Behavioural activation for the treatment of low‐income, African American adolescents with major depressive disorder: a case series

Jacob, Maryann; Keeley, Mary L.; Ritschel, Lorie A.; Craighead, W. Edward

doi:10.1002/cpp.774

Cited by 27 publications

(38 citation statements)

References 26 publications

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“…Both of these reviews provided support for the use of BA in the treatment of young people with depression and/or anxiety, finding high treatment satisfaction and clinical benefits including symptom reductions. Similar results were obtained in a pilot, uncontrolled study of the use of BA for treating depressed young people in rural Australia (Jacob, Keeley, Ritschel, & Craighead, ), with all participants ( n = 5) showing reduced levels of depressive symptoms between baseline and completion (at 6 months).…”

Section: Introductionsupporting

confidence: 80%

Is behavioural activation effective in the treatment of depression in young people? A systematic review and meta‐analysis

et al. 2017

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PurposeDepression is currently the leading cause of illness and disability in young people. Evidence suggests that behavioural activation (BA) is an effective treatment for depression in adults but less research focuses on its application with young people. This review therefore examined whether BA is effective in the treatment of depression in young people.MethodsA systematic review (International Prospective Register of Systematic Reviews reference: CRD42015020453), following Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines, was conducted to examine studies that had explored behavioural interventions for young people with depression. The electronic databases searched included the Cochrane Library, EMBASE, MEDLINE, CINAHL Plus, PsychINFO, and Scopus. A meta‐analysis employing a generic inverse variance, random‐effects model was conducted on the included randomized controlled trials (RCTs) to examine whether there were overall effects of BA on the Children's Depression Rating Scale – Revised.ResultsTen studies met inclusion criteria: three RCTs and seven within‐participant designs (total n = 170). The review showed that BA may be effective in the treatment of depression in young people. The Cochrane risk of bias tool and the Moncrieff scale used to assess the quality of the included studies revealed a variety of limitations within each.ConclusionsDespite demonstrating that BA may be effective in the treatment of depression in young people, the review indicated a number of methodological problems in the included studies meaning that the results and conclusions should be treated with caution. Furthermore, the paucity of studies in this area highlights the need for further research.Practitioner points Currently BA is included within National Institute for Health and Clinical Excellence (NICE, 2009) guidelines as an evidence‐based treatment for depression in adults with extensive research supporting its effectiveness. It is important to investigate whether it may also be effective in treating young people.Included studies reported reductions in depression scores across a range of measures following BA.BA may be an effective treatment of depression in young people.

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Section: Introductionsupporting

confidence: 80%

Is behavioural activation effective in the treatment of depression in young people? A systematic review and meta‐analysis

et al. 2017

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“…Building on this interest and the promising preliminary open trial studies testing the BA approach with depressed adolescents (Chu et al, 2009; Jacob et al, 2013; Ritschel et al, 2011), this pilot study was conducted to assess the feasibility of using a BA approach to effectively treat depressive symptoms in adolescents as part of a treatment development process. Weisz and colleagues (2005) argue that treatments should be developed and tested through a sequence of studies designed to assure that developing treatments work with clinically referred individuals being treated in real-life practice conditions, provide evidence of the treatment’s nature, necessary and sufficient components, and explore moderators and mediators or change processes associated with treatment impact.…”

Section: Discussionmentioning

confidence: 99%

“…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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“…In fact, support for BA has been obtained in the U.S. with diverse populations, such as with Latinos, (Collado, Castillo, Maero, Lejuez, & MacPherson, 2014; Kanter et al, 2015; Kanter et al, 2010) and African-Americans (e.g., Jacob, Keeley, Ritschel, and Craighead, 2013; MacPherson et al, 2010), and in Australia (Wallis, Roeger, Milan, Walmsley, & Allison, 2012), Sweden (Freij & Masri, 2008), Iran (Moradveisi, Huibers, Renner, Arasteh, & Arntz, 2013), and the UK (O’Mahen et al, 2014). Empirical support is beginning to accumulate with regard to BA’s purported ease of training and dissemination, and findings suggest that BA can be trained using resource sensitive and accessible methods, such as online modular training (Puspitasari, Kanter, Murphy, Crowe, & Koerner, 2013), and can be carried out by paraprofessionals (Ekers, Dawson, & Bailey, 2013; Ekers, Richards, McMillan, Bland, & Gilbody, 2011).…”

mentioning

confidence: 99%

A client-level session-by-session evaluation of behavioral activation’s mechanism of action

Santos

Rae

Nagy

et al. 2017

Journal of Behavior Therapy and Experimental Psychiatry

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Background and Objectives Our understanding of how Behavioral Activation (BA) for depression works is limited. BA is theorized to lead to changes in depression through changes in activation. While distal support for activation as a mechanism has been obtained, more research is needed before definitive conclusions can be drawn. Research on mechanism should consider the appropriate time-frame for examining changes in the theorized mechanism variable and whether the proposed mechanism is expected to exert causal influence in all BA cases. These issues were considered in the current study in which a post-hoc analysis was conducted to explore BA’s mechanism using single-subject data obtained at each session during the course of treatment. Methods Activation and depression data were obtained from a randomized-controlled trial of BA for Latinos (BAL) compared to treatment-as-usual (TAU). Cross-lagged correlations were computed to test whether activation changes preceded, co-occurred with, or lagged behind changes in depression in a sample of 21 clients (BAL n = 14; TAU n = 7). Differences among participants based on activation-depression patterns were examined. Results For 79% of the BAL sample, changes in activation preceded or co-occurred with changes in depression, while no clients in the TAU sample evidenced this pattern. Limitations Use of more proximal and objective measures of the constructs of interest and a higher dosage of BA may have served as a stronger test of the treatment’s mechanism. Conclusions More time-sensitive measurement of changes in variables of interest is needed.

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Behavioural activation for the treatment of low‐income, African American adolescents with major depressive disorder: a case series

Cited by 27 publications

References 26 publications

Is behavioural activation effective in the treatment of depression in young people? A systematic review and meta‐analysis

Is behavioural activation effective in the treatment of depression in young people? A systematic review and meta‐analysis

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

A client-level session-by-session evaluation of behavioral activation’s mechanism of action

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