Characterizing Therapy Experiences in Youth With Depression and Suicide Via the Depression Treatment Experiences Questionnaire

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2025-06-11 DOI:10.1002/cpp.70088

Kendall N. Drummond, Andrew G. Guzick, Samuel D. Spencer, Caitlin M. Pinciotti, Emily J. Bivins, Abu Minhajuddin, Holli Slater, April Gorman, Lynnel C. Goodman, Rachel A. Walker, Sarah M. Wakefield, Tianyi Wang, Caitlin Chanoi, Jacquelyn M. LaGrone, Jair C. Soares, Matt Smith, Francesca Lambie, Jennifer L. Hughes, Shane A. Snyder, Wayne K. Goodman, Madhukar H. Trivedi, Eric A. Storch

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引用次数: 0

Abstract

Depression and suicidality are prevalent mental health issues among adolescents in the United States. There are multiple evidence-based practices (EBPs) for depression and/or suicidality, including cognitive behavioural therapy (CBT), dialectical behavioural therapy (DBT) and interpersonal therapy for adolescents (IPT-A), though youth seeking psychotherapeutic treatment in community settings may not consistently receive these EBPs. This study aims to characterize therapy experiences among youth aged 8–20 years with depression and/or suicidal behaviour who were in treatment using the Depression Treatment Experiences Questionnaire (DTEQ), as well as to provide initial construct validity and test–retest reliability of this new measure. Of the first 1000 participants in the Texas Youth Depression and Suicide Research Network (TX-YDSRN), 585 were currently receiving psychotherapy for their depression and/or suicidality. Almost half of the participants engaged in therapy reported receiving some form of CBT (n = 237, 42.4%). The DTEQ showed a two-factor structure, including a 12-item ‘Evidence-Based Practice’ factor that demonstrated strong internal consistency and test–retest reliability and a two-item ‘Parental Involvement’ factor that showed acceptable internal consistency and test–retest reliability. Participants receiving psychotherapy generally endorsed being exposed to techniques aligned with EBPs. Additional non-therapeutic elements, such as exercise (n = 276, 47.1%) and changing sleep habits (n = 191, 32.6%), were frequently endorsed as being received by participants in psychotherapy. These results describe the therapy experiences of youth engaged in psychotherapy for depression and/or suicidality and propose a new assessment tool that can be used to characterize these experiences.

Key Practitioner Messages

Youth in psychotherapy for depression or suicidality frequently engage in evidence-based techniques (e.g., problem-solving, cognitive restructuring), yet nearly half are unaware of the type of therapy they are receiving—highlighting a gap in patient-provider communication and psychoeducation.
The DTEQ is a promising tool for assessing therapy content and structure and may help practitioners assess that evidence-based components are being implemented and understood by clients.
Many adolescents supplement treatment with lifestyle changes like exercise and sleep adjustments—indicating the importance of integrating behavioural health recommendations into therapy for holistic care.

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用抑郁治疗经历问卷分析青少年抑郁和自杀的治疗经历特征

抑郁症和自杀是美国青少年中普遍存在的心理健康问题。针对抑郁症和/或自杀，有多种基于证据的治疗方法（ebp），包括认知行为疗法（CBT）、辩证行为疗法（DBT）和青少年人际治疗（IPT-A），尽管在社区环境中寻求心理治疗的青少年可能并不总是接受这些ebp。本研究旨在利用抑郁症治疗经历问卷（DTEQ）对8-20岁青少年抑郁症和/或自杀行为的治疗经历进行特征分析，并提供此新量表的初始结构效度和重测信度。在德克萨斯州青少年抑郁和自杀研究网络（TX-YDSRN）的前1000名参与者中，585人目前正在接受抑郁症和/或自杀倾向的心理治疗。几乎一半参与治疗的参与者报告接受了某种形式的CBT （n = 237, 42.4%）。DTEQ呈现双因素结构，包括一个包含12个项目的“循证实践”因素，该因素表现出较强的内部一致性和重测信度，以及一个包含两个项目的“父母参与”因素，该因素表现出可接受的内部一致性和重测信度。接受心理治疗的参与者普遍赞同接触与ebp一致的技术。其他非治疗因素，如运动（276例，47.1%）和改变睡眠习惯（191例，32.6%），经常被心理治疗参与者认可。这些结果描述了从事抑郁症和/或自杀心理治疗的青少年的治疗经历，并提出了一种新的评估工具，可以用来描述这些经历。接受抑郁症或自杀心理治疗的青少年经常使用基于证据的技术（例如，解决问题，认知重建），但近一半的人不知道他们正在接受的治疗类型，这突出了患者与提供者沟通和心理教育的差距。DTEQ是一种很有前途的评估治疗内容和结构的工具，可以帮助从业者评估以证据为基础的成分正在被实施和被来访者理解。许多青少年通过改变生活方式，如运动和睡眠调整来补充治疗，这表明将行为健康建议纳入整体护理治疗的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.