Araştırma Makalesi
BibTex RIS Kaynak Göster

Adaptation of Adolescent Behavioral Activation Program and Investigation of Its Effectiveness by Mixed Method

Yıl 2022, Cilt: 14 Sayı: Ek 1, 293 - 307, 29.12.2022
https://doi.org/10.18863/pgy.1188941

Öz

In this study, the Adolescent Behavioral Activation Program (A-BAP) based on behavioral activation (BA) therapy to reduce depressive symptoms in adolescents was adapted to Turkish culture, and its effectiveness was tested with intervention design, one of the mixed method designs. In this direction, experimental and control groups were formed with 20 students studying in three different high schools in Turkey and with highly elevated depressive symptoms. The study group was determined by nested sampling from mixed-method sampling strategies. The starting point of this study is the absence of any BA-based practice to reduce adolescent depression in Turkey. In this direction, experimental and control groups were formed with 20 students studying in three different high schools in Turkey and with highly elevated depressive symptoms. The adapted A-BAP was applied individually to the students in the experimental group for 12 weeks. Three sessions were also held with the parents of the students in the experimental group. In the quantitative phase of the study, pre-test and post-test control groups paired patterns from semi-experimental designs, and a case study was used in the qualitative stage. The qualitative data of the study were collected from adolescents and their parents through semi-structured interviews and session evaluation forms. It was determined that the adapted BA-based A-BAP was an effective intervention in reducing depressive symptoms in the Turkish adolescent sample and provided a significant decrease in the depression scores of the participants in the experimental group . The qualitative findings show that adolescents perceive the A-BAP process as a factor contributing to making them feel better. Adolescents have reported that A-BAP is effective in reducing avoidance behavior, achieving anger control, and increasing self-esteem and social interaction. Parents consider A-BAP as a developer, educator, and practice that reduces depressive symptoms in their children. In addition, it was determined that the qualitative findings obtained supported the quantitative results. Since the study is the first application of BA therapy in Turkey, it is thought that it will contribute to new studies in Turkey and intercultural studies at the international level.

