scholarly journals A pintura de mandalas como meio de intervenção no tratamento terapêutico ocupacional para idosos com sintomas depressivos/The painting of mandalas as a means of intervention in occupational therapeutic treatment for elderly persons with depressive symptoms

2019 ◽  
Vol 3 (2) ◽  
pp. 210-218
Author(s):  
Danielle Dos Santos Cutrim Garros ◽  
Lariane De Souza Machado
Keyword(s):  
Depressive Symptoms ◽  
Occupational Therapy ◽  
Depression Scale ◽  
The Elderly ◽  
Sao Paulo ◽  
Small Sample ◽  
Depression Symptoms ◽  
Elderly Persons ◽  
São Paulo ◽  
Presenting Symptoms

ResumoA depressão se caracteriza pela ocorrência de vários sintomas, entre os sintomas psíquicos, a sensação de tristeza, menos valia, sentimento de culpa, a perda de prazer para realizar as atividades de rotina, a fadiga, e a dificuldade de concentração. O objetivo deste estudo foi avaliar o uso da técnica de pintura de mandalas para reduzir sintomas de depressão em idosos de um programa de atendimento de Terapia Ocupacional Em relação à metodologia, a coleta de dados foi realizada no período de julho de 2015 a outubro de 2016, em uma unidade básica de saúde, localizada no interior de São Paulo, com 4 idosos do gênero feminino com idade superior a 60 (sessenta) anos. Os critérios de inclusão foram, idade superior a 60 anos, com diagnóstico médico de depressão, apresentando sintomas de depressão que foram confirmados através da escala de depressão geriátrica e a participação obrigatória no programa de Terapia Ocupacional baseado no uso do recurso da pintura de mandalas. Os critérios de exclusão foram presença de comorbidades psiquiátricas, comprometimento visual que não se resolvesse com uso de tecnologia assistiva, óculos, falta de interesse nas atividades de pintura, e estar envolvido em qualquer outro tipo de tratamento e/ou atividade que proporcionem a diminuição dos sintomas referidos. Os resultados obtidos evidenciaram que a atividade artística é um recurso terapêutico eficaz, mesmo com o número reduzido da amostra. O protocolo com a pintura de mandalas diminuiu os sintomas depressivos em idosos, favorecendo o desempenho na execução das atividades de vida diária, a autonomia e a independência dos idosos desta pesquisa. Abstract Depression is characterized by the occurrence of various symptoms, including psychic symptoms, feelings of sadness, loss of feeling, guilt, loss of pleasure to perform routine activities, fatigue, and difficulty concentrating. The objective of this study was to evaluate the use of the mandalas painting technique to reduce depression symptoms in the elderly of an Occupational Therapy care program. In relation to the methodology, data collection was performed from July 2015 to October 2016 , in a basic health unit, located in the interior of São Paulo, with 4 elderly women of the female gender older than 60 (sixty) years. Inclusion criteria were age over 60 years, with medical diagnosis of depression, presenting symptoms of depression that were confirmed through the geriatric depression scale and compulsory participation in the Occupational Therapy program based on the use of mandalas painting. Exclusion criteria were presence of psychiatric comorbidities, visual impairment that could not be resolved with the use of assistive technology, glasses, lack of interest in painting activities, and being involved in any other type of treatment and / or activity that symptoms. The results showed that artistic activity is an effective therapeutic resource, even with a small sample. The protocol with the painting of mandalas decreased the depressive symptoms in the elderly, favoring the performance in the activities of daily living, autonomy and independence of the elderly of this research.Keywords: Depression; Elderly; Painting; Occupational therapy.

scholarly journals Physical benefits and reduction of depressive symptoms among the elderly: Results from the Portuguese "National Walking Program"

2015 ◽  
Vol 20 (3) ◽  
pp. 789-795 ◽  
Author(s):  
Jeronimo Costa Branco ◽  
Karen Jansen ◽  
Jessica Teixeira Sobrinho ◽  
Susana Carrapatoso ◽  
Barbara Spessato ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Physical Fitness ◽  
Psychological Health ◽  
Depression Scale ◽  
The Elderly ◽  
Depression Symptoms ◽  
Anthropometric Parameters ◽  
Post Intervention ◽  
Positive Effects ◽  
Walking Program

