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28-04-2020 | Original Paper

Rumination-Focused Cognitive Behavioral Therapy Decreases Anxiety and Increases Behavioral Activation Among Remitted Adolescents

Auteurs: Claudia G. Feldhaus, Rachel H. Jacobs, Edward R. Watkins, Amy T. Peters, Katie L. Bessette, Scott A. Langenecker

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 7/2020

Abstract

Rumination involves a repetitive, passive focus on one’s thoughts and feelings and has been hypothesized as a mechanism contributing to multiple psychopathologies. The current investigation explores secondary outcomes from a pilot study to examine whether rumination-focused cognitive behavior therapy (RFCBT) alleviates symptoms of anxiety, increases behavioral activation, or increases global functioning among adolescents with a history of Major Depressive Disorder (MDD). Thirty-three adolescents were randomized to receive either RFCBT (n = 17) or assessment only (AO; n = 16) over the course of eight weeks. Mixed effects regression models were used to conduct intent-to-treat (ITT) analyses. The quadratic interaction for group-by-time-by-time was significant for anxiety. Adolescents in the RFCBT group experienced a significant decrease in anxiety across the first six weeks of intervention (F = 7.01, df = 108.49, p = 0.009). The group-by-time interaction was significant for the behavioral activation outcome (F = 4.28, df = 25.60, p = 0.049) with youth randomized to RFCBT demonstrating increasing activation compared to AO. Global functioning did not significantly differ between groups (F = 0.40, df = 1, p > 0.05). Preliminary evidence suggests that RFCBT may hold promise as an intervention that alleviates both depressive and anxiety symptoms when comorbid.

vorige artikel Anxiety Specific Mental Health Stigma and Help-Seeking in Adolescent Males

volgende artikel The Effect of Mindfulness-Based Stress Reduction on Affective Control Dimensions in Adolescent Girls with Dysfunctional Eating Attitudes

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Titel: Rumination-Focused Cognitive Behavioral Therapy Decreases Anxiety and Increases Behavioral Activation Among Remitted Adolescents
Auteurs: Claudia G. Feldhaus
Rachel H. Jacobs
Edward R. Watkins
Amy T. Peters
Katie L. Bessette
Scott A. Langenecker
Publicatiedatum: 28-04-2020
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 7/2020
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-020-01711-7

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