Behavioral Activation for Depressed Teens: A Pilot Study

Ritschel, Lorie A.; Ramirez, Cynthia L.; Jones, Meredith; Craighead, W. Edward

doi:10.1016/j.cbpra.2010.07.002

Cited by 60 publications

(58 citation statements)

References 34 publications

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“…Preliminary findings suggest that the BA approach also holds promise as an effective treatment for adolescent depression (Chu, Colognori, Weissman, & Bannon, 2009; Jacob, Keeley, Ritschel, & Craighead, 2013; Ritschel, Ramirez, Jones & Craighead, 2011). Our study extended this research with a pilot randomized trial comparing the Adolescent Behavioral Activation Program (A-BAP) to evidence based practice for depression (EBP-D) within a university hospital based community mental health clinic.…”

mentioning

confidence: 97%

The Adolescent Behavioral Activation Program: Adapting Behavioral Activation as a Treatment for Depression in Adolescence

McCauley

Gudmundsen

Schloredt

et al. 2015

Journal of Clinical Child & Adolescent Psychology

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Objective This study aimed to examine implementation feasibility and initial treatment outcomes of a behavioral activation based treatment for adolescent depression, the Adolescent Behavioral Activation Program (A-BAP). Method A randomized, controlled trial was conducted with 60 clinically referred adolescents with a depressive disorder who were randomized to receive either 14 sessions of A-BAP or uncontrolled evidenced-based practice for depression (EBP-D). The urban sample was 64% female, predominantly Non-Hispanic White (67%) and had an average age of 14.9 years. Measures of depression, global functioning, activation and avoidance were obtained through clinical interviews and/or through parent and adolescent self-report at pre-intervention and end of intervention. Results Intent-to-treat linear mixed effects modeling and logistic regression analysis revealed that both conditions produced statistically significant improvement from pre- to end of treatment in depression, global functioning and activation and avoidance. There were no significant differences across treatment conditions. Conclusions These findings provide the first step in establishing the efficacy of BA as a treatment for adolescent depression and support the need for ongoing research on BA as a way to enhance the strategies available for treatment of depression in this population.

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mentioning

confidence: 97%

The Adolescent Behavioral Activation Program: Adapting Behavioral Activation as a Treatment for Depression in Adolescence

McCauley

Gudmundsen

Schloredt

et al. 2015

Journal of Clinical Child & Adolescent Psychology

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“…This feature, in itself, makes BA attractive to adolescents and their therapists, because many teens, especially younger ones, have difficulty with the need to distance the self from one's thoughts and evaluate thoughts objectively. Ritschel et al (2011) found that 18 weeks of treatment of six MDD adolescents led to reduced severity and that four of six participants returned to the normal range. Future research needs to evaluate the efficacy of BA in controlled comparisons as well as its applicability to complex, comorbid cases, and its durability.…”

Section: What Are the Essential Components Of A Psychotherapy For Adomentioning

confidence: 90%

“…One recent development warranting further research in this regard is the application of Behavioral Activation (BA) to adolescent depression (Ritschel, Ramirez, Jones, & Craighead, 2011). BA emphasizes the connections between activities and emotions, with less emphasis than conventional CBT on the link between cognitions and emotions.…”

Section: What Are the Essential Components Of A Psychotherapy For Adomentioning

confidence: 99%

Future Directions in Research on Psychotherapy for Adolescent Depression

Curry

2014

Journal of Clinical Child & Adolescent Psychology

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Research over the past 3 decades has shown that psychotherapy can successfully address adolescent depression. Cognitive behavioral models have been most extensively and rigorously tested, with evidence also supporting interpersonal psychotherapy and attachment-based family therapy. However, the vast majority of studies have focused on short-term treatment of depressive episodes, even as evidence accumulates that depression is frequently a recurring condition extending into adulthood. Moreover, treatment studies indicate that better longer term outcomes are attained by adolescents who respond earlier and more completely to intervention. Given what has been learned to date about adolescent depression treatment, future psychotherapy research should adopt a longer term perspective and focus on the following key challenges: (a) preventing relapse and recurrent episodes, while improving speed and thoroughness of initial treatment response; (b) identifying the necessary treatment components and learning processes that lead to successful and enduring recovery from depression; (c) determining whether-and, if so, how-to address comorbid disorders within depression treatment; (d) addressing the dilemma of simplicity versus complexity in treatment models. Given the relatively small number of evidence-based treatment models, newer approaches warrant investigation. These should be tested against existing models and also compared to medication and combined (psychotherapy plus medication) treatment. Advances in technology now enable investigators to improve dissemination, to conduct experimental psychotherapeutics and to expand application of Internet-based interventions to the goals of relapse and recurrence prevention.

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“…Therapists have used interactive approaches to support people with lived experience to find meaning in their lives through individual choice and reflection, for example, logotherapy (Frankl, 1967;Hirsch, 1991;Makola & Van den Berg, 2009), and to increase reward from the contextual environment, for example, behavioural activation (Ritschel, Ramirez, Jones, & Craighead, 2011;Sturmey, 2009). Huss (2009) outlined a multilayered approach similar to Bronfenbrenner's (1979) ecological development model.…”

Section: Development Of a Theoretical Basementioning

confidence: 98%

Review of arts-based therapies for Canadian youth with lived experience of mental illness

Boekhoven

Bowker

Davidson

et al. 2012

Vulnerable Children and Youth Studies

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Canadian youth can experience a range of mental health problems and mental illness, many of which perpetuate into adulthood. In contrast with preventative and medical care for physical problems, youth who experience difficulties with mental health or illness meet restricted access to evaluation, diagnostic and treatment services. Obstacles vary from low funding levels for services to the fear of being stigmatised by society. Conventional therapies could be complemented by the use of arts-based therapies, which are reported to offer a tangible alternative and could relieve delays in treatment. However, research regarding the treatment options, monitoring and assessment of outcomes is based largely on narrative evidence or idiographic studies, thus constraining the dissemination of supporting evidence and limiting the range of treatments for use by practitioners. While arts-based therapies receive support from many areas, including people with lived experience of mental health problems and illness, it is argued that the development of a theoretical foundation and extensive empirical research are required to develop the potential that arts-based therapies have to offer.

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Behavioral Activation for Depressed Teens: A Pilot Study

Cited by 60 publications

References 34 publications

The Adolescent Behavioral Activation Program: Adapting Behavioral Activation as a Treatment for Depression in Adolescence

The Adolescent Behavioral Activation Program: Adapting Behavioral Activation as a Treatment for Depression in Adolescence

Future Directions in Research on Psychotherapy for Adolescent Depression

Review of arts-based therapies for Canadian youth with lived experience of mental illness

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