The aim of this study was to investigate alterations in physical fitness and anthropometric parameters as well as depression symptoms among the elderly after participation in the "National Walking Program" (Portugal). The sample consisted of 26 elderly people over six months with a total of 72 exercise sessions. The exercise sessions consisted of aerobics (walking and running) and strength and flexibility exercises. Participants were assessed pre- and post-intervention for physical fitness with the Rikli & Jones test. The anthropometric measurements were assessed with a bioimpedance scale and a stadiometer, and depression with Yesavage's Geriatric Depression Scale. Physical activity was only assessed with an accelerometer at the pre-intervention phase. For statistical analysis, the student t test for paired samples was performed using SPSS 21 software. Statistically significant improvements were found in depressive symptoms (p ≤ 0.001), and in all physical fitness tests (p ≤ 0.05) except for flexibility tests (p ≥ 0.05). Waist circumference reduction also showed the positive effects of the intervention (p = 0.031). The conclusion drawn is that participation in the "National Walking Program" for 6 months was effective in improving the physical and psychological health of the elderly.

scholarly journals Analysis of quality of life and associated factors in a group of elderly persons with supplemental health plans in the city of São Paulo, Brazil

2019 ◽  
Vol 22 (4) ◽  
Author(s):  
Maria Elisa Gonzalez Manso ◽  
Leandro Tadeu Prazeres Maresti ◽  
Henrique Souza Barros de Oliveira
Keyword(s):  
Quality Of Life ◽  
Health Plan ◽  
Associated Factors ◽  
The Elderly ◽  
Sao Paulo ◽  
World Health ◽  
Elderly Persons ◽  
São Paulo ◽  
The City

Abstract Objective: To measure the Quality of Life (QoL) and associated factors in a group of elderly persons receiving care through a health plan operator in the city of São Paulo, Brazil. Method: A cross-sectional study was carried out with 169 elderly persons enrolled in a health plan and who were participants in a program to promote health and prevent risks and diseases. The Bref and Old versions of the World Health Organization Quality of Life (WHOQOL) instruments were adopted for the evaluation of the QoL of the elderly. After descriptive analysis, a comparative analysis was performed through the Student’s t-tests and ANOVA. The Brown-Forsythe test was applied for situations in which no homogeneity was found and the Tukey test for multiple comparisons was applied. Results: The highest mean QoL values were found in the Psychological [72.1 (±14.3)] and Environment [68 (±15.4)] and Intimacy [72.5 (±20.8)] domains, while the worst results were found in the Physical [64.3 (±18)] domain and in the Death and Dying facet [61.2 (±23.2)]. In this group, factors such as obesity, neoplasia and previous hospitalizations were negatively associated with QoL, whereas young elderly, female, widows, carriers of chronic non-communicable diseases and those limited to two morbidities, who practiced physical activity and had clinical care provided by a reference physician had a positive influence. Conclusion: The findings of this research showed high levels of satisfaction with health and QoL, in addition to raising relevant discussions about predictors that influence the QoL of the elderly receiving care from the supplementary sector. It also emphasizes the need for new strategies of action to ensure improvements in the health care of the elderly.

scholarly journals Dietary patterns of elderly persons from the city of São Paulo: evidence from the SABE (Health, Wellbeing and Aging) survey

2018 ◽  
Vol 21 (6) ◽  
pp. 731-742
Author(s):  
Daiana Aparecida Quintiliano Scarpelli Dourado ◽  
Maria de Fátima Nunes Marucci ◽  
Manuela de Almeida Roediger ◽  
Yeda Aparecida de Oliveira Duarte
Keyword(s):  
Dietary Patterns ◽  
Wald Test ◽  
Female Gender ◽  
The Elderly ◽  
Sao Paulo ◽  
Clinical Aspects ◽  
Elderly Persons ◽  
São Paulo ◽  
Cross Sectional ◽  
The City

