فرا تحلیل اثر بخشی درمان فعال ساز رفتاری برمیزان افسردگی نوجوانان

فصلنامه علمی روش ها و مدل های روانشناختی

مقاله 11، دوره 13، شماره 47، اردیبهشت 1401، صفحه 161-174   

نوع مقاله: مقاله پژوهشی

شناسه دیجیتال (DOI): 10.30495/jpmm.2022.29369.3533

نویسندگان

الهه بی غم لعل آبادی^{* 1}؛ محمد نریمانی²؛ راضیه حاجی مرادی³

¹دانشجوی دکتری رشته روان‌شناسی دانشکده علوم تربیتی و روان‌شناسی دانشگاه محقق اردبیلی، اردبیل،ایران.

²استاد و عضو هیت علمی پژوهشی دانشکده روانشناسی دانشگاه محقق اردبیلی

³دانشجوی دکتری رشته روان‌شناسی دانشکده علوم تربیتی و روان‌شناسی دانشگاه محقق اردبیلی، اردبیل،ایران

تاریخ دریافت: 19 آبان 1400،  تاریخ بازنگری: 28 اردیبهشت 1401،  تاریخ پذیرش: 22 تیر 1401 

چکیده

مقدمه:روش فراتحلیل با یکپارچه‌کردن نتایج بدست آمده از انجام پژوهش‌های گوناگون، میزان اندازه اثر روش‌های درمان را مشخص میکند. با انجام فراتحلیل می‌توان دیدگاه کلی تری نسبت به تاثیر مداخلات گوناگون بدست آورد. هدف از این پژوهش، تعیین اثربخشی درمان فعال ساز رفتاری بر میزان افسردگی می‌باشد که به صورت فراتحلیل انجام شده است.
روش شناسی: به این منظور از بین 15 پژوهش، 8 پژوهش، که از لحاظ روش شناختی مورد قبول بودند، انتخاب شده و فرا تحلیل روی‌آنها انجام شده است. تحلیل های آماری مربوطه با استفاده از نرم افزار جامعCMA-2)) صورت گرفته است.
یافته ها:یافته های بدست آمده نشان داد که درمان فعال ساز رفتاری به طور معنی‌داری در سطح خطای کم‌تر از 05% بر افسردگی موثر بوده است و اندازه ثر کلی بر حسب مقیاس هم بستگی 633% ؛ برحسب تفاوت میانگین استاندارد 857/11 و بر حسب مشخصهg  هجز نیز70/1 گزارش شد.
بحث و نتیجه گیری:نتیجه این فرا تحلیل نشان می‌دهد که درمان مبتنی بر فعال‌سازی رفتاری به عنوان یک روش‌کاربردی می‌تواند به کاهش نشانه های افسردگی نوجوانان کمک کند و به عنوان یک روش موثر در جلسات درمانی مورد استفاده درمانگران قرار گیرد. با استفاده از این روش می توان نوجوانان افسرده را به عضوی فعال در جامعه تبدیل کرد و مشارکت آنها را در فعالیت های اجتماعی بهبود ببخشید. 

کلیدواژه‌ها

افسردگی؛ نوجوان؛ درمان فعال ساز رفتاری؛ فرا تحلیل

عنوان مقاله [English]

Meta-analysis of the effectiveness of behavioral activator therapy on adolescent depression

نویسندگان [English]

Elahe Bigham lalabadi¹؛ mohamad narimani²؛ Razieh hajimoradi³

¹Ph.D. Student in Educational Psychology, University of MohagheghArdabili, Ardebil, Iran.

²Professor and Member of Scientific Research Faculty of Psychology, University of Mohaghegh Ardebili

³Ph.D. Student in Educational Psychology, University of MohagheghArdabili, Ardebil, Iran.

