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Am J Psychiatry 2009; 166:1118-1123
(published online September 1, 2009; doi: 10.1176/appi.ajp.2009.08101606)
© 2009 American Psychiatric Association
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* Depression

Reviews and Overviews

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

John S. March, M.D., M.P.H., and 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 9 months 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.




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