Abstract Objective: to determine the dietary patterns of elderly persons in terms of sociodemographic, lifestyle and clinical aspects. Method: a cross-sectional study was conducted using the cohorts of the SABE (Health, Wellbeing and Aging) study. An epidemiological, home-based study representative of the city of São Paulo was carried out. The population of this study included 1,304 elderly persons (≥60 years), of both genders, selected by probabilistic stratified sampling, interviewed in 2010. Food intake data were obtained through a qualitative food frequency questionnaire. Dietary patterns were determined by exploratory factorial analysis by principal components. The Wald test was used for complex sampling. Results: four dietary patterns were identified: inadequate patterns, consisting of fried and canned food, sausages, sweets, tubers, industrialized sauces and eggs; modified pattern, skimmed milk, whole grain breads and cereals, light/diet/zero foods; beneficial pattern, fruits, vegetables and tubers; and traditional Brazilian pattern, vegetable oils, rice, refined cereals and white bread, meats and legumes (beans). The sociodemographic and lifestyle profile of the elderly persons who adopted each dietary pattern was different. Conclusion: healthier dietary patterns were associated with the female gender, older elderly persons, two or more chronic diseases, higher levels of schooling, a better lifestyle and a better self-perception of health. It is important to consider all these aspects as they are determinant in the type of diet adopted by this population.

scholarly journals Bidirectional Association Between Knee Osteoarthritis and Depressive Symptoms: A Nationwide Cohort Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 220-220
Author(s):  
Han Lu ◽  
Shaomei Shang ◽  
Limin Wang ◽  
Hongbo Chen
Keyword(s):  
Cohort Study ◽  
Depressive Symptoms ◽  
Knee Osteoarthritis ◽  
Proportional Hazards ◽  
Depression Scale ◽  
Cox Proportional Hazards ◽  
Depression Symptoms ◽  
Physical And Mental Health ◽  
Bidirectional Association ◽  
Bidirectional Relationship

Abstract Both knee osteoarthritis (KOA) and depressive symptoms are common health issues affecting the quality of life of old adults. Although it is presumed that KOA has a bidirectional relationship with the depressive symptoms, no cohort study has proven it. This is the first study to determine the strength of association for the bidirectional relationship between KOA and depressive symptoms. Data were gathered from the nationally survey of China Health and Retirement Longitudinal Study in 2011-2015. The presence of depressive symptoms was defined by the 10-item Center for Epidemiologic Studies Depression Scale score of 10 or higher. The adjusted Cox proportional hazards regression model was conducted to estimate hazards ratios (HRs). Controlled covariates include gender, age, education, marital status, residence, number of chronic diseases, and disability. The analysis of KOA predicting the depressive symptoms onset consisted of 4,377 participants free from depressive symptoms at baseline. During 4 years follow-up, diagnosed KOA participants were more likely to have depressive symptoms than their peers without KOA (HR = 1.50, 95% CI: 1.23-1.83). The parallel analysis of depressive symptoms predicting KOA onset included 6,848 participants without KOA at baseline, those with depressive symptoms had a higher relative risk of developing KOA (HR = 1.64, 95% CI: 1.41-1.92). Our results provide compelling evidence that the KOA-depressive symptoms association is bidirectional, highlighting the importance of evaluating the relationship between physical and mental health among older people. Particularly, taking this association into consideration in the risk assessment and primary prevention of KOA and depression symptoms.

Anemia and dementia among the elderly: the São Paulo Ageing & Health Study

2011 ◽  
Vol 24 (1) ◽  
pp. 74-81 ◽  
Author(s):  
Itamar S. Santos ◽  
Márcia Scazufca ◽  
Paulo A. Lotufo ◽  
Paulo R. Menezes ◽  
Isabela M. Benseñor
Keyword(s):  
Low Income ◽  
Univariate Analysis ◽  
The Elderly ◽  
Sao Paulo ◽  
Health Study ◽  
São Paulo ◽  
Total Blood ◽  
Cross Sectional ◽  
The Relationship ◽  
Life Function

ABSTRACTBackground: Anemia and dementia are common diseases among the elderly, but conflicting data are available regarding an association between these two conditions. We analyzed data from the São Paulo Ageing & Health Study to address the relationship between anemia and dementia.Methods: This cross-sectional observational study included participants aged 65 years and older from a deprived area of the borough of Butantan, São Paulo, Brazil. Data about demographics, education, income, and cognitive and daily life function were collected, as well as blood samples. Anemia and dementia were defined according to WHO and DSM-IV criteria, respectively.Results: Of the 2267 subjects meeting the inclusion criteria, 2072 agreed to participate in the study; of whom 1948 had a valid total blood count and were included in the analysis. Anemia was diagnosed in 203 (10.2%) participants and dementia in 99 (5.1%). The frequency of anemia was higher in patients with dementia according to univariate analysis (odds ratio (OR) = 2.00, 95% confidence interval (CI) = 1.17–3.41, p = 0.01), but this association was not present after adjusting for age (OR = 1.33, 95% CI = 0.76–2.33, p = 0.32). Further multivariate adjustment did not change the results.Conclusion: Although anemia and dementia are frequent disorders in older people, we found their relationship to be mediated exclusively by aging in this low-income population from São Paulo.

