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“Therapy without a therapist?” The experiences of adolescents and their parents of online behavioural activation for depression with and without therapist support

Grudin, Rebecca ; Vigerland, Sarah ; Ahlen, Johan ; Widström, Hanna ; Unger, Irma ; Serlachius, Eva LU and Engberg, Hedvig (2023) In European Child and Adolescent Psychiatry
Abstract

Behavioural Activation (BA) is an established treatment for adults with depression, and research on BA for adolescents is promising. However, there is a knowledge gap in terms of the experiences of adolescents and their parents BA for depression delivered online. Furthermore, there have been no previous studies conducted on the experiences of respondents with regard to the role of the therapist in online treatment. Therefore, the primary aim of this study is to explore the experiences of online BA among adolescents with depression and how their parents experience supporting their adolescent through treatment. Second, the experiences of having online therapy with or without a therapist were explored. Semi-structured interviews were... (More)

Behavioural Activation (BA) is an established treatment for adults with depression, and research on BA for adolescents is promising. However, there is a knowledge gap in terms of the experiences of adolescents and their parents BA for depression delivered online. Furthermore, there have been no previous studies conducted on the experiences of respondents with regard to the role of the therapist in online treatment. Therefore, the primary aim of this study is to explore the experiences of online BA among adolescents with depression and how their parents experience supporting their adolescent through treatment. Second, the experiences of having online therapy with or without a therapist were explored. Semi-structured interviews were conducted with eight adolescents and nine parents (n = 17) who completed guided or self-guided online BA. Reflexive thematic analysis was used to identify aspects of the experience of treatment that were important to adolescents and their parents. Two main themes were generated: (1) opportunities or barriers to engaging in treatment and (2) parental involvement is valued and welcomed. This study contributes valuable information regarding user experiences of BA treatment, the importance of therapist support and parental involvement in treating adolescents with depression. Trial registration number:ClinicalTrials.gov Identifier NCT04117789, Date of registration: 07 October 2019.

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organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Adolescents, Behavioural activation, Depression, Online, Qualitative, Therapist support
in
European Child and Adolescent Psychiatry
publisher
Springer
external identifiers
  • scopus:85146393234
  • pmid:36650254
ISSN
1018-8827
DOI
10.1007/s00787-023-02142-7
language
English
LU publication?
yes
id
c5966974-c9af-4660-aa47-2da04c21575c
date added to LUP
2023-02-20 08:53:21
date last changed
2024-06-13 14:18:05
@article{c5966974-c9af-4660-aa47-2da04c21575c,
  abstract     = {{<p>Behavioural Activation (BA) is an established treatment for adults with depression, and research on BA for adolescents is promising. However, there is a knowledge gap in terms of the experiences of adolescents and their parents BA for depression delivered online. Furthermore, there have been no previous studies conducted on the experiences of respondents with regard to the role of the therapist in online treatment. Therefore, the primary aim of this study is to explore the experiences of online BA among adolescents with depression and how their parents experience supporting their adolescent through treatment. Second, the experiences of having online therapy with or without a therapist were explored. Semi-structured interviews were conducted with eight adolescents and nine parents (n = 17) who completed guided or self-guided online BA. Reflexive thematic analysis was used to identify aspects of the experience of treatment that were important to adolescents and their parents. Two main themes were generated: (1) opportunities or barriers to engaging in treatment and (2) parental involvement is valued and welcomed. This study contributes valuable information regarding user experiences of BA treatment, the importance of therapist support and parental involvement in treating adolescents with depression. Trial registration number:ClinicalTrials.gov Identifier NCT04117789, Date of registration: 07 October 2019.</p>}},
  author       = {{Grudin, Rebecca and Vigerland, Sarah and Ahlen, Johan and Widström, Hanna and Unger, Irma and Serlachius, Eva and Engberg, Hedvig}},
  issn         = {{1018-8827}},
  keywords     = {{Adolescents; Behavioural activation; Depression; Online; Qualitative; Therapist support}},
  language     = {{eng}},
  publisher    = {{Springer}},
  series       = {{European Child and Adolescent Psychiatry}},
  title        = {{“Therapy without a therapist?” The experiences of adolescents and their parents of online behavioural activation for depression with and without therapist support}},
  url          = {{http://dx.doi.org/10.1007/s00787-023-02142-7}},
  doi          = {{10.1007/s00787-023-02142-7}},
  year         = {{2023}},
}