Changes in Parenting Behaviors, Attachment, Depressive Symptoms, and Suicidal Ideation in Attachment‐Based Family Therapy for Depressive and Suicidal Adolescents

Shpigel, Maya S.; Diamond, Gary M.; Diamond, Guy

doi:10.1111/j.1752-0606.2012.00295.x

Cited by 67 publications

(65 citation statements)

References 60 publications

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“…Additionally, low levels of parental support were associated with higher levels of depression and a higher probability of an actual suicide attempt. These findings are consistent with previous research that has demonstrated that lower levels of parental support and less secure parental attachment are associated with higher risk of suicide attempts in adolescents (Borowsky et al 2001;Donath et al 2014;Shpigel et al 2012). Finally, the likelihood of mental health service use decreased with higher levels of parental support and, when the presence of a suicide attempt was used as the proxy of symptom severity, this relationship appeared to be primarily related to a lower level of need.…”

Section: Discussionsupporting

confidence: 91%

Family Support and Mental Health Service Use Among Suicidal Adolescents

et al. 2016

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Section: Discussionsupporting

confidence: 91%

Family Support and Mental Health Service Use Among Suicidal Adolescents

et al. 2016

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“…In addition, we did not assess other relevant measures of family climate, such as support, attachment, cohesion, expressed emotion, and adaptability, that have been linked to depressive and related clinical outcomes in youth. 1,13,14,17,19,20,46 …”

Section: Discussionmentioning

confidence: 99%

The Bi-Directional Relationship Between Parent–Child Conflict and Treatment Outcome in Treatment-Resistant Adolescent Depression

Rengasamy

Mansoor

Hilton

et al. 2013

Journal of the American Academy of Child & Adolescent Psych

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Objective To examine the bidirectional relationship between parent–child discord and treatment outcome for adolescent treatment-resistant depression. Method Depressed youth who had not responded to an adequate course of a selective serotonin reuptake inhibitor (SSRI) were randomized to either a switch to another SSRI or venlafaxine, with or without the addition of cognitive behavior therapy (CBT) in the Treatment of SSRI-Resistant Depression in Adolescents (TORDIA) study. The Conflict Behavior Questionnaire was used to assess adolescent (CBQ-A) and parent-reported (CBQ-P) parent–child discord. The impact of remission on parent–child conflict, and the differential impact of medication and CBT on the CBQ-A and CBQ-P, were assessed using generalized linear models. Results Although there were no differential treatment effects on parent or adolescent-report of conflict, remission was associated with improvement in the CBQ-P. In general, intake family conflict did not predict remission, except in the sub-group of participants whose parents reported clinically significant parent–child conflict at intake, for whom high levels of parent-reported conflict predicted a lower likelihood of remission. Conflict also did not moderate treatment response. Conclusions Remission of depression may be sufficient to reduce parent-reported parent–child conflict. However, higher parent-reported conflict, in the clinically significant range, predicts a lower likelihood of remission from depression. Clinical trial registration information—Treatment of SSRI-Resistant Depression in Adolescents (TORDIA); http://clinicaltrials.gov/;NCT00018902.

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“…Barbe et al 2004;Lewis et al 2010) not affected by sexual trauma history . Finally, preliminary results suggest that adolescents' attachment anxiety and avoidance decrease after ABFT (Shpigel et al 2012). On the one hand, this overview shows that ABFT as a treatment model is a promising treatment, that is, however, still in its infancy.…”

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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Changes in Parenting Behaviors, Attachment, Depressive Symptoms, and Suicidal Ideation in Attachment‐Based Family Therapy for Depressive and Suicidal Adolescents

Cited by 67 publications

References 60 publications

Family Support and Mental Health Service Use Among Suicidal Adolescents

Family Support and Mental Health Service Use Among Suicidal Adolescents

The Bi-Directional Relationship Between Parent–Child Conflict and Treatment Outcome in Treatment-Resistant Adolescent Depression

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

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