Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESAttachment-Based Family Therapy for Depressed Adolescents: A Treatment Development Study
Section snippets
Sample.
Patients included in the study had a DSM-III-R primary diagnosis of major depressive disorder (MDD), were between the ages of 13 and 17 years, and had a primary caretaker willing to participate in treatment. The mean age of the 32 randomized patients was 14.9 years (SD = 1.5). Twenty-five (78%) were female, 22 (69%) were African American, and 10 (31%) were white. Patients were primarily referred by schools or parents. The majority (80%) came from single-parent families, and 69% reported less
Group Equivalence Tests
A series of χ2 and t tests was used to examine baseline differences between the groups. Analyses revealed no significant group differences on any demographic or pre-treatment severity scores. Furthermore, there were no significant outcome differences among therapists on presence of post-treatment diagnosis (χ25 = 5.90, p = .32) or pre-to-post change in adolescent BDI scores (F5,25 = 1.26, p = .33).
Change in Diagnosis.
Of the 16 initial treatment cases, 13 (81%) no longer met criteria for MDD at post-treatment,
DISCUSSION
This article presents data on the first manual-based family therapy specifically designed for treating adolescents with MDD that has been shown to be successful in comparison with a no-treatment control condition. Patients treated with ABFT showed significant decreases in rates of depression diagnosis and severity of depression and anxiety symptoms. ABFT patients also reported nearly significant decreases in hopelessness and suicidal ideation and an increase in attachment to mothers. The
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This work was supported by funding from the National Alliance of Research on Schizophrenia and Depression, the American Suicide Foundation, and NIMH grant R21NIH52920-01AB.