Understanding change – developing a typology of therapy outcomes from the experience of adolescents with depression
Tools
Tools
Amin Choudhury, Arshia; Lecchi, Tanya and Midgley, Nick. 2024. Understanding change – developing a typology of therapy outcomes from the experience of adolescents with depression. Psychotherapy Research, 34(2), pp. 171-181. ISSN 1050-3307 [Article]
|
Text
Midgley_Typologies paper - 3rd resubmission - with author details_TL nm -AC nm.pdf - Accepted Version Available under License Creative Commons Attribution Non-commercial. Download (340kB) | Preview |
Abstract or Description
Background:
Outcome measures mostly focusing on symptom reduction to measure change cannot indicate whether any personally meaningful change has occurred. There is a need to broaden the current understanding of outcomes for adolescent depression and identify whether holistic, interlinked patterns of change may be more clinically meaningful.
Objective:
To create a typology of therapy outcomes based on the experiences of adolescents with depression.
Method:
Interview data from 83 participants from a clinical trial of the psychological treatment of adolescent depression was analysed using ideal type analysis.
Results:
Six ideal types were constructed, reflecting different evaluations of the holistic impact of therapy: “I’ve worked on my relationships”, “With the insight from therapy, and feeling validated, I can cope with life challenges better”, “My mood still goes up and down”, “If I want things to change, I need to help myself”, “Therapy might help, but it hasn’t been enough”, and “I don’t feel therapy has helped me”.
Conclusion:
Assessing change using outcome measures may not reflect the interconnected experience for adolescents or the contextual meaning of symptom change. The typology developed offers a way of considering the impact of therapy, taking into account how symptom change is experienced within a broader perspective.
|
Item Type: |
Article |
||||||||
| Identification Number (DOI): |
|||||||||
| Additional Information: |
“This is an Accepted Manuscript of an article published by Taylor & Francis in Psychotherapy Research on 27 February 2024, available at: https://doi.org/10.1080/10503307.2023.2179440. It is deposited under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.” |
||||||||
| Keywords: |
adolescent depression; outcome typology; treatment outcome; ideal type analysis |
||||||||
| Departments, Centres and Research Units: |
Social, Therapeutic & Community Engagement (STaCS) |
||||||||
| Dates: |
|
||||||||
| Item ID: |
35348 |
||||||||
| Date Deposited: |
11 Mar 2024 14:05 |
||||||||
| Last Modified: |
12 Mar 2024 07:41 |
||||||||
Peer Reviewed: |
Yes, this version has been peer-reviewed. |
||||||||
|
URI: |
View statistics for this item...
 |
Edit Record (login required) |