Objective: Limited data exists on psychological interventions for adolescent depression in African countries such as Nigeria. This study therefore investigates the effects of a psychological intervention that includes psycho-education and basic elements of cognitive behavioural therapy (CBT) on depressed medication-treated adolescents in Nigeria. Methodology: This was a pre-post one-group intervention study of 18 adolescents aged 13–18 years with clinically diagnosed depressive disorder, attending a specialist psychiatric hospital. They had been on antidepressants for 3 months or longer. Depressive symptoms, knowledge of depression, hope, and attitudes towards treatment adherence were measured at baseline and repeated at 1 and 4 weeks post-intervention. The adolescents received four sessions of a group-based manualised intervention focused on psycho-education and basic CBT strategies. Results: Statistically significant reductions in depressive symptoms were recorded, as were improvements in the adolescents’ knowledge of depression, hope, and attitude towards treatment adherence one week after the intervention (all p = 0.001). All differences were sustained at 4 weeks post-intervention. Participants’ satisfaction with the intervention was high. Conclusion: This study suggests that adding psycho-education with elements of CBT to antidepressant treatment is feasible, acceptable and can produce further benefits to depressed adolescents in this region.

中文翻译：

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心理教育加上基本的认知行为治疗策略对尼日利亚接受药物治疗的抑郁症青少年的影响

目的：关于尼日利亚等非洲国家青少年抑郁症的心理干预措施的数据有限。因此，本研究调查了包括心理教育和认知行为疗法（CBT）基本要素在内的心理干预对尼日利亚抑郁症药物治疗青少年的影响。方法：这是一项对一组18例年龄在13-18岁之间，临床上被诊断为抑郁症的青少年进行的干预前研究，就诊于一家专科精神病医院。他们服用抗抑郁药已有3个月或更长时间。在基线时测量抑郁症状，抑郁知识，希望和对治疗依从性的态度，并在干预后1和4周重复进行。这些青少年接受了四次基于小组的手动干预，主要针对心理教育和基本的CBT策略。结果：记录到抑郁症状的统计学上显着减少，干预后一周，青少年对抑郁，希望和对治疗依从的态度的了解有所改善（所有p = 0.001）。干预后4周所有差异均得以维持。参与者对干预的满意度很高。结论：这项研究表明，在抗抑郁治疗中加入带有CBT成分的心理教育是可行，可接受的，并且可以对该地区的抑郁青少年产生更多益处。干预后一周，青少年对抑郁，希望和对治疗依从性的了解有所改善（所有p = 0.001）。干预后4周所有差异均得以维持。参与者对干预的满意度很高。结论：这项研究表明，在抗抑郁治疗中加入带有CBT成分的心理教育是可行的，可以接受的，并且可以对该地区的抑郁青少年产生更多益处。干预后一周，青少年对抑郁，希望和对治疗依从性的了解有所改善（所有p = 0.001）。干预后4周所有差异均得以维持。参与者对干预的满意度很高。结论：这项研究表明，在抗抑郁治疗中加入带有CBT成分的心理教育是可行的，可以接受的，并且可以对该地区的抑郁青少年产生更多益处。