This study aims to investigate effectiveness of a 6-week, transdiagnostic cognitive behavioral therapy (CBT) for anxiety and depression in adolescents, the Structured Material for Therapy (SMART), in naturalistic settings of child and adolescent mental health outpatient services (CAMHS). A randomized controlled trial with waiting list control (WLC) was performed at three community CAMHS in Norway. Referred adolescents (N = 163, age = 15.72, 90.3% girls) scoring 6 or more on the emotional disorders subscale of the Strengths and Difficulties Questionnaire (SDQ) were randomly assigned to SMART or to WLC. In the treatment group (CBT), 32.9% improved in the main outcome measure (SDQ), compared to 11.6% in the WLC. Clinically significant and reliable change was experienced by 17.7% in the CBT condition, compared to 5.8% in the WLC. No patients deteriorated. Statistically significant treatment effects were achieved for internalization symptoms, anxiety symptoms and general functioning. These promising findings indicate that SMART may be considered as a first step in a stepped care model for anxiety and/or depression treatment in CAMHS. The recovery rates imply that further investigations into the effectiveness of brief treatments should be made. Furthermore, there is a need for more comprehensive second-stage treatments for some of these patients. ClinicalTrials.gov Identifier: NCT02150265. First registered May 292,014.

中文翻译：

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一项针对儿童和青少年心理健康服务（CAMHS）的14-17岁青少年情感障碍的六阶段认知行为治疗的随机对照试验。

这项研究旨在调查在儿童和青少年心理健康门诊（CAMHS）的自然环境中进行的为期6周的经诊断性认知行为治疗（CBT）对青少年焦虑和抑郁的有效性，结构化治疗材料（SMART）。在挪威的三个社区CAMHS进行了带有等待名单控制（WLC）的随机对照试验。在强项和困难问卷（SDQ）的情绪障碍子量表中得分为6或更高的推荐青少年（N = 163，年龄= 15.72，女孩的90.3％）被随机分配给SMART或WLC。在治疗组（CBT）中，主要结局指标（SDQ）改善了32.9％，而WLC中则为11.6％。在CBT条件下，临床上显着且可靠的变化发生了17.7％，而在WLC中为5.8％。没有患者恶化。在内部化症状，焦虑症状和一般功能方面取得了统计学上显着的治疗效果。这些有希望的发现表明，SMART可被视为CAMHS中焦虑和/或抑郁治疗的阶梯式护理模型的第一步。康复率意味着应进一步研究短期治疗的有效性。此外，需要针对这些患者中的一些患者进行更全面的第二阶段治疗。ClinicalTrials.gov标识符：NCT02150265。首次注册292,014年5月。这些有希望的发现表明，SMART可被视为CAMHS中焦虑和/或抑郁治疗的阶梯式护理模型的第一步。康复率意味着应进一步研究短期治疗的有效性。此外，需要针对这些患者中的一些患者进行更全面的第二阶段治疗。ClinicalTrials.gov标识符：NCT02150265。首次注册292,014年5月。这些有希望的发现表明，SMART可被视为CAMHS中焦虑和/或抑郁治疗的阶梯式护理模型的第一步。康复率意味着应进一步研究短期治疗的有效性。此外，需要针对这些患者中的一些患者进行更全面的第二阶段治疗。ClinicalTrials.gov标识符：NCT02150265。首次注册292,014年5月。