Kaynakça

  • Alpaslan AH (2009) Ergen yaştaki lisanslı sporcularda anksiyete ve depresyon düzeyleri ile yaşam kalitesinin araştırılması (Uzmanlık Tezi). Bursa, Uludağ Üniversitesi.
  • Aschar SCAL, Claro, HG., Fernandes IFDAL, Daley K, Castro HCM, dos Santos DVC, Menezes R et al (2021) Cultural adaptation and psychometric properties of Brazilian and Peruvian versions of the behavioral activation for depression scale short form (BADS-SF). Research Square, 0:0-0.
  • Barlow DH, Hayes SC, Nelson-Gray RO (1984). The scientist practitioner: Research and accountability in clinical and educational settings. New York, Pergamon Press.
  • Beck AT, Rush AJ, Shaw BF, Emery G. (1979) Cognitive therapy of depression. New York, Guilford.
  • Bolinski F, Hendriks GJ, Bardoel S, Hollon SD, Martell C, Huibers MJH (2018) Cognitive therapy or behavioral activation for major depressive disorder in dutch mental health care: Pilot effectiveness and process trial. Int J Cogn Ther, 11:343–358.
  • Burke JD, Loeber R, Lahey BB, Rathouz PJ (2005) Developmental transitions among affective and behavioral disorders in adolescent boys. J Child Psychol Psychiatry, 46:1200–1210.
  • Büyüköztürk Ş, Kılıç-Çakmak E, Akgün ÖE, Karadeniz Ş, Demirel F (2022) Eğitimde bilimsel araştırma yöntemleri 32. baskı. Ankara, Pegem Akademi.
  • Chorpita BF, Moffitt CE, Gray J (2005) Psychometric properties of the revised child anxiety and depression scale in a clinical sample. Behav Res Ther, 43:309–322.
  • Chu BC, Colognori D, Weissman AS, Bannon K (2009) An initial description and pilot of group behavioral activation therapy for anxious and depressed youth. Cog Behav Pract, 16:408–419.
  • Collado A, Castillo SD, Maero F, Lejuez CW, MacPherson L (2014) Pilot of the brief behavioral activation treatment for depression in Latinos with limited English proficiency: preliminary evaluation of efficacy and acceptability. Behavior Therapy, 45:102–115.
  • Colombo D, Suso-Ribera C, Ortigosa-Beltrán I, Fernández-álvarez J, García-Palacios A, Botella C (2022) Behavioral activation through virtual reality for depression: A Single Case Experimental Design with Multiple Baselines. Journal of Clinical Medicine, 11: 1262- 1275.
  • Copeland WE, Shanahan L, Costello EJ, Angold A (2009) Childhood and adolescent psychiatric disorders as predictors of young adult disorders. Arch Gen Psychiatry, 66:764-772.
  • Creamer EG (2020) Tamamen Bütünleştirilmiş Karma Yöntem Araştırmalarına Giriş (Çeviri Ed. İ Seçer, S. Ulaş). Ankara, Vizetek Yayıncılık.
  • Creswell JW (2016) Nitel araştırma yöntemleri: Beş yaklaşıma göre nitel araştırma ve araştırma deseni (Çeviri Ed. M Bütün, SB Beşir ). Ankara, Siyasal Kitabevi.
  • Creswell JW, Creswell JD (2017) Research design: Qualitative, quantitative, and mixed methods approaches. California, Sage Publications.
  • Creswell JW (2021) Karma Yöntem Araştırmalarına Giriş (Çeviri Ed. M. Sözbilir). Ankara, Pegem Akademi.
  • Crreswell JW, Plano Clark V L (2015). Karma yöntem araştırmaları: Tasarımı ve yürütülmesi (Çev. Ed. Y. Dede, S B Demir). Ankara, Anı Yayıncılık.
  • Cuijpers P, van Straten A, Warmerdam L (2007) Behavioral activation treatments of depression: A meta-analysis. Clin Psychol Rev, 27:318–326.
  • Demir V (2014) Bilinçli farkındalık temelli hazırlanan eğitim programının bireylerin depresyon ve stres düzeyleri üzerine etkisi (Yüksek Lisans Tezi). İstanbul, İstanbul Arel Üniversitesi.
  • Denzin NK (2017) The Research Act. New York, Routledge.
  • Dimidjian S, Hollon SD, Dobson KS, Schmaling KB, Kohlenberg RJ, Addis ME et al (2006) Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. J Consult Clin Psychol, 74:658–670.
  • Dwekat E, Al-amer RM, Al-Daraawi H, Saleh MYN (2021) Prevalence and correlates of depression and anxiety among jordanian adolescents: A cross-sectional study. Youth Society 0:0-0.
  • Eskin M, Ertekin K, Harlak H, Dereboy Ç (2008) Lise öğrencisi ergenlerde depresyonun yaygınlığı ve ilişkili olduğu etmenler. Turk Psikiyatri Derg, 19:382-389.
  • Etherton JL, Farley R (2022) Behavioral activation for PTSD: A meta-analysis. Psychol Trauma, 14:894-901.
  • Ferster CB (1974) A functional analysis of depression: Reply. American Psychologist, 29:361–362.
  • Flouri E, Buchanan A (2003) The role of father involvement and mother involvement in adolescents’ psychological well‐being. Br J Soc Work, 33:399–406.
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Ergen Davranışsal Aktivasyon Programının Uyarlanması ve Etkililiğinin Karma Yöntem ile İncelenmesi

Yıl 2022, Cilt: 14 Sayı: Ek 1, 293 - 307, 29.12.2022
https://doi.org/10.18863/pgy.1188941

Öz

Bu çalışmada ergenlerde depresif belirtileri azaltmaya yönelik, davranışsal aktivasyon (DA) terapisi temelli Ergen Davranışsal Aktivasyon Programı (E-DAP) Türk kültürüne uyarlanmış ve karma yöntem desenlerinden müdahale deseni ile etkililiği test edilmiştir. Türkiye’de ergen depresyonunu azaltmaya yönelik DA temelli herhangi bir uygulamanın olmaması bu çalışmanın çıkış noktasıdır. Çalışma grubu, karma yöntem örnekleme stratejilerinden iç içe örnekleme yöntemiyle belirlenmiştir. Bu doğrultuda Türkiye’de farklı üç lisede öğrenim gören ve depresif belirtileri yüksek olan 20 öğrenci ile deney ve kontrol grupları oluşturulmuştur. Uyarlanan E-DAP, deney grubundaki öğrencilere, 12 hafta boyunca bireysel olarak uygulanmıştır. Deney grubundaki öğrencilerin ebeveynleriyle de üç oturum gerçekleştirilmiştir. Çalışmanın nicel aşamasında yarı deneysel desenlerden ön test son test kontrol gruplu eşleştirilmiş desen, nitel aşamasında ise durum çalışması kullanılmıştır. Çalışmanın nitel verileri, ergenler ve ebeveynlerinden yarı yapılandırılmış görüşme ve oturum değerlendirme formlarıyla toplanmıştır. Uyarlanan DA temelli E-DAP Türk ergen örnekleminde depresif belirtileri azaltmada etkili bir uygulama olduğu ve deney grubundaki katılımcıların depresyon puanları üzerinde anlamlı düzeyde bir düşüş sağladığı belirlenmiştir. Elde edilen nitel bulgular ergenlerin, E-DAP sürecini kendilerini daha iyi hissetmelerine katkı sunan bir faktör olarak algıladıklarını göstermektedir. Ergenler, E-DAP’ın kaçınma davranışını azaltmada, öfke kontrolünü sağlamada, benlik saygısı ve sosyal etkileşimi arttırmada etkili olduğuna dair ifadelerde bulunmuşlardır. Ebeveynler ise E-DAP‘ı geliştirici, eğitici ve çocuklarındaki depresif belirtilerin azaltan bir uygulama olarak değerlendirmişlerdir. Ayrıca, elde edilen nitel bulguların nicel bulguları desteklediği belirlenmiştir. Çalışmanın DA terapisinin Türkiye’deki ilk uygulaması olması bakımından, Türkiye’deki yeni çalışmalara ve uluslararası düzeyde kültürlerarası çalışmalara katkı sunacağı düşünülmektedir.