چکیده [English]

Introduction: The meta-analysis method determines the effect size of treatment methods by integrating the results of various studies. By performing meta-analysis, a more general view of the effect of different interventions can be obtained. The aim of this study was to determine the effectiveness of behavioral activator therapy on the rate of depression, which has been done by meta-analysis. Methods For this purpose, out of 15 studies, 8 studies, which were methodologically acceptable, were selected and meta-analysis was performed on them. Relevant statistical analyzes have been performed using comprehensive CMA 2 software.
Methods: For this purpose, out of 15 studies, 8 studies, which were methodologically acceptable, were selected and meta-analysis was performed on them. Relevant statistical analyzes have been performed using comprehensive CMA 2 software. The results showed that behavioral activator therapy was significantly effective on depression at an error level of less than 05% and the overall effect size in terms of correlation scale was 633%; According to the difference of the standard mean of 11.857 and based on the characteristic of hedges g, 1.70 was reported.
Conclusion:According to the research findings, therapy based on behavioral activation as a practical method can help reduce the symptoms of adolescent depression and can be used by therapists as an effective method in treatment sessions. Using this method, depressed adolescents can become active members of society and improve their participation in social activities.

کلیدواژه‌ها [English]

depression, adolescent m, behavioral activator therapy, meta-analysis

مراجع

1. Hopkins, J.R. (2014). Adolescence: The transitional years. Academic Press; May 10.
2. Thapar, A., Collishaw, S. S., Pine, D.S, & Thapar, A.K. (2012). Depression in adolescence. Lancet.; 379(9820):1056-67.
3. Flynn, J.R. (2017). Break the Internet, Break the Stigma: The Promise of Emerging Technology & Media in Mental Health. Quinnipiac Health LJ.20:1.
4. Gladstone, T.G., Marko-Holguin, M., Rothberg, P., Nidetz, J., Diehl, A., DeFrino, D.T., Harris, M., Ching, E., Eder, M., Canel, J., & Bell, C. (2015). An internet-based adolescent depression preventive intervention: study protocol for a randomized control trial. Trials. Dec; 16(1):1-7.
5. Patton, G.C., Sawyer, S.M., Santelli, J.S., Ross, D.A., Afifi, R., Allen, N.B., Arora, M., Azzopardi, P., Baldwin, W., Bonell, C., & Kakuma, R. (2016). Our future: a Lancet commission on adolescent health and wellbeing. The Lancet. Jun 11; 387(10036):2423-78.
6. World Health Organization. Regional agenda for implementing the mental health action plan 2013-2020 in the Western Pacific: towards a social movement for action on mental health and well-being.
7. Jaffee, S.R., Moffitt, T.E., Caspi, A., Fombonne, E., Poulton, R., & Martin, J. (2002). Differences in early childhood risk factors for juvenile-onset and adult-onset depression. Archives of general psychiatry. Mar 1; 59(3):215-22.
8. Lawton, D., & Vye, N. Al. (2012). Online learning based on essential concepts and formative assessment. Journal of Engineering Education; 101 (2):244-87.
9. Cook, M.N., Peterson, J., & Sheldon, C. (2009). Adolescent depression: an update and guide to clinical decision making. Psychiatry (Edgmont). Sep 1; 6(9):17.
10. Clayborne, Z.M., Varin, M., & Colman, I. (2019). Systematic review and meta-analysis: adolescent depression and long-term psychosocial outcomes. Journal of the American Academy of Child & Adolescent Psychiatry. Jan 1; 58(1):72-9.
