Details

Autor(en) / Beteiligte

• Feldhaus, Claudia G.
• Jacobs, Rachel H.
• Watkins, Edward R.
• Peters, Amy T.
• Bessette, Katie L.
• Langenecker, Scott A.

Titel

Rumination-Focused Cognitive Behavioral Therapy Decreases Anxiety and Increases Behavioral Activation Among Remitted Adolescents

Ist Teil von

• Journal of child and family studies, 2020-07, Vol.29 (7), p.1982-1991

Ort / Verlag

New York: Springer US

Erscheinungsjahr

2020

Link zum Volltext

Quelle

Applied Social Sciences Index & Abstracts (ASSIA)

Beschreibungen/Notizen

• Rumination involves a repetitive, passive focus on one’s thoughts and feelings and has been hypothesized as a mechanism contributing to multiple psychopathologies. The current investigation explores secondary outcomes from a pilot study to examine whether rumination-focused cognitive behavior therapy (RFCBT) alleviates symptoms of anxiety, increases behavioral activation, or increases global functioning among adolescents with a history of Major Depressive Disorder (MDD). Thirty-three adolescents were randomized to receive either RFCBT ( n  = 17) or assessment only (AO; n  = 16) over the course of eight weeks. Mixed effects regression models were used to conduct intent-to-treat (ITT) analyses. The quadratic interaction for group-by-time-by-time was significant for anxiety. Adolescents in the RFCBT group experienced a significant decrease in anxiety across the first six weeks of intervention ( F  = 7.01, df = 108.49, p  = 0.009). The group-by-time interaction was significant for the behavioral activation outcome ( F  = 4.28, df = 25.60, p  = 0.049) with youth randomized to RFCBT demonstrating increasing activation compared to AO. Global functioning did not significantly differ between groups ( F  = 0.40, df = 1, p  > 0.05). Preliminary evidence suggests that RFCBT may hold promise as an intervention that alleviates both depressive and anxiety symptoms when comorbid. Highlights RFCBT reduces anxiety symptoms among adolescents in remission from depression. SRumination may be a mechanism in both depressive and anxious disorders. Behavioral activation increases among youth randomized to RFCBT.