Kaynakça

  • Alpaslan AH (2009) Ergen yaştaki lisanslı sporcularda anksiyete ve depresyon düzeyleri ile yaşam kalitesinin araştırılması (Uzmanlık Tezi). Bursa, Uludağ Üniversitesi.
  • Aschar SCAL, Claro, HG., Fernandes IFDAL, Daley K, Castro HCM, dos Santos DVC, Menezes R et al (2021) Cultural adaptation and psychometric properties of Brazilian and Peruvian versions of the behavioral activation for depression scale short form (BADS-SF). Research Square, 0:0-0.
  • Barlow DH, Hayes SC, Nelson-Gray RO (1984). The scientist practitioner: Research and accountability in clinical and educational settings. New York, Pergamon Press.
  • Beck AT, Rush AJ, Shaw BF, Emery G. (1979) Cognitive therapy of depression. New York, Guilford.
  • Bolinski F, Hendriks GJ, Bardoel S, Hollon SD, Martell C, Huibers MJH (2018) Cognitive therapy or behavioral activation for major depressive disorder in dutch mental health care: Pilot effectiveness and process trial. Int J Cogn Ther, 11:343–358.
  • Burke JD, Loeber R, Lahey BB, Rathouz PJ (2005) Developmental transitions among affective and behavioral disorders in adolescent boys. J Child Psychol Psychiatry, 46:1200–1210.
  • Büyüköztürk Ş, Kılıç-Çakmak E, Akgün ÖE, Karadeniz Ş, Demirel F (2022) Eğitimde bilimsel araştırma yöntemleri 32. baskı. Ankara, Pegem Akademi.
  • Chorpita BF, Moffitt CE, Gray J (2005) Psychometric properties of the revised child anxiety and depression scale in a clinical sample. Behav Res Ther, 43:309–322.
  • Chu BC, Colognori D, Weissman AS, Bannon K (2009) An initial description and pilot of group behavioral activation therapy for anxious and depressed youth. Cog Behav Pract, 16:408–419.
  • Collado A, Castillo SD, Maero F, Lejuez CW, MacPherson L (2014) Pilot of the brief behavioral activation treatment for depression in Latinos with limited English proficiency: preliminary evaluation of efficacy and acceptability. Behavior Therapy, 45:102–115.
  • Colombo D, Suso-Ribera C, Ortigosa-Beltrán I, Fernández-álvarez J, García-Palacios A, Botella C (2022) Behavioral activation through virtual reality for depression: A Single Case Experimental Design with Multiple Baselines. Journal of Clinical Medicine, 11: 1262- 1275.
  • Copeland WE, Shanahan L, Costello EJ, Angold A (2009) Childhood and adolescent psychiatric disorders as predictors of young adult disorders. Arch Gen Psychiatry, 66:764-772.
  • Creamer EG (2020) Tamamen Bütünleştirilmiş Karma Yöntem Araştırmalarına Giriş (Çeviri Ed. İ Seçer, S. Ulaş). Ankara, Vizetek Yayıncılık.
  • Creswell JW (2016) Nitel araştırma yöntemleri: Beş yaklaşıma göre nitel araştırma ve araştırma deseni (Çeviri Ed. M Bütün, SB Beşir ). Ankara, Siyasal Kitabevi.
  • Creswell JW, Creswell JD (2017) Research design: Qualitative, quantitative, and mixed methods approaches. California, Sage Publications.
  • Creswell JW (2021) Karma Yöntem Araştırmalarına Giriş (Çeviri Ed. M. Sözbilir). Ankara, Pegem Akademi.
  • Crreswell JW, Plano Clark V L (2015). Karma yöntem araştırmaları: Tasarımı ve yürütülmesi (Çev. Ed. Y. Dede, S B Demir). Ankara, Anı Yayıncılık.
  • Cuijpers P, van Straten A, Warmerdam L (2007) Behavioral activation treatments of depression: A meta-analysis. Clin Psychol Rev, 27:318–326.
  • Demir V (2014) Bilinçli farkındalık temelli hazırlanan eğitim programının bireylerin depresyon ve stres düzeyleri üzerine etkisi (Yüksek Lisans Tezi). İstanbul, İstanbul Arel Üniversitesi.
  • Denzin NK (2017) The Research Act. New York, Routledge.
  • Dimidjian S, Hollon SD, Dobson KS, Schmaling KB, Kohlenberg RJ, Addis ME et al (2006) Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. J Consult Clin Psychol, 74:658–670.
