Innovations in Practice: A randomised controlled feasibility trial of Behavioural Activation as a treatment for young people with depression.
Child Adolesc Ment Health
; 26(3): 290-295, 2021 09.
Article
en En
| MEDLINE
| ID: mdl-32725758
ABSTRACT
BACKGROUND:
Behavioural Activation (BA) treatment effectively reduces symptoms of depression in adults and is more cost-effective than more complex therapies. Two recent systematic reviews of BA for depression in young people highlighted the need for more studies in this area.METHODS:
In order to evaluate the acceptability of BA treatment for adolescents with depression and the feasibility of conducting a trial of this intervention in Child and Adolescent Mental Health Services (CAMHS), 22 patients from across three sites were randomised to BA or usual CAMHS care. Existing CAMHS staff were trained to deliver the manualised intervention via a brief course. Following treatment, young people and their parents/carers were asked to complete a feedback survey. Symptoms and functioning were assessed at 3- and 6-month follow-up. The trial was registered with the ISRCTN Registry (ref ISRCTN52147450; https//www.isrctn.com/).RESULTS:
Recruitment targets were achieved through screening large numbers of CAMHS service users. Intervention adherence by the participating adolescents was high (median number of completed BA sessions was seven out of a total of eight). There were tentative suggestions of improvements following treatment; a large change in a positive direction for the BA group, but not for usual care, was observed by visual comparisons of mean scores on measures of depression, self-esteem and functioning. No adverse events were reported.CONCLUSIONS:
The findings suggest that BA in this setting is acceptable and warrants evaluation via a fully powered randomised controlled trial.Palabras clave
Texto completo:
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Base de datos:
MEDLINE
Asunto principal:
Terapia Conductista
/
Depresión
Tipo de estudio:
Clinical_trials
Límite:
Adolescent
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Adult
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Child
/
Humans
Idioma:
En
Revista:
Child Adolesc Ment Health
Año:
2021
Tipo del documento:
Article
País de afiliación:
Reino Unido