Attachment-based family therapy for depressed adolescents: a treatment development study.

Abstract:

OBJECTIVE:To design a treatment manual and adherence measure for attachment-based family therapy (ABFT) for adolescent depression and to collect pilot data on the treatment's efficacy. METHOD:Over a period of 2 years, 32 adolescents meeting criteria for major depressive disorder (MDD) were randomly assigned to 12 weeks of ABFT or a 6-week, minimal-contact, waitlist control group. The sample was 78% female and 69% African American; 69% were from low-income, inner-city communities. RESULTS:At post-treatment, 81% of the patients treated with ABFT no longer met criteria for MDD, in contrast with 47% of patients in the waitlist group. Mixed factorial analyses of variance revealed that, compared with the waitlist group, patients treated with ABFT showed a significantly greater reduction in both depressive and anxiety symptoms and family conflict. Of the 15 treated cases assessed at the follow-up, 13 patients (87%) continued to not meet criteria for MDD 6 months after treatment ended. CONCLUSIONS:ABFT appears to be a promising treatment and worthy of further development.

authors

Diamond GS,Reis BF,Diamond GM,Siqueland L,Isaacs L

doi

10.1097/00004583-200210000-00008

subject

Has Abstract

pub_date

2002-10-01 00:00:00

pages

1190-6

issue

10

eissn

0890-8567

issn

1527-5418

pii

S0890-8567(09)60763-2

journal_volume

41

pub_type

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