Behavioral activation for late adolescents with subthreshold depression: a randomized controlled trial

被引：63

作者：

Takagaki, Koki ^{[1
]}

Okamoto, Yasumasa ^{[1
]}

Jinnin, Ran ^{[1
]}

Mori, Asako ^{[1
]}

Nishiyama, Yoshiko ^{[1
]}

Yamamura, Takanao ^{[1
]}

Yokoyama, Satoshi ^{[1
]}

Shiota, Syouichi ^{[1
]}

Okamoto, Yuri ^{[2
]}

Miyake, Yoshie ^{[2
]}

Ogata, Akiko ^{[3
]}

Kunisato, Yoshihiko ^{[4
]}

Shimoda, Haruki ^{[5
]}

Kawakami, Norito ^{[5
]}

Furukawa, Toshi A. ^{[6
]}

Yamawaki, Shigeto ^{[1
]}

机构：

[1] Hiroshima Univ, Grad Sch Biomed & Hlth Sci, Dept Psychiat & Neurosci, Minami Ku, 1-2-3 Kasumi, Hiroshima 7348551, Japan

[2] Hiroshima Univ, Hlth Serv Ctr, 1-7-1 Kagamiyama, Hiroshima 7398511, Japan

[3] Hiroshima Univ, Dept Psychol, 1-1-1 Kagamiyama, Hiroshima 7398511, Japan

[4] Senshu Univ, Sch Human Sci, Dept Psychol, 2-1-1 Higashi Mita, Kawasaki, Kanagawa 2148580, Japan

[5] Univ Tokyo, Dept Psychiat Mental Hlth, Bunkyo Ku, 7-3-1 Hongo, Tokyo 1130033, Japan

[6] Kyoto Univ, Grad Sch Med, Dept Hlth Promot & Human Behav & Clin Epidemiol, Sch Publ Hlth,Sakyo Ku, Yoshida Konoe Cho, Kyoto 6068501, Japan

来源：

EUROPEAN CHILD & ADOLESCENT PSYCHIATRY | 2016年 / 25卷 / 11期

关键词：

Late adolescent; Subthreshold depression; Behavioral activation; Randomized controlled trial; MINOR DEPRESSION; MENTAL-DISORDERS; CARE MANAGEMENT; PSYCHOTHERAPY; OUTCOMES; PREVALENCE; PREVENTION; JAPAN;

D O I：

10.1007/s00787-016-0842-5

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

The main behavioral characteristic of subthreshold depression that is observed in adolescents is the low frequency of exposure to environmental rewards. Therefore, it was considered that a simple intervention conducted in short sessions, focusing on increasing access to positively reinforcing activities, would be efficacious in increasing the availability of rewards. We conduct a randomized controlled trial to examine the efficacy of such a behavioral activation program that was conducted weekly for 5 weeks in 60-min sessions. Late adolescent university students aged 18-19 years with subthreshold depression were randomly allocated to a treatment (n = 62) or a control group (n = 56). The primary outcome of the study was the Beck Depression Inventory-II score. Results indicated that late adolescent students in the treatment group showed significant improvements in their depressive symptoms (effect size -0.90, 95 % CI -1.28 to -0.51) compared to the control group. Students in the treatment group also showed significant improvements in self-reported rating of quality of life and in behavioral characteristics. It is concluded that this intervention had a large and significant effect despite being short and simple and that this low-intensity cognitive behavioral therapy program could be conducted in many different types of institutions. It is suggested that the long-term effects of the treatment program should be targeted for investigation in future studies.

引用

页码：1171 / 1182

页数：12

共 42 条

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