Family Psychology Association of Iran

Authors

Abstract

Depression is a common mental disorder affecting adolescents and associated with high levels of stress, anxiety, and in the worst possible scenarios, suicide. This question always is asked, which treatment in more effective? The aim of present study was the effectiveness of family-based interpersonal psychotherapy (FB-IPT) on depression symptoms in adolescents. Three depressive adolescents male were selected in Tehran. Multiple baseline experimental single case was used as the method of the present study. 14 sessions of family-based interpersonal psychotherapy (FB-IPT) was administrated in 2 days per week and 7 consecutive weeks. This treatment was carried out in three phase of baseline, intervention and follow-up and participants complete Mood Affect Questionnaire (MFQ) in phase of baseline 3 times, intervention 5 times and follow-up 2 times. Data analyzed with visuals inspection, reliable change index (RCI) strategies and improvement percentage. Results showed that family-based interpersonal psychotherapy (FB-IPT) had significant effect in reduction of depression signs. According to the findings of the present study, it can be concluded that integrating individual treatment with family system, especially parents, can have more effective outcomes in adolescents; therefore applying this method is recommended by the professionals of this field.

Keywords

Angold, A., Costello, E. J., Messer, S. C., Pickles, A., Winder, F., & Silver, D. (1995). The development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. International Journal of Methods in Psychiatric Research, 5, 237-249. Charkhandeh, M., Abu Talib, M., & Jane Hunt, C. (2016). The clinical effectiveness of cognitive behavior therapy and an alternative medicine approach in reducing symptoms of depression in adolescents. Psychiatry Research, http://dx.doi.org/10.1016/j.psychres.2016.03.044. Connolly, S. D., & Bernstein, G. A. (2007). Practice parameter for the assessment and treatment of children and adolescents with anxiety disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 46, 267-283. Dietz, L. J., Mufson, L., Irvine, H., Brent, D. A. (2008). Family-based interpersonal psychotherapy for depressed preadolescents: an open treatment trial. Early Intervention in Psychiatry, 2, 154–161. Dietz, L. J., Weinberg, R. J., Brent, D. A., & Mufson, L. (2015). Family-based interpersonal psychotherapy for depressed preadolescents: Examining efficacy and potential treatment mechanisms. Journal of the American Academy of Child & Adolescent Psychiatry. 54, 191-199. Granö, N., Karjalainen, M., Ranta, K., Lindgren, M., & Therma, S. (2016). Community-oriented family-based intervention superior to standard treatment in improving depression, hopelessness and functioning among adolescents with any psychosis-risk symptoms. Psychiatry Research, 237, 9-16. Gunter, R. W., & Whittal, M. L. (2010). Dissemination of cognitive-behavioral treatments for anxiety disorders: Overcoming barriers and improving patient access. Clinical Psychology Review, 30, 194-202. Hein, V., Koka, A., & Hagger, M. S. (2015). Relationships between perceived teachers' controlling behavior, psychological need thwarting, anger and bullying behavior in high-school students. Journal of Adolescence, 42,103-114. Katzman, D. K., Peebles, R., Sawyer, S. M., Lock, J., & Grange, D. L. (2013). The role of the pediatrician in family-based treatment for adolescent eating disorders: Opportunities and challenges. Journal of Adolescent Health, 53, 433-440. Martinsen, K. D., Kendall, P. C., Stark, K., & Neumer, S. P. (2016). Prevention of anxiety and depression in children: Acceptability and feasibility of the Trans diagnostic EMOTION program. Cognitive and Behavioral Practice, 23, 1-13. Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the national comorbidity survey replication adolescent supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49, 980-989. Mufson, L., Weissman, M. M., Moreau, D., & Garfinkel, R. (1999). Efficacy of interpersonal psychotherapy for depressed adolescents. Archives of General Psychiatry, 56, 573-579. Pennant, M. E., Loucas, C. E., Whittington, C., Creswell, C., Fonagy, P., Fuggle, P., et al. (2015). Computerized therapies for anxiety and depression in children and young people: A systematic review and meta-analysis. Behavior Research and Therapy, 67, 1-18. Rizvi, S. L., & Nock, M. K (2008). Single-case experimental designs for the evaluation of treatments for self-injurious and suicidal behaviors. Suicide and Life-Threatening Behavior, 38, 498-510. Stark, K. D., Banneyer, K. N., Wang, L. A., & Arora, P. (2012). Child and adolescent depression in the family. Couple and Family Psychology, 1, 161-184. Van Ryzin, M.J., Roseth, C.J., Fosco, G. M., Lee, Y., & Chen, I., C. (2016). A component-centered meta-analysis of family-based prevention programs for adolescent substance use. Clinical Psychology Review. Doi: 10.1016/j.cpr.2016.03.007 Weersing, V. R., Shamseddeen, W., Garber, J., Hollon, S. D., Clarke, G. N., Beardslee, W. R., et al. (2016). Prevention of depression in at-risk adolescents: Predictors and moderators of acute effects. Journal of the American Academy of Child & Adolescent Psychiatry, 55, 219-226. Wolff, J. C., Jandasek, B., Michel, B. D., Becker, S. J., & Spiritual, A. (2016). Concurrent treatment of depression in parents and adolescents: a case example. Cognitive and Behavioral Practice, http://dx.doi.org/10.1016/j.cbpra.2016.02.00