Assessing the Impact of Behavioral Activation Therapy on Physiological and Chemical Markers of Depression in Adolescents: A Study in Puducherry Schools

Abstract

Background: According to WHO, Sep 2020 reported globally, depression is the leading cause of illness and disability among adolescents aged 15-19 years. Adolescence is a period in which an individual undergoes physical, psychological and cognitive changes. Additionally, the adolescent experiences changes in social expectations and perceptions. This affects how the adolescents feel, think, make decisions, and interact with the world around them. The main aim of the study is to assess the effectiveness of Behavioral Activation Therapy on Bio-physiological and Biochemical measures on Depression among Adolescents. Methods: True experimental research design (Pretest and posttest design) was obtained for this study to check the feasibility of the effectiveness of Behavioral Activation Therapy among adolescents with Mild and Moderate Depression. Demographic variables and a standardized tool Beck Depression Inventory-II (BDI-II) was given to the study participants. The total sample size was 150 adolescents with Mild and Moderate Depression. True experimental research design was used between two group pretest and posttest design). BMI and Salivary Cortisol was calculated prior to the interventions and after the interventions in experimental group and control group. Experimental group received Behavioral Activation Therapy and routine care for control group. Behavioral Activation Therapy involves 10 weeks sessions Situation-mood-activity cycle, solving intruistic issues, social skills training, shaping healthy behaviors, rewards and follow up behavior contract. Theduration of intervention was three months. After three months of duration Post test was conducted in both experimental and control group. The data were analyzed by using descriptive and inferential statistics. Data were tabulated by Sigma plot software.