scholarly journals Effects of social support, hope and resilience on depressive symptoms within 18 months after diagnosis of prostate cancer

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Xinxin Zhao ◽  
Ming Sun ◽  
Ye Yang
Keyword(s):  
Prostate Cancer ◽  
Social Support ◽  
Depressive Symptoms ◽  
Perceived Social Support ◽  
Depression Scale ◽  
Psychosocial Interventions ◽  
Epidemiologic Studies ◽  
Depression Symptoms ◽  
Cross Sectional ◽  
Modifiable Factors

Abstract Background The prevalence of depression symptoms and related modifiable factors in prostate cancer (PCa) are not well evaluated. We aimed to assess the effects of perceived social support, hope and resilience on depressive symptoms within 18 months after diagnosis of PCa, and to evaluate the role of hope and resilience as mediators of that relationship. Method A cross-sectional study was analyzed in consecutive inpatients with PCa during the months of January 2018 and August 2019. A total of 667 patients eligible for this study completed questionnaires on demographic and clinic variables, Center for Epidemiologic Studies Depression Scale, Multidimensional Scale of Perceived Social Support, Adult Hope Scale, and Resilience Scale (14 items). All registered patients were all volunteers and anonymous. Depressive symptoms, perceived social support, hope and resilience were measured anonymously. Out of 667 patients, a total of 564 effective respondents (< 30% missing data) became our subjects. Hierarchical linear regression was used to identify the factors associated with depressive symptoms. Asymptotic and resampling strategies were used to conduct the mediating effects of hope and resilience. Results The prevalence of depressive symptoms was 65.9% in PCa patients. Hierarchical regression analyses indicated that perceived social support, hope, and resilience together accounted for 27.5% variance of depressive symptoms. Support from family, hope, and resilience significantly associated with depressive symptoms, respectively. Hope (a*b = − 0.0783, BCa95% CI: − 0.134 to − 0.0319, p < 0.05), and resilience (a*b = − 0.1315, BCa95% CI: − 0.1894 to − 0.0783, p < 0.05) significantly mediated the association between perceived social support and depressive symptoms. Conclusions The high prevalence of depressive symptoms among PCa patients should receive more attention. Perceived social support, hope and resilience could be positive resources for combating depressive symptoms, and hope and resilience mediated the association between perceived social support and depressive symptoms. Enhancing social support, particularly the support form family, and improving patients’ outlook and resilience may be potential targets for future psychosocial interventions aimed at reducing depressive symptoms.

scholarly journals Added sugars: consumption and associated factors among adults and the elderly. São Paulo, Brazil

2012 ◽  
Vol 15 (2) ◽  
pp. 256-264 ◽  
Author(s):  
Milena Baptista Bueno ◽  
Dirce Maria Lobo Marchioni ◽  
Chester Luis Galvão César ◽  
Regina Mara Fisberg
Keyword(s):  
Soft Drink ◽  
Linear Regression Analysis ◽  
The Elderly ◽  
Sao Paulo ◽  
Socioeconomic Level ◽  
São Paulo ◽  
Added Sugar ◽  
Added Sugars ◽  
Sugar Intake ◽  
Factors Associated

OBJECTIVE: To investigate added sugar intake, main dietary sources and factors associated with excessive intake of added sugar. METHODS: A population-based household survey was carried out in São Paulo, the largest city in Brazil. Cluster sampling was performed and the study sample comprised 689 adults and 622 elderly individuals. Dietary intake was estimated based on a 24-hour food recall. Usual nutrient intake was estimated by correcting for the within-person variance of intake using the Iowa State University (ISU) method. Linear regression analysis was conducted to identify factors associated with added sugar intake. RESULTS: Average of energy intake (EI) from added sugars was 9.1% (95% CI: 8.9%; 9.4%) among adults and 8.4% (95% CI: 8.2%; 8.7%) among the elderly (p < 0.05). Average added sugar intake (% EI) was higher among women than among men (p < 0.05). Soft drink was the main source of added sugar among adults, while table sugar was the main source of added sugar among the elderly. Added sugar intake increased with age among adults. Moreover, higher socioeconomic level was associated with added sugar intake in the same group. CONCLUSIONS: Added sugar intake is higher among younger adults of higher socioeconomic level. Soft drink and table sugar accounted for more than 50% of the sugar consumed.

