Barriers and enablers for young people, parents and therapists undertaking behavioural activation for depression: A qualitative evaluation within a randomised controlled trial.
Barriers and enablers for young people, parents and therapists undertaking behavioural activation for depression: A qualitative evaluation within a randomised controlled trial.
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年轻人、父母和治疗师对抑郁症进行行为激活的障碍和推动因素：随机对照试验中的定性评估。
DOI：
10.1111/papt.12452
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Kitchen CEW
中科院分区：
文献类型：
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作者：
Kitchen CEW
青少年抑郁症是一种常见的、持久的、使人衰弱的疾病。行为激活（BA）是一种简短的，以证据为基础的治疗抑郁症的成年人与有前途的结果为youngers.ObjectivesWe试图了解如何年轻人，他们的父母和治疗师经历了手动BA抑郁症在儿童和青少年心理健康服务。设计参与者在一项随机对照试验，年龄为12至17岁的抑郁症，他们的父母和治疗师被邀请到一个半结构化的采访与研究人员探讨他们的经验，接收，支持或提供BA。MethodsSix年轻人，五个家长和五个治疗师进行了采访。逐字采访成绩单编码使用专题analysis.ResultsFactors，可以优化交付BA是：提高年轻人的动机，定制父母的投入，年轻人的需求/愿望和发展之间的积极合作的年轻人和治疗师。参与治疗可能会阻碍BA交付和年轻人的喜好之间的不匹配，并发精神健康的合并症，没有解决在一个更广泛的护理包，缺乏家长的支持和治疗师的偏见对手动治疗或BA。ConclusionsManualised BA为年轻人需要灵活性和调整，以满足个人和家庭的需求。治疗师的准备工作可以消除对这种简短而简单的干预对具有复杂需求和不同学习风格的年轻人的适用性和潜在价值的阻碍性偏见。
BackgroundAdolescent depression is common, long‐lasting and debilitating. Behavioural Activation (BA) is a brief, evidence‐based therapy for depression in adults with promising outcomes for young people.ObjectivesWe sought to understand how young people, their parents and therapists experienced manualised BA for depression within Child and Adolescent Mental Health Services.DesignParticipants in a randomised controlled trial aged 12 to17 with depression, their parents and therapists were invited to a semi‐structured interview with a researcher to explore their experiences of receiving, supporting or delivering BA.MethodsSix young people, five parents and five therapists were interviewed. Verbatim interview transcripts were coded using thematic analysis.ResultsFactors that may optimise delivery of BA were: boosting the young person's motivation, tailoring parental input to the young person's needs/wishes and developing a positive collaboration between the young person and therapist. Engagement with treatment may be hindered by a mismatch between BA delivery and young person's preferences, concurrent mental health comorbidities that are not addressed within a wider care package, lack of parental support and therapist preconceptions against manualised therapy or BA.ConclusionsManualised BA for young people requires flexibility and adjustment to meet individual and family needs. Therapist preparation could dispel hindering preconceptions about the suitability and potential value of this brief and simple intervention for young people with complex needs and different learning styles.