Improving Mood with Psychoanalytic And Cognitive Therapies (IMPACT)
In the UK, 1 in 10 young people referred to child and adolescent mental health services (CAMHS) receives a diagnosis of depression. There are strong links between adolescent depression and recurrent depressive episodes and suicidality in later life. This highlights the need to identify psychological treatments that have long-term benefits in reducing the risk of relapse in later life. In 2005, the National Institute for Health and Care Excellence (NICE) guidelines highlighted the need for a randomised controlled trial (RCT) to assess the efficacy of cognitive behavioural therapy (CBT) and short-term psychoanalytic psychotherapy (STPP) in the treatment of adolescent depression. The IMPACT trial was set up in response to NICE recommendations and is the largest clinical trial of psychological therapies for adolescent depression ever to have taken place in Europe.