  • Dwekat E, Al-amer RM, Al-Daraawi H, Saleh MYN (2021) Prevalence and correlates of depression and anxiety among jordanian adolescents: A cross-sectional study. Youth Society 0:0-0.
  • Eskin M, Ertekin K, Harlak H, Dereboy Ç (2008) Lise öğrencisi ergenlerde depresyonun yaygınlığı ve ilişkili olduğu etmenler. Turk Psikiyatri Derg, 19:382-389.
  • Etherton JL, Farley R (2022) Behavioral activation for PTSD: A meta-analysis. Psychol Trauma, 14:894-901.
  • Ferster CB (1974) A functional analysis of depression: Reply. American Psychologist, 29:361–362.
  • Flouri E, Buchanan A (2003) The role of father involvement and mother involvement in adolescents’ psychological well‐being. Br J Soc Work, 33:399–406.
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  • Martell CR, Addis ME, Jacobson NS (2001) Depression in context: Strategies for guided action.New York, WW Norton & Co.
  • Martell CR, Dimidjian S, Herman-Dunn, R. (2010). Behavioral activation for depression. In clinical handbook of psychological disorders (Eds Barlow DH):328-365. New York, The Guilford Press.
  • May D, Litvin B, Allegrante J (2022).Behavioral activation, depression, and promotion of health behaviors: a scoping review. Health education & behavior, 0:0-0.
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  • McCauley E, Schloredt KA, Gudmundsen G, Martell CR, Dimidjian S (2016) Behavioral Activation with Adolescents: A Clinician’s Guide. New york, The Guilford Press.
  • McCauley E, Gudmundsen G, Schloredt K, Martell C, Rhew I, Hubley S et al (2015) The adolescent behavioral activation program: Adapting behavioral activation as a treatment for depression in adolescence. J Clin Child Adolesc Psychol, 45:291–304.
  • Mertens DM (2019) Research and evaluation in education and psychology: Integrating diversity with quantitative, qualitative, and mixed methods. California, Sage publications.
  • Meshesha LZ, Emery NN, Blevins CE, Battle CL, Sillice MA, Marsh E et al (2021) Behavioral activation, affect, and self-efficacy in the context of alcohol treatment for women with elevated depressive symptoms. Exp Clin Psychopharmacol, 30:494-499. 1-6.
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  • Nyström MBT, Stenling A, Sjöström E, Neely G, Lindner P, Hassmén P (2017). Behavioral activation versus physical activity via the internet: A randomized controlled trial. J Affect Disord, 215:85–93.
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  • Pass L, Hodgson E, Whitney H, Reynolds S (2018a).Brief behavioral activation treatment for depressed adolescents delivered by nonspecialist clinicians: A case ıllustration. Cogn Behav Pract, 25:208–224.
  • Pass L, Lejuez CW, Reynolds S (2018b) Brief behavioural activation (brief ba) for adolescent depression: a pilot study. Behav Cogn Psychother, 46:182–194.
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  • Weitzel E., Pabst A, Luppa M, Kersting A, König HH, Löbner M et al (2022) Are self-managed online interventions for depression effective in improving behavioral activation? A secondary analysis of a cluster-randomized controlled trial. J Affect Disord, 308:413–420.
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Toplam 96 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Psikoloji
Bölüm Araştırma
Yazarlar

Yavuz Koşan 0000-0003-4118-4777

İsmail Seçer 0000-0003-0932-1903

Yayımlanma Tarihi 29 Aralık 2022
Kabul Tarihi 24 Kasım 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 14 Sayı: Ek 1

Kaynak Göster

AMA Koşan Y, Seçer İ. Adaptation of Adolescent Behavioral Activation Program and Investigation of Its Effectiveness by Mixed Method. Psikiyatride Güncel Yaklaşımlar. Aralık 2022;14(Ek 1):293-307. doi:10.18863/pgy.1188941

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