Provide A Reference For The Study Yo
Provide A Reference For The Study Yo
Identify the therapy that you chose. This study discusses acceptance and commitment therapy (ACT) (Keinonen, Puolakanaho, Lappalainen, Lappalainen, Kiuru, 2021). Briefly paraphrase, in 2-3 sentences, the methodological structure of the study and its findings. Adolescents completed self-report questionnaires to provide the following information: depressive symptoms, experiential avoidance, as well as some physical health information. Based on their reported depressive symptom and avoidance scores, adolescents were split into three groups and provided each with a 5-week online ACT intervention. Adolescents with the most severe symptoms appeared to benefit from ACT treatment, adolescents with average levels of these symptoms did not see a decrease with the implementation of ACT, and adolescents at low levels of symptoms saw a decrease when treatment was implemented (Keinonen, et. al., 2021). Explain how the findings are applicable or appropriate for the client in your case study. The researchers learned about the effectiveness of ACT when provided online to adolescents, which Ella is. She also may be experiencing depression or experiential avoidance. Determine whether you would or would not use the therapy you selected for the client in your selected case study and explain why. Due to the fact that this study shows effectiveness in adolescents with high and low levels of symptoms, but not in adolescents with moderate symptoms (Keinonen, et. al., 2021), I am not yet sure if I would apply this therapy for her intervention. I would first want to give her a chance to fill out the self-assessments used in this study to help determine if ACT would be beneficial to her. References Keinonen, K., Puolakanaho, A., Lappalainen, P., Lappalainen, R., Kiuru, N. (2021 September 4). Developmental trajectories of experiential avoidance and depressive symptoms and association to health behaviors among adolescents during brief guided online acceptance and commitment therapy. Journal of Contextual Behavioral Science, 22. 24-31.
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The study conducted by Keinonen et al. (2021) focuses on the application of Acceptance and Commitment Therapy (ACT) tailored for adolescents, emphasizing its potential effectiveness through brief, online interventions. Methodologically, the study employed a quantitative approach where adolescents completed self-report questionnaires measuring depressive symptoms, experiential avoidance, and physical health, which facilitated the categorization of participants into three groups based on symptom severity. Subsequently, each group was provided with a 5-week online ACT intervention. The findings revealed that adolescents with high and low levels of depressive symptoms showed significant benefits from the therapy, while those with moderate symptoms did not experience notable improvements. This indicates that ACT, administered online, can be particularly beneficial for adolescents displaying high or low symptom severity, but less effective for those with moderate symptom levels (Keinonen et al., 2021). The study underscores the importance of tailored interventions based on symptom severity and demonstrates the potential for online delivery modes to enhance accessibility and adherence in adolescent mental health treatment. These insights are highly relevant when considering therapeutic options for clients like Ella, who may be experiencing depression or experiential avoidance. Given Ella’s age and the comfort offered by online therapeutic modalities, ACT could potentially be a fitting choice if her symptoms align with the severe or mild categories identified in the study. However, because the effectiveness was limited for moderate symptom levels, clinicians should first assess Ella’s symptom severity through validated self-report measures before integrating ACT into her treatment plan. This tailored approach ensures that therapy is effectively targeted to her specific needs while leveraging evidence-based practices suitable for her demographic and technological comfort (Keinonen et al., 2021). Implementing this approach aligns with best practices in adolescent mental health care, emphasizing personalized treatment based on empirical findings.
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The study conducted by Schanz et al. (2019) systematically reviews the effectiveness of adjuvant interventions in improving outcomes for adult patients with posttraumatic stress disorder (PTSD) undergoing trauma-focused cognitive behavioral therapy (TF-CBT). The research method involved a comprehensive electronic search of multiple databases for controlled clinical trials evaluating adjunct therapies combined with TF-CBT. Thirteen trials that met stringent inclusion criteria were examined, and their quality was assessed using the Cochrane Risk of Bias tools (Schanz et al., 2019). The findings suggested that specific adjuvant interventions, such as pharmacological adjuncts or additional psychotherapy components, can enhance symptom reduction and treatment efficacy, although results varied depending on the intervention type and study quality. Overall, the systematic review indicates that combining adjunct interventions with TF-CBT can be beneficial for some PTSD patients, particularly in reducing symptoms and improving treatment response (Schanz et al., 2019). These results suggest that for clients like Sam, a veteran with PTSD stemming from combat exposure, integrating suitable adjuvant therapies could optimize treatment outcomes. For instance, incorporating pharmacological support or alternative exposure techniques alongside TF-CBT may help in managing co-occurring issues such as substance abuse or severe anxiety, thereby improving overall prognosis. Applying evidence-based adjuncts aligns with the principle of individualized treatment planning and enhances the likelihood of successful recovery in trauma-related therapy. Furthermore, understanding the variability in treatment responses emphasizes the importance of tailored approaches and ongoing assessment throughout therapy (Schanz et al., 2019). Therefore, considering this systematic review’s insights, I would recommend evaluating the specific needs of the client and integrating appropriate adjuvant therapies to support the core TF-CBT sessions for optimal outcomes.
