Attachment-Based Family Therapy for Adolescents with Suicidal Ideation: A Randomized Controlled Trial

Diamond, Guy; Wintersteen, Matthew B.; Brown, Gregory K.; Diamond, Gary M.; Gallop, Robert; Shelef, Karni; Levy, Suzanne

doi:10.1016/j.jaac.2009.11.002

Cited by 126 publications

(177 citation statements)

References 26 publications

(38 reference statements)

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“…This can be achieved by therapeutic interventions targeting general mother-child relationship difficulties and aiming to repair attachment bonds like Attachment-Based Family Therapy (Diamond et al, 2010), or by preventative interventions to foster trust in maternal support like…”

Section: Discussionmentioning

confidence: 99%

Repetitive thinking about the mother during distress moderates the link between children's attentional breadth around the mother and depressive symptoms in middle childhood

Walle

Bijttebier

Raedt

et al. 2017

Behaviour Research and Therapy

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Section: Discussionmentioning

confidence: 99%

Repetitive thinking about the mother during distress moderates the link between children's attentional breadth around the mother and depressive symptoms in middle childhood

Walle

Bijttebier

Raedt

et al. 2017

Behaviour Research and Therapy

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“…Results suggest that this intensive emotional interpersonal experience and the restoration of the parent-child attachment relationship is highly effective in reducing depressive symptoms. This is reflected in large effect sizes within treatment, in large effect sizes compared to Waitlist (d = 1.21; Diamond et al 2002;Weisz et al 2006) and small effect sizes compared to enhanced usual care for depressive symptoms (d = .37 post-treatment and d = .22 at follow-up; Diamond et al 2010), and in large effect sizes compared to enhanced usual care for suicidal ideation (d = .95 post-treatment and d = .97 at follow-up; Diamond et al 2010). Additionally, a small ABFT RCT study found large effect sizes compared to treatment as usual for depressive symptoms after dissemination in a Norwegian hospital (ds range from .80 to 1.08 depending on instrument used; Israel and Diamond 2013).…”

Section: Evidence-based Attachment-focused Intervention Strategiesmentioning

confidence: 99%

Cognitive Behaviour Therapy for Children and Adolescents: Can Attachment Theory Contribute to Its Efficacy?

Bosmans

2016

Clin Child Fam Psychol Rev

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Meta-analyses consistently demonstrate that cognitive behaviour therapy (CBT) provides effective evidence-based treatment for children and adolescents with emotional and behaviour problems. Also consistent across meta-analyses is the observation that CBT treatment effects are often medium in size. This observation has instigated a search for factors that could help explain the limited treatment effects and that could be focused upon to enhance CBT treatment outcomes. The current qualitative review focuses on the parent-child attachment relationship as one factor that could be relevant to enhance CBT treatment effects. This review first acknowledges reasons why CBT has historically not been attracted to attachment theory and its postulates. Second, recent evidence is examined to evaluate whether attachment can be approached from a cognitive schema perspective. Subsequently, research is described showing how restoring attachment relationships could result in large treatment effects. Finally, this evidence is integrated in a model of attachment assessment and intervention that might be compatible with CBT. In sum, this review suggests that restoring trust in insecure parent-child attachment relationships can be integrated within CBT and could contribute to its treatment outcomes.Cognitive behaviour therapy (CBT) is one of the most clearly conceptualized and best-studied therapeutic approaches for treating children and adolescents (e.g. Seligman and Ollendick 2011). Years of research confirm the positive effects of CBT and demonstrate significant reductions in a variety of child and adolescent emotional and behavioural problems (Hofmann et al. 2012). Part of the strength of CBT is its dynamic nature and flexibility to addressing these problems. Consequently, during the past decades, CBT with adults has broadened its treatment emphasis from focusing solely on changing behaviour, to focusing on challenging maladaptive cognitions, and, more recently, to accepting existential emotional distress (e.g. De Houwer et al. 2016). CBT for children and adolescents has roughly followed these developments and benefited from them. This is illustrated by the increasing number of meta-analyses that confirm that CBT provides an effective treatment for a plethora of child and adolescent internalizing and externalizing behaviour problems (e.g. Reynolds et al. 2012).However, meta-analyses also suggest that effect sizes often remain small to medium in size (e.g. Cuijpers et al. 2006;Kazdin 1995;Klein et al. 2007;Reynolds et al. 2012;Silverman et al. 2008;Weisz et al. 2006;Weisz et al. 2013) and that relapse rates following treatment are quite high (e.g. 30-50 % for mood disorders, Lewinsohn et al. 1990;Brent et al. 1999). This suggests that CBT for children and adolescents might benefit from a new conceptualization and expansion of treatment goals. The current literature review aims at providing arguments that one such expansion could be restoring attachment relationships. This paper will discuss the main components of tradition...

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“…To address this question, we examined data fi-om a recent ABFT trial targeting adolescents with severe suicide ideation and elevated depression symptoms (Diamond et al, 2010). The results of the overall study were promising, but the efficacy of ABFT among adolescents with a HSA is unknown and merits investigation.…”

mentioning

confidence: 99%

Sexual trauma history does not moderate treatment outcome in attachment-based family therapy (ABFT) for adolescents with suicide ideation.

Diamond¹,

Creed²,

Gillham³

et al. 2012

Journal of Family Psychology

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Despite the well-documented association between history of sexual trauma (HSA) and suicide ideation, HSA is largely overlooked in suicide treatment studies. Existing studies showed that patients with a HSA have a weaker treatment response. In this randomized clinical trial for suicide ideation, HSA did not moderate treatment outcome for Attachment-Based Family Therapy (ABFT). Adolescents responded better to ABFT than a control condition, regardless of HSA status. At baseline, adolescents with HSA were also more likely to report past suicide attempts than those without HSA, indicating that they are a particularly important subgroup to consider when developing and evaluating interventions that target suicide ideation. Findings suggest that ABFT is a robust intervention for suicide ideation regardless of HSA.

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Attachment-Based Family Therapy for Adolescents with Suicidal Ideation: A Randomized Controlled Trial

Cited by 126 publications

References 26 publications

Repetitive thinking about the mother during distress moderates the link between children's attentional breadth around the mother and depressive symptoms in middle childhood

Repetitive thinking about the mother during distress moderates the link between children's attentional breadth around the mother and depressive symptoms in middle childhood

Cognitive Behaviour Therapy for Children and Adolescents: Can Attachment Theory Contribute to Its Efficacy?

Sexual trauma history does not moderate treatment outcome in attachment-based family therapy (ABFT) for adolescents with suicide ideation.

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