Hostname: page-component-76fb5796d-qxdb6 Total loading time: 0 Render date: 2024-04-25T15:39:46.912Z Has data issue: false hasContentIssue false
  • English
  • Français

Adapting brief Behavioural Activation (BA) for adolescent depression: a case example

Published online by Cambridge University Press:  18 August 2015

Laura Pass ,
Gemma Brisco  and
Shirley Reynolds
Laura Pass*
Affiliation:
Charlie Waller Institute, School of Psychology and Clinical Language Sciences, University of Reading, UK
Gemma Brisco
Affiliation:
Charlie Waller Institute, School of Psychology and Clinical Language Sciences, University of Reading, UK
Shirley Reynolds
Affiliation:
Charlie Waller Institute, School of Psychology and Clinical Language Sciences, University of Reading, UK
*
*Author for correspondence: L. Pass, PhD, Charlie Waller Institute, School of Psychology and Clinical Language Sciences, University of Reading RG6 6AL, UK (email: L.S.Pass@reading.ac.uk).
Get access Rights & Permissions [Opens in a new window]

Abstract

There is an increasing evidence base for the effectiveness of Behavioural Activation in treating adult depression; however, there has been little investigation of using this approach with adolescents. This article reports on the adaptation of brief Behavioural Activation for Depression (BATD) for adolescents (BATD-A). A case study is reported to illustrate the brief structured approach, treatment response as indicated by routine outcome measures, and the family's view of the intervention. The adaptations made to the adult BATD manual are discussed including parental input, adapted values and activities, and engagement issues. It is hoped that following further evaluation, BATD-A could be successfully delivered as a low-intensity intervention for depression.

Keywords

Behavioural therapychildren and adolescentsdepressionyoung people
Type
Practice article
Information
the Cognitive Behaviour Therapist , Volume 8 , 2015 , e17
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Recommended follow-up reading

Lejuez, CW, Hopko, DR, Acierno, R, Daughters, SB, Pagoto, SL (2011). Ten year revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R). Behavior Modification 35, 111–161.Google Scholar

References

Chorpita, BF, Yim, L, Moffitt, C, Umemoto, LA, Francis, SE (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: a revised child anxiety and depression scale. Behaviour Research and Therapy 38, 835–855.Google Scholar
Clark, D (2011). Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: the IAPT experience. International Review of Psychiatry 23, 375–384.CrossRefGoogle ScholarPubMed
Duncan, BL, Miller, SD, Sparks, J, Claud, D, Reynolds, L, Brown, J, Johnson, L (2003). The Session Rating Scale: preliminary psychometric properties of a ‘working’ alliance measure. Journal of Brief Therapy 3, 3–12.Google Scholar
Dunn, V, Goodyer, IM (2006). Longitudinal investigation into childhood- and adolescence-onset depression: psychiatric outcome in early adulthood. British Journal of Psychiatry 188, 216–222.CrossRefGoogle ScholarPubMed
Ekers, D, Richards, D, Gilbody, S (2008). A meta analysis of randomised trials of behavioural treatment of depression. Psychological Medicine 38, 611–623.CrossRefGoogle ScholarPubMed
Lejuez, CW, Hopko, DR, Hopko, SD (2001). A brief behavioral activation treatment for depression: Treatment manual. Behavior Modification 25, 255–286.Google Scholar
Lejuez, CW, Hopko, DR, Acierno, R, Daughters, SB, Pagoto, SL (2011). Ten year revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R). Behavior Modification 35, 111–161.CrossRefGoogle ScholarPubMed
Lewinsohn, PM, Rohde, P, Seeley, JR (1998). Major depressive disorder in older adolescents: Prevalence, risk factors, and clinical implications. Clinical Psychology Review 18, 765–794.CrossRefGoogle ScholarPubMed
Martell, CR, Addis, ME, Jacobson, NS (2001). Depression in Context: Strategies for Guided Action. New York: Norton.Google Scholar
Manos, RC, Kanter, JW, Luo, W (2011). The behavioural activation for depression scale-short form: development and validation. Behavior Therapy 42, 726–739.CrossRefGoogle ScholarPubMed
McCauley, E, Gudmundsen, G, Schloredt, K, Martell, C, Rhew, I, Hubley, S, Dimidjian, S. (2015). The Adolescent Behavioral Activation Program: adapting behavioral activation as a treatment for depression in adolescence. Journal of Clinical Child & Adolescent Psychology. doi:10.1080/15374416.2014.979933.Google Scholar
McCauley, E, Schloredt, K, Gudmundsen, G, Martell, C, Dimidjian, S (2011). Expanding Behavioral Activation to depressed adolescents: lessons learned in treatment development. Cognitive and Behavioral Practice 18, 371–383.CrossRefGoogle Scholar
Miller, SD, Duncan, BL (2000). The Outcome Rating Scale. Chicago: S. D. Miller & B. L. Duncan.Google Scholar
NICE (2009). Depression in adults: the treatment and management of depression in adults (update). NICE clinical guideline 90. Issued October 2009 (https://www.nice.org.uk/guidance/cg90).Google Scholar
NICE (2015). Depression in children and young people: Identification and management in primary, community and secondary care. NICE clinical guideline 28. Issued September 2005, updated March 2015 (http://www.nice.org.uk/guidance/cg28).Google Scholar
Pass, L, Reynolds, S (2014). Treatment Manual for Brief Behavioural Activation for Depressed Adolescents (BATD-A) [unpublished manual]. Charlie Waller Institute, University of Reading, Reading, UK.Google Scholar
Polanczyk, G, Salum, G, Sugaya, L, Caye, A, Rohde, L (2015). Annual research review: a meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry 56, 345–365.Google Scholar
Ritschel, LA, Ramirez, CL, Jones, M, Craighead, WE. (2011). Behavioral Activation for Depressed Teens: A Pilot Study. Cognitive and Behavioral Practice 18, 281–299.Google Scholar
Rudolph, KD, Klein, DN (2009). Exploring depressive personality traits in youth: origins, correlates, and developmental consequences. Development and Psychopathology 21, 1155–1180.CrossRefGoogle ScholarPubMed
Ruggiero, KJ, Morris, TL, Hopko, DR, Lejuez, CW (2005). Application of behavioral activation treatment for depression to an adolescent with a history of child maltreatment. Clinical Case Studies 2, 1–17.Google Scholar
Stallard, P, Udwin, O, Goddard, M, Hibbert, S (2007). The availability of cognitive behaviour therapy within Specialist Child and Adolescent Mental Health Services (CAMHS): a national survey. Behavioural and Cognitive Psychotherapy 35, 501–505.Google Scholar
Thapar, A, Collishaw, S, Pine, DS, Thapar, AK (2012). Depression in adolescence. Lancet 379, 1056–1067.CrossRefGoogle ScholarPubMed
Vivyan, C (2014). ACE log (http://www.getselfhelp.co.uk/freedownloads2.htm).Google Scholar
Weisz, JR, McCarty, CA, Valeri, SM (2006). Effects of psychotherapy for depression in children and adolescents: a meta-analysis. Psychological Bulletin 132, 132–149.Google Scholar
Submit a response

Comments

No Comments have been published for this article.