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The systematic review by Schanz et al. (2019) examined the efficacy of additional interventions combined with trauma-focused cognitive-behavioral therapy in adult PTSD treatment. The researchers used a literature review methodology, searching electronic databases for controlled trials that evaluated adjunct treatments alongside TF-CBT. Thirteen controlled trials were identified and assessed for bias using the Cochrane risk of bias tools. The review revealed that certain adjunctive interventions could improve symptom reduction and treatment response, particularly when applied alongside TF-CBT (Schanz et al., 2019). The findings underscore the importance of tailored treatment strategies that incorporate evidence-based adjuncts to enhance therapeutic efficacy for PTSD patients. For clinical application, especially with clients like Sam, a veteran suffering from PTSD, these findings suggest that integrating supplemental interventions—such as pharmacotherapy, mindfulness-based techniques, or additional psychotherapeutic supports—could amplify the benefits of TF-CBT. This approach aligns with trauma-informed care principles that emphasize personalized treatment planning based on clients' specific trauma history, comorbidities, and response patterns. The review highlights that while TF-CBT remains a cornerstone in PTSD treatment, supplementing it with empirically supported adjuncts can lead to better treatment outcomes and improved overall functioning, especially for complex cases involving substance use or severe trauma symptoms (Schanz et al., 2019). Consequently, clinicians should consider incorporating appropriate adjuvants based on individual assessments to optimize recovery trajectories for clients with PTSD.
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The study by Habigzang et al. (2018) evaluates the impact of a cognitive-behavioral intervention on women experiencing domestic violence in Brazil, aiming to reduce psychological distress and promote empowerment. The research utilized a pre-test/post-test experimental design involving women attending intervention sessions, with the Mindfulness-Based Stress Reduction (MBSR) technique incorporated to measure outcomes. Participants underwent an initial assessment, received the CBT intervention, and were subsequently re-evaluated to determine changes in psychological well-being. The results demonstrated significant improvements in mental health symptoms, including reductions in anxiety, depression, and post-traumatic stress, illustrating CBT's efficacy in addressing trauma and psychological sequelae of violence (Habigzang et al., 2018). These findings are relevant for applications with survivors of domestic violence such as Ella, who may exhibit trauma-related symptoms, anxiety, and depression. CBT can provide Ella with coping strategies, resilience-building techniques, and emotional regulation skills to mitigate the psychological impact of her past abuse. Given the cultural context of Brazil and the focus on empowerment, the intervention's principles can be adapted to diverse cultural settings, including Ella's environment, emphasizing the universality and flexibility of CBT. In my practice, I would incorporate CBT strategies to help Ella process her trauma and reduce distress systematically, aligning with social work ethics centered on dignity, respect, and client empowerment (Habigzang et al., 2018). This evidence-based approach would facilitate her recovery by addressing core psychological issues stemming from her abusive experiences.
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The research by Stallard (2022) discusses the principles and effectiveness of cognitive-behavioral therapy (CBT) grounded in evidence-based practices. This comprehensive review underscores CBT’s structured approach to identifying and modifying maladaptive thought patterns and behaviors. The data collection involved analyzing empirical studies, clinical trials, and reviews published in psychological literature, highlighting various instruments such as standardized assessment scales for depression, anxiety, and trauma symptoms. Findings consistently show that CBT is effective in treating a broad range of mental health disorders, including depression, anxiety, PTSD, and behavioral issues, across diverse populations (Stallard, 2022). Applying this evidence to Ella’s case, CBT could serve as a foundational therapy to help her recognize and challenge unhelpful thoughts linked to her trauma, depression, and experiential avoidance. The therapy's emphasis on skill-building, mindfulness, and cognitive restructuring aligns well with her needs and can be delivered in flexible formats, including online, making it accessible for her. Given her cultural background and initial signs of distress, CBT's focus on practical skills and empowerment supports ethical social work standards—ensuring respect for her dignity, promoting autonomy, and fostering resilience. I would utilize CBT as part of Ella’s treatment plan, tailoring interventions to her specific experiences and cultural context to enhance engagement and outcomes (Stallard, 2022). The evidence backing CBT affirms its suitability for her recovery process.
References
- Habigzang, L. F., Schneider, J. A., Frizzo, R. P., & Pizarro de Freitas, C. (2018). Evaluation of the impact of a cognitive-behavioral intervention for women in domestic violence situations in Brazil. Universitas Psychologica, 17(3), 52-62.
- Keinonen, K., Puolakanaho, A., Lappalainen, P., Lappalainen, R., & Kiuru, N. (2021). Developmental trajectories of experiential avoidance and depressive symptoms and association to health behaviors among adolescents during brief guided online acceptance and commitment therapy. Journal of Contextual Behavioral Science, 22, 24-31.
- Michael, T., Schanz, C. G., Mattheus, H. K., Issler, T., Frommberger, U., Köllner, V., & Equit, M. (2019). Do adjuvant interventions improve treatment outcomes in adult patients with posttraumatic stress disorder receiving trauma-focused psychotherapy? A systematic review. European Journal of Psychotraumatology, 10(1), 1–11.
- Stallard, P. (2022). Evidence-based practice in cognitive–behavioral therapy. Archives of Disease in Childhood, 107(2), 113-118.
- Turner, F. J. (2017). Social work treatment: Interlocking theoretical approaches (6th ed.). Oxford University Press.