11. Martin, F., & Oliver, T. (2019). Behavioral activation for children and adolescents: a systematic review of progress and promise. European child & adolescent psychiatry. Apr; 28(4):427-41.
12. Das, J.K., Salam, R.A., Lassi, Z.S., Khan, M.N., Mahmood, W., Patel, V., & Bhutta, ZA. (2016). Interventions for adolescent mental health: an overview of systematic reviews. Journal of Adolescent Health. Oct 1; 59(4):S49-60.
13. Creswell, C., Waite, P., & Cooper, P.J. (2014). Assessment and management of anxiety disorders in children and adolescents. Archives of disease in childhood. Jul 1; 99(7):674-8.
14. Lawton, A., & Moghraby, O.S. (2016). Depression in children and young people: identification and management in primary, community and secondary care (NICE guideline CG28). Archives of Disease in Childhood-Education and Practice. Aug 1; 101(4):206-9.
15. Emslie, G.J., Heiligenstein, J.H., Wagner, K.D., Hoog, S.L., & Ernest, D.E., Brown, E., Nilsson, M. & Jacobson, J.G., (2002). Fluoxetine for acute treatment of depression in children and adolescents: a placebo-controlled, randomized clinical trial. Journal of the American Academy of Child & Adolescent Psychiatry, 41(10), pp.1205-1215.
16. Dolle, K., & Schulte-Körne, G. (2013). The treatment of depressive disorders in children and adolescents. DeutschesÄrzteblatt International. Dec; 110(50):854.
17. Klein, J.B., Jacobs, R.H., & Reinecke, MA. (2007). Cognitive-behavioral therapy for adolescent depression: a meta-analytic investigation of changes in effect-size estimates. Journal of the American Academy of Child & Adolescent Psychiatry. Nov 1; 46(11):1403-13.
18. Zhou, X., Hetrick, S.E., Cuijpers, P., Qin, B., Barth, J., Whittington, C.J., Cohen, D., Del Giovane, C., Liu, Y., Michael, K.D., & Zhang, Y. (2015). Comparative efficacy and acceptability of psychotherapies for depression in children and adolescents: A systematic review and network meta‐ World psychiatry. Jun; 14(2):207-22.
19. Cuijpers, P., Geraedts, A.S., van Oppen, P., Andersson, G., Markowitz, J.C., & van Straten, A. (2011). Interpersonal psychotherapy for depression: a meta-analysis. American Journal of Psychiatry. Jun; 168(6):581-92.
20. Biddle, S., Fox, K.R., & Boutcher, S.H., (2000). editors. Physical activity and psychological well-being. London: Routledge; Nov.
21. Asarnow, J.R., Emslie, G., Clarke, G., Wagner, K.D., Spirito, A., Vitiello, B., Iyengar, S., Shamseddeen, W., Ritz, L., Birmaher, B. & Ryan, N. (2009). Treatment of selective serotonin reuptake inhibitor—Resistant depression in adolescents: Predictors and moderators of treatment response. Journal of the American Academy of Child & Adolescent Psychiatry, 48(3), pp.330-339.
22. Cipriani, A., Zhou, X., Del Giovane, C., Hetrick, S.E., Qin, B., Whittington, C., Coghill, D., Zhang, Y., Hazell, P., Leucht, S., Cuijpers, P. (2016). Comparative efficacy and tolerability of antidepressants for major depressive disorder in children and adolescents: a network meta-analysis. The Lancet. Aug 27; 388(10047):881-90.
23. Pinna, G. (2015). The neurosteroidogenic action of fluoxetine unveils the mechanism for the anxiolytic property of SSRIs. PHARMACOLOGY, MECHANISMS OF ACTION AND POTENTIAL SIDE EFFECTS: 25.
24. March, J.S., Silva, S., Petrycki, S., Curry, J., Wells, K., Fairbank, J., Burns, B., Domino, M., McNulty, S., Vitiello, B., & Severe, J. (2007). The Treatment for Adolescents with Depression Study (TADS): long-term effectiveness and safety outcomes. Archives of general psychiatry. Oct; 64(10):1132-44.
