Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA 30306, USA.
Clin Psychol Psychother. 2013 Jan-Feb;20(1):87-96. doi: 10.1002/cpp.774. Epub 2011 Aug 22.
Behavioural activation (BA) is a psychosocial treatment that has shown promise in the treatment of adults suffering from major depressive disorder (MDD). Recent studies have shown that BA may also be effective for treating depressed adolescents. There are no studies that have reported on the BA treatment of depressed and low-income African American adolescents; thus, the current study reports on the effectiveness of a version of BA adapted for the treatment of African American adolescents who were diagnosed with MDD (n = 3). Participants were allowed to attend a maximum of 17 sessions of weekly psychotherapy. Based on results taken from structured interviews, two of the three participants no longer met criteria for MDD at the end of treatment, and the severity of clinician-rated depressive symptoms and impairment decreased for all participants at post-treatment assessment. Additionally, all participants and their caregivers reported satisfaction with treatment. Implications of these findings, study limitations and suggestions for future directions are discussed.
行为激活（BA）是一种心理社会治疗方法，已被证明对治疗患有重度抑郁症（MDD）的成年人有效。最近的研究表明，BA 也可能对治疗抑郁的青少年有效。目前还没有研究报告过针对患有 MDD 的抑郁和低收入非裔美国青少年的 BA 治疗方法；因此，本研究报告了一种针对被诊断患有 MDD 的非裔美国青少年的 BA 治疗方法的有效性（n=3）。参与者最多可以参加 17 次每周一次的心理治疗。根据结构化访谈的结果，在治疗结束时，三名参与者中有两名不再符合 MDD 的标准，所有参与者的临床医生评定的抑郁症状严重程度和障碍程度在治疗后评估中都有所下降。此外，所有参与者及其照顾者都对治疗表示满意。讨论了这些发现的意义、研究的局限性以及对未来方向的建议。
