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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