendorong
Answer the question below!
1.  What is the title of the text?
2. What is the effective response from Antidepressants?
3.  Who is Dr. David Brent?
4. How many percent of teenagers that had a good response to the antidepressants?
5. What is SSRI?
6.  What is a challenge to find a good cognitive behavioral therapist?

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