Cited by 382Psychotherapy Techniques and ApplicationsChild and Adolescent Psychosocial and Emotional DevelopmentCounseling, Therapy, and Family Dynamics

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Attachment-Based Family Therapy for Depressed Adolescents: A Treatment Development Study

DIAMOND, GUY S., REIS, BRENDALI F., DIAMOND, GARY M., SIQUELAND, LYNNE, ISAACS, LISA·2002·Journal of the American Academy of Child & Adolescent Psychiatry

DOI 10.1097/00004583-200210000-00008

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Abstract

Objective To design a treatment manual and adherence measure for attachment-based family therapy (ABFT) for adolescent depression and to collect pilot data on the treatment's efficacy.Method Over a period of 2 years, 32 adolescents meeting criteria for major depressive disorder (MDD) were randomly assigned to 12 weeks of ABFT or a 6-week, minimal-contact, waitlist control group. The sample was 78% female and 69% African American; 69% were from low-income, inner-city communities.Results At post-treatment, 81% of the patients treated with ABFT no longer met criteria for MDD, in contrast with 47% of patients in the waitlist group. Mixed factorial analyses of variance revealed that, compared with the waitlist group, patients treated with ABFT showed a significantly greater reduction in both depressive and anxiety symptoms and family conflict. Of the 15 treated cases assessed at the follow-up, 13 patients (87%) continued to not meet criteria for MDD 6 months after treatment ended.Conclusions ABFT appears to be a promising treatment and worthy of further development.

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Authors: DIAMOND, G. S., REIS, B. F., DIAMOND, G. M., SIQUELAND, L., & ISAACS, L.
Affiliations: Ben-Gurion University of the Negev (IL)
Corresponding author: DIAMOND, GUY S.
ORCID: DIAMOND, GUY S.
DIAMOND, GARY M.
Venue: Journal of the American Academy of Child & Adolescent Psychiatry
Publisher: Elsevier BV
Published: 2002-10
Volume: 41
Issue: 10
Pages: 1190-1196
ISSN: 0890-8567 (ISSN-L)
DOI: 10.1097/00004583-200210000-00008
OpenAlex: W2159280697
Cited by: 382
References: 52
Citations by year: 2026: 6 · 2025: 6 · 2024: 10 · 2023: 15 · 2022: 16 · 2021: 19 · 2020: 25 · 2019: 16 · 2018: 18 · 2017: 23 · 2016: 28 · 2015: 26 · 2014: 17 · 2013: 21 · 2012: 22
FWCI: 8.84
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: U.S. Public Health Service (R21NIH52920-01AB)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
Keywords: attachment-based family therapy, adolescent depression, major depressive disorder, treatment manual development, family conflict, anxiety symptoms, treatment efficacy, African American adolescents
MeSH terms: Adolescent, Black or African American, Depressive Disorder, Factor Analysis, Statistical, Family Therapy, Female, Humans, Male, Manuals as Topic, Object Attachment, Patient Compliance, Pilot Projects, Poverty

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Attachment-Based Family Therapy for Depressed Adolescents: A Treatment Development Study

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