TY - JOUR
T1 - Attachment-based family therapy for depressed adolescents
T2 - Brogrammatic treatment development
AU - Diamond, Guy
AU - Siqueland, Lynne
AU - Diamond, Gary M.
N1 - Funding Information:
This research was supported by research grants awarded to Guy Diamond from the National Institute of Mental Health (R21MH52920), the National Alliance for Research on Schizophrenia and Depression, the American Suicide Foundation, and to Gary Diamond from the Israeli Foundations Trustees (2000/84).
PY - 2003/6/1
Y1 - 2003/6/1
N2 - Few effective psychosocial treatment models for depressed adolescents have been developed, let alone ones that use the developmentally potent context of the family as the focus of intervention. Attachment-based family therapy (ABFT) is a brief, manualized treatment model tailored to the specific needs of depressed adolescents and their families. Attachment theory serves as the main theoretical framework to guide the process of repairing relational ruptures and rebuilding trustworthy relationships. Empirically supported risk factors for depression are the primary problem states that therapists target with specific treatment strategies or tasks. Parent problem states include criticism/hostility, personal distress, parenting skills, and disengagement. Adolescent problem states include motivation, negative self-concept, poor affect regulation, and disengagement. Intervention tasks include relational reframing, building alliances with the adolescent and with the parent, addressing attachment failures, and building competency. A small, randomized clinical trial provides initial support for the model. Several process research studies, using both qualitative and quantitative methods, have helped refine the clinical guidelines for each treatment task. ABFT is a promising new treatment for depressed adolescents and more research on it is warranted.
AB - Few effective psychosocial treatment models for depressed adolescents have been developed, let alone ones that use the developmentally potent context of the family as the focus of intervention. Attachment-based family therapy (ABFT) is a brief, manualized treatment model tailored to the specific needs of depressed adolescents and their families. Attachment theory serves as the main theoretical framework to guide the process of repairing relational ruptures and rebuilding trustworthy relationships. Empirically supported risk factors for depression are the primary problem states that therapists target with specific treatment strategies or tasks. Parent problem states include criticism/hostility, personal distress, parenting skills, and disengagement. Adolescent problem states include motivation, negative self-concept, poor affect regulation, and disengagement. Intervention tasks include relational reframing, building alliances with the adolescent and with the parent, addressing attachment failures, and building competency. A small, randomized clinical trial provides initial support for the model. Several process research studies, using both qualitative and quantitative methods, have helped refine the clinical guidelines for each treatment task. ABFT is a promising new treatment for depressed adolescents and more research on it is warranted.
KW - Adolescence
KW - Attachment
KW - Depression
KW - Family therapy
KW - Treatment manual
UR - http://www.scopus.com/inward/record.url?scp=0043071538&partnerID=8YFLogxK
U2 - 10.1023/A:1023782510786
DO - 10.1023/A:1023782510786
M3 - Review article
AN - SCOPUS:0043071538
SN - 1096-4037
VL - 6
SP - 107
EP - 127
JO - Clinical Child and Family Psychology Review
JF - Clinical Child and Family Psychology Review
IS - 2
ER -