25. Simmonds-Buckley, M., Kellett, S., Waller, G. (2019). Acceptability and efficacy of group behavioral activation for depression among adults: a meta-analysis. Behavior Therapy. Sep 1; 50(5):864-85.
26. Pass, L., Lejuez, C.W., & Reynolds, S. (2018). Brief behavioural activation (Brief BA) for adolescent depression: A pilot study. Behavioural and cognitive psychotherapy. Mar; 46(2):182-94.
27. Lewinsohn, P.M. (1974). A behavioral approach to depression. Essential papers on depression.150-72.
28. Ferster, C.B. (1973). A functional analysis of depression. American psychologist. Oct; 28(10):857.
29. McCauley, E., Gudmundsen, G., Schloredt, K., Martell, C., Rhew, I., Hubley, S. and Dimidjian, S., 2016. The adolescent behavioral activation program: Adapting behavioral activation as a treatment for depression in adolescence. Journal of Clinical Child & Adolescent Psychology, 45(3), pp.291-304.
30. Dimidjian, S., McCauley, E. Modular, scalable, and personalized: Priorities for behavioral interventions for adolescent depression.
31. Stein, A.T., Carl, E., Cuijpers, P., Karyotaki, E., & Smits, JA. (2021). Looking beyond depression: A meta-analysis of the effect of behavioral activation on depression, anxiety, and activation. Psychological medicine. Jul; 51(9):1491-504.
32. Stein AT, Carl E, Cuijpers P, Karyotaki E, Smits JA. Looking beyond depression: A meta-analysis of the effect of behavioral activation on depression, anxiety, and activation–ADDENDUM. Psychological Medicine. 2021 Jul; 51(9):1505-6.
33. Zemestani, M., Davoodi, I., MehrabiZade, M. (2013). Efficacy of behavioral activation therapy on symptoms of depression, anxiety and rumination in patients with depression and anxiety. the Journal of Clinical Psychology.20:73-85.
34. Pasiar, forgiveness, Saeed Manesh. The effect of behavioral activation therapy on reducing adolescent depressive symptoms. Dawn of Health. 2018 Jul 10; 17 (2): 48-59.
35. NajiEsfahani, F., Seirafi, M., KraskianMujembari, A. (2020). The Effectiveness of Behavioral Activation Intervention on Increasing Self-Care Behaviors and Life Expectancy in the Elderly. Aging Psychology. Jul 22;6(2):93-105.
36. Santos, M.M., Puspitasari, A.J., Nagy, G.A., Kanter, J.W. Behavioral activation.
37. Tindall, L., Mikocka‐Walus, A., McMillan, D., Wright, B., Hewitt, C., & Gascoyne, S. (2017). Is behavioural activation effective in the treatment of depression in young people? A systematic review and meta‐ Psychology and Psychotherapy: Theory, Research and Practice. Dec; 90(4):770-96.
38. Martínez-Vispo, C., Martínez, Ú.,López-Durán, A., Fernandez del Rio, E., & Becoña, E. (2018). Effects of behavioural activation on substance use and depression: a systematic review. Substance abuse treatment, prevention, and policy. Dec; 13(1):1-3.
39. Orgeta, V., Brede, J., & Livingston, G. (2017).Behavioural activation for depression in older people: systematic review and meta-analysis. The British Journal of Psychiatry. Nov; 211(5):274-9.
40. Rao, A. Re-examining the Relationship Between Civil Society and the Internet: Pessimistic.
41. Howitt, D. & Cramer, D. (2005). An introduction to statistics in psychology. 3rd ed. edition. (3rdEd.). Harlow: Pearson/Prentice Hall.
42. Ataie Moghanloo, V., & AtaieMoghanloo, R. (2015). The effect of behavioral activation therapy based on changing lifestyle on depression, psychological well-being and feelings of guilt in children between 7-15 years old with diabetes. Journal of Rafsanjan University of Medical Sciences; 14(4):325-38.