scholarly journals Factors associated with the prevalence of hypertension and control practices among elderly residents of São Paulo city, Brazil

2013 ◽  
Vol 29 (11) ◽  
pp. 2275-2286 ◽  
Author(s):  
Telma de Almeida Busch Mendes ◽  
Moisés Goldbaum ◽  
Neuber José Segri ◽  
Marilisa Berti de Azevedo Barros ◽  
Chester Luiz Galvão César ◽  
...  
Keyword(s):  
Physical Activity ◽  
The Elderly ◽  
Multiple Regression Model ◽  
Sao Paulo ◽  
Lifestyle Changes ◽  
Cluster Sampling ◽  
São Paulo ◽  
Factors Associated ◽  
Diet And Physical Activity ◽  
And Control

The aim of this study was to analyze the prevalence of hypertension and control practices among the elderly. The survey analyzed data from 872 elderly people in São Paulo, Brazil, through a cluster sampling, stratified according to education and income. A Poisson multiple regression model checked for the existence of factors associated with hypertension. The prevalence of self-reported hypertension among the elderly was 46.9%. Variables associated with hypertension were self-rated health, alcohol consumption, gender, and hospitalization in the last year, regardless of age. The three most common measures taken to control hypertension, but only rarely, are oral medication, routine salt-free diet and physical activity. Lifestyle and socioeconomic status did not affect the practice of control, but knowledge about the importance of physical activity was higher among those older people with higher education and greater income. The research suggests that health policies that focus on primary care to encourage lifestyle changes among the elderly are necessary.

scholarly journals O acesso vertiginoso na aquisição de máscaras faciais e suas repercussões na saúde pública e de populações vulneráveis/The vertiginous access in the acquisition of face masks and their repercussions on pubic health and vulnerable populations

2020 ◽  
Vol 4 (3) ◽  
pp. 380-388
Author(s):  
Andreia Faranha Da Conceição ◽  
Alan Patricio Da Silva ◽  
Luana Dias De Vargas ◽  
Marjorie Heloise Maruchi ◽  
Andreia Zarzour Abou Hala Corrêa
Keyword(s):  
Occupational Therapy ◽  
Natural Rubber ◽  
Vulnerable Populations ◽  
Social Vulnerability ◽  
Low Cost ◽  
Risk Groups ◽  
Sao Paulo ◽  
São Paulo ◽  
Palabras Clave ◽  
Pharmaceutical Interventions

Introdução: A infeção por COVID-19, ocasionou um colapso nas relações cotidianas, principalmente aos maiores de 60 anos e pessoas com doenças pré-existentes. Foram necessárias intervenções não farmacêuticas à toda população. Objetivo: O objetivo deste estudo foi desenvolver um recurso de baixo custo para grupos em situação de vulnerabilidade social da região do ABC Paulista, São Paulo. Método: Foi desenvolvido um modelo de máscara com materiais acessíveis e de fácil confecção: TNT, amarilho e elástico de borracha natural. Resultados: O processo para confecção foi realizado em 8 etapas: marcação, corte, fixados os arames e os elásticos, feita as pregas, costuradas e embaladas. Foram confeccionadas 100 máscaras. Conclusão: A confecção de máscaras para compartilhamento com pessoas em situação de vulnerabilidade social é uma alternativa para minimizar os riscos de infecção e promover algum tipo de assistência, portanto uma alternativa viável no combate a propagação da pandemia de COVID-19. AbstractIntroduction: The infection by COVID-19, caused a breakdown in everyday relationships, especially for those over 60 and people with pre-existing diseases. Non-pharmaceutical interventions were required for the entire population. Objective: The objective of this study was to develop a low-cost resource for groups in situations of social vulnerability in the ABC Paulista region, São Paulo. Method: A mask model was developed with accessible and easy-to-manufacture materials: TNT, yellowing and natural rubber elastic. Results: The process for making was carried out in 8 stages: marking, cutting, the wires and elastics were fixed, the pleats were made, sewn and packed. 100 masks were made. Conclusion: The making of masks for sharing with people in a situation of social vulnerability is an alternative to minimize the risks of infection and promote some type of assistance, therefore a viable alternative in combating the spread of the COVID-19 pandemic.Key words: occupational therapy, facial masks, low cost technology, pandemic, risk groups, Coronavirus. ResumenIntroducción: La infección por COVID-19 causó un colapso en las relaciones cotidianas, especialmente para las personas mayores de 60 años y las personas con enfermedades preexistentes. Se requirieron intervenciones no farmacéuticas para toda la población. Objetivo: El objetivo de este estudio fue desarrollar un recurso de bajo costo para grupos en situaciones de vulnerabilidad social en la región del ABC Paulista. Método: Se desarrolló un modelo de máscara con materiales accesibles y fáciles de fabricar: TNT, amarillamiento y goma elástica natural. Resultados: El proceso de fabricación se llevó a cabo en 8 etapas: se marcaron, cortaron, se fijaron los alambres y los elásticos, se fabricaron, cosieron y empaquetaron los pliegues. Se hicieron 100 máscaras. Conclusión: la creación de máscaras para compartir con personas en situación de vulnerabilidad social es una alternativa para minimizar los riesgos de infección y promover algún tipo de asistencia, por lo tanto, una alternativa viable para combatir la propagación de la pandemia de COVID-19.Palabras clave: terapia ocupacional, mascarillas, tecnología de bajo costo, pandemias, grupos de riesgo, coronavirus. 

