Cognitive behavioral and attachment based family therapy for improving depressive symptoms and life satisfaction in depressed adolescents

Document Type : Research Paper

Authors

Abstract

This study aims to investigate the efficacy of treatment can be increased by integrating cognitive behavioral treatment and attachment-based family psychotherapy, and would improve symptoms of depression in adolescents and increase their life satisfaction. This study was a quasi-experimental pretest-posttest study. The statistical population comprised all public high school female students of 2012 in Shiraz city of Iran. To that end, 40 high school students between 15 and 17 ages were selected using cluster sampling method. Their score on the children depression scale (CDI) exceeded mean score by standard deviation of 1.5, and they had depression symptoms according to the K-SADS diagnostic test. Finally, given the study inclusion and exclusion criteria, they were divided into 3 experimental and one control groups. The experimental groups included behavioral-cognitive therapy, attachment-based family therapy, and combined behavioral-cognitive therapy and attachment-based family therapy. Results showed that in both post-test and follow-up stages, all 3 types of treatments were able to reduce depression symptoms (P=0/0001). and increase life satisfaction(for ABFT, CBT, and combined therapy in post test (P≤0/01) and in follow up (P≤0/05). But in follow up 2 there was significant differences between ABFT and combined therapy (P= 0/016), and between CBT and combined therapy(P=0/050). Also there was significant difference between control group with ABFT, CBT, and combined therapy (P≤0/001). In the life satisfaction area, there was significant differences between CBT and combined therapy (P= 0/05) and between control group with all type of therapy (P=0/0001).
Combined therapy was more effective than the other therapies in long time.

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