43. Chu, B.C., Crocco, S.T., Esseling, P., Areizaga, M.J., Lindner, A.M., & Skriner, L.C. (2016). Transdiagnostic group behavioral activation and exposure therapy for youth anxiety and depression: Initial randomized controlled trial. Behaviour research and therapy. 1;76:65-75.
44. Takagaki, K., Okamoto, Y., Jinnin, R., Mori, A., Nishiyama, Y., Yamamura, T., Yokoyama, S., Shiota, S., Okamoto, Y., Miyake, Y., & Ogata, A. (2016). Behavioral activation for late adolescents with subthreshold depression: a randomized controlled trial. European child & adolescent psychiatry. Nov; 25(11):1171-82.
45. Pasyar, M., Bakhshayesh, A., & Saeed Manesh, M. (2018). Training of behavioral activation therapy tailored to teens and its effect on depression in adolescents. Tolooebehdasht. Jul 10; 17(2):48-59.
46. Weersing, V.R., Brent, D.A., Rozenman, M.S., Gonzalez, A., Jeffreys, M., Dickerson, J.F., Lynch, F.L., Porta, G., & Iyengar, S. (2017). Brief behavioral therapy for pediatric anxiety and depression in primary care: a randomized clinical trial. JAMA psychiatry. Jun 1; 74(6):571-8.
47. Rahbaran, R., Karami, R., & Shahmohammadi, K.M. (2019). The effectiveness of behavioral activation therapy on rhubarb and depression disorders in adolescents." 17-26.
48. GhodratiIsfahani, Z., & Moradi, A. (2020). Examining and Comparing the Effectiveness of Psychological Capital Training and Behavioral Activation Therapy on Depression among Female Dormitory Students. Iranian Journal of Medical Education. Apr 10; 20:260-8.
49. Hooman, H.A., (2008). Handbook on meta-analysis in scientific research. Tehran: Samt.
50. Farahani, H., & Orizi, H. A. (2006) Advanced Research Methods in Humanities (Applied Approach) (For Students in Behavioral Sciences, Social Sciences, Educational Sciences, Physical Education, Management and Political Science) .
51. Choi, S.W., Chi, S.E., Chung, S.Y., Kim, J.W., Ahn, C.Y., & Kim, H.T. (2011). Is alpha wave neurofeedback effective with randomized clinical trials in depression? A pilot study. Neuro psychobiology. 63(1):43-51.
52. Cuijpers, P., Van Straten, A., Andersson, G., & Van Oppen, P. (2008). Psychotherapy for depression in adults: a meta-analysis of comparative outcome studies. Journal of consulting and clinical psychology. Dec; 76(6):909.
53. Mazzucchelli, T.G., Kane, R.T., Rees, C.S. (2010). Behavioral activation interventions for well-being: A meta-analysis. The journal of positive psychology. Mar 1; 5(2):105-21.
54. Martínez-Vispo, C., Martínez, Ú., López-Durán, A., Fernandez del Rio, E., & Becoña, E. (2018). Effects of behavioural activation on substance use and depression: a systematic review. Substance abuse treatment, prevention, and policy. Dec; 13(1):1-3.
55. Malik, K., Ibrahim, M., Bernstein, A., Venkatesh, R.K., Rai, T., Chorpita, B., & Patel, V. (2021). Behavioral Activation as an ‘active ingredient’of interventions addressing depression and anxiety among young people: a systematic review and evidence synthesis. BMC psychology. Dec; 9(1):1-23.
56. Pass, L., Lejuez, C.W., & Reynolds, S. (2018). Brief behavioural activation (Brief BA) for adolescent depression: A pilot study. Behavioural and cognitive psychotherapy. Mar; 46(2):182-94.
57. Ritschel, L.A., Ramirez, C.L., Cooley, J.L., & Craighead, W.E. (2016). Behavioral activation for major depression in adolescents: Results from a pilot study. Clinical Psychology: Science and Practice. Mar; 23(1):39.
58. Hasni, J., Parhoun, H., & Momeni, Kh. (2015). [The Effect of Short-Term Behavioral Activation Therapy on Symptoms of Depression, Mental Health and Quality of Life in Opioid Abuse Patients]. Clinical Psychology Studies. 19(2): 74-83. [Persian]