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Acceptance and Commitment Therapy for the Treatment of Adolescent Depression: A Pilot Study in a Psychiatric Outpatient Setting
Based on promising results with adults, Accep- tance and Commitment Therapy (ACT) presents as a treatment opportunity for depressed adolescents. We pres-ent a pilot study that compares ACT with treatment as usual (TAU), using random allocation of participants who were clinically referred to a psychiatric outpatient service. Participants were 30 adolescents, aged M=14.9 (SD= 2.55), with 73.6% in the clinical range for depression. At posttreatment on measures of depression participants in the
ACT condition showed significantly greater improvement statistically (d=0.38), and 58% showed clinically reliable
change with a response ratio of 1.59 in favor of ACT. Outcomes from 3-month follow-up data are tentative due to
small numbers but suggest that improvement increased in magnitude. Measures of global functioning showed statis-
tically significant improvement for both conditions, al-though clinical change measures favored only the ACT
condition. The results support conducting a larger trial of ACT for the treatment of adolescent depression.
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