اثربخشی درمان فعال‌سازی رفتاری بر کاهش ناامیدی و افکار خودکشی در نوجوانان مبتلا به اختلال افسردگی اساسی: یک مطالعه نیمه‌تجربی با پیگیری دو ماهه

نوع مقاله : مقاله پژوهشی

نویسندگان

1 1. دانشجوی دکترای روانشناسی، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران.

2 استاد، گروه روان شناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران.

3 ستاد، گروه روان شناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

4 2. استاد، گروه روان شناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

5 4. استاد روانپزشکی، فوق تخصص روانپزشکی کودک و نوجوان، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران.

10.22054/jcps.2026.89506.3308

چکیده

Abstract
Objective The present study aimed to investigate the effectiveness of Group Behavioral Activation Therapy (BA) on reducing hopelessness and suicidal ideation in adolescents diagnosed with Major Depressive Disorder (MDD).
Research Methodology: This quasi-experimental study utilized a pre-test, post-test, and two-month follow-up design with a control group. The sample (N=40) consisted of adolescents aged 12 to 19 in Kermanshah, diagnosed with MDD, who were selected via purposive sampling and randomly assigned to the experimental (n=20) or control (n=20) group. The mean age of participants was approximately 14.4 years. The experimental group received ten 90-minute weekly group sessions of BA, while the control group received no intervention. Research instruments included the Hopelessness Scale for Children (HSC) and the Beck Scale for Suicide Ideation (BSSI). Data were analyzed using Mixed-Design Analysis of Variance (Mixed ANOVA).
Findings: The results indicated a statistically significant Group × Time interaction for both variables, confirming the effectiveness of the BA intervention. BA significantly reduced levels of hopelessness (F=11.18,p<0.001,η2=0.22) and suicidal ideation (F=29.92,p<0.001,η2=0.37) compared to the control group. Furthermore, post-hoc analysis confirmed that the therapeutic gains achieved were maintained at the two-month follow-up. The intervention had a stronger effect on reducing suicidal ideation (η2=0.37) than on hopelessness (η2=0.22).
Conclusion: The findings suggest that Behavioral Activation is an effective, evidence-based, and cost-effective intervention for reducing the core symptoms of depression and exerting a profound therapeutic impact on high-risk constructs like hopelessness and suicidal ideation in adolescents. The study underscores the importance of implementing BA in clinical and educational settings.
Keywords:
Adolescents;Behavioral Activation; Hopelessness; Major Depressive Disorder; Suicidal Ideation

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Behavioral Activation Therapy on Reducing Hopelessness and Suicidal Ideation in Adolescents with Major Depressive Disorder: A Quasi-Experimental Study with a Two-Month Follow-Up

نویسندگان [English]

  • elahe bigham lalabadi 1
  • Niloofar Mikaeili 2
  • Akbar Atadokht 3
  • sajad Basharpoor 4
  • Parviz Molavi 5
1 1. Ph.D. Student of Psychology, Psychology Department, School of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
2 Professor, Psychology Departmen, School of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
3 Professor, Psychology Departmen, School of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
4 Professor, Psychology Departmen, School of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
5 5. M.D. professor of psychiatry,Ardabil University of Medical Science psychiatrist, Subspeciality in Child &amp; Adolescent Psychiatry, Ardabil, Iran.
چکیده [English]

Abstract
Objective The present study aimed to investigate the effectiveness of Group Behavioral Activation Therapy (BA) on reducing hopelessness and suicidal ideation in adolescents diagnosed with Major Depressive Disorder (MDD).
Research Methodology: This quasi-experimental study utilized a pre-test, post-test, and two-month follow-up design with a control group. The sample (N=40) consisted of adolescents aged 12 to 19 in Kermanshah, diagnosed with MDD, who were selected via purposive sampling and randomly assigned to the experimental (n=20) or control (n=20) group. The mean age of participants was approximately 14.4 years. The experimental group received ten 90-minute weekly group sessions of BA, while the control group received no intervention. Research instruments included the Hopelessness Scale for Children (HSC) and the Beck Scale for Suicide Ideation (BSSI). Data were analyzed using Mixed-Design Analysis of Variance (Mixed ANOVA).
Findings: The results indicated a statistically significant Group × Time interaction for both variables, confirming the effectiveness of the BA intervention. BA significantly reduced levels of hopelessness (F=11.18,p<0.001,η2=0.22) and suicidal ideation (F=29.92,p<0.001,η2=0.37) compared to the control group. Furthermore, post-hoc analysis confirmed that the therapeutic gains achieved were maintained at the two-month follow-up. The intervention had a stronger effect on reducing suicidal ideation (η2=0.37) than on hopelessness (η2=0.22).
Conclusion: The findings suggest that Behavioral Activation is an effective, evidence-based, and cost-effective intervention for reducing the core symptoms of depression and exerting a profound therapeutic impact on high-risk constructs like hopelessness and suicidal ideation in adolescents. The study underscores the importance of implementing BA in clinical and educational settings.
Keywords:
Adolescents;Behavioral Activation; Hopelessness; Major Depressive Disorder; Suicidal Ideation

کلیدواژه‌ها [English]

  • Adolescents
  • Behavioral Activation
  • Hopelessness
  • Major Depressive Disorder
  • Suicidal Ideation

فایل ها

هم رسانی

ارجاع به این مقاله

آمار