scholarly journals Effectiveness of Attachment-Based Family Therapy compared to Treatment as Usual for Depressed Adolescents in Community Mental Health Clinics

2021 ◽  
Author(s):  
Luxsiya Waraan ◽  
Erling W. Rognli ◽  
Nikolai Olavi Czajkowski ◽  
Marianne Aalberg ◽  
Lars Mehlum
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Family Therapy ◽  
Depression Scale ◽  
Small Sample ◽  
Post Treatment ◽  
Treatment Manual ◽  
Future Research ◽  
Hamilton Depression Scale ◽  
Treatment As Usual

Abstract Background: Major Depressive Disorder (MDD) is a disabling mood disorder, profoundly affecting a large number of adolescent’s quality of life. To date, no obvious treatment of choice for MDD in adolescents is available and progress in the treatment of depressed adolescents will have important public health implications. Attachment-Based Family Therapy (ABFT), as the only empirically supported family therapy model designed to treat adolescent depression, aims to repair interpersonal ruptures and rebuild an emotionally protective parent-child relationship. Objective: To study the effectiveness of ABFT compared with treatment as usual (TAU) delivered within child- and adolescent mental health services (CAMHS) to adolescents with MDD.Method: Sixty adolescents (86.7% girls), aged 13-18 years (M = 14.9, SD = 1.35), with MDD referred to two CAMHS were randomized to 16 weeks of ABFT or TAU. ABFT consisted of weekly therapy sessions (family/individual or both) according to the treatment manual. TAU was not monitored. Primary outcomes were assessed by blinded evaluators at baseline and post-treatment with the Hamilton Depression Scale (HAMD). Self-reported (Beck Depression Inventory-II, BDI-II) depressive symptoms were assessed at baseline, and after 4, 6, 8, 10,12, 14, and 16 weeks. Analyses were performed according to intent-to-treat principles. Results: At post-treatment, clinician-rated remission rates on the HAMD (5 % in ABFT and 3.33% in TAU, p =1, OR=1.54, Fisher’s exact test) and self-reported symptoms of depression on the BDI-II did not differ significantly between groups (X2[2, N = 60] =0.06 , p = 0.97). In both treatment groups participants reported significantly reduced depressive symptoms, but the majority (63.3 %) of adolescents were still in the clinical range after 16 weeks of treatment. Conclusion: ABFT was not superior to TAU. Remission and response rates were low in both groups, suggesting none of the treatments were effective in treating MDD in adolescents. Findings must be viewed in the context of the study’s small sample size, missing data, and implementation challenges. Continued efforts to improve treatment for MDD in outpatient clinics are warranted . Future research should examine moderators of and mechanisms for individual differences to treatment response, as well as the feasibility and cost-effectiveness of implementing treatment models which may require extensive training and expertise to yield clinically meaningful improvements in non-research settings. Trial Registration: Clinicaltrials.gov identifier: NCT01830088 https://clinicaltrials.gov/ct2/show/NCT01830088?term=Villab%C3%B8&draw=2&rank=1 Date of registration: April 12, 2013

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