Behavioral skill practice as a predictor of mood and family functioning in adolescents with bipolar and depressive mood disorders: Results of a 6‐month randomized trial of family‐focused therapy

Marc J. Weintraub; John A. Merranko; Megan C. Ichinose; Danielle M. Denenny; PATRICIA D. WALSHAW; Georga Morgan‐Fleming; Robin D. Brown; Armen C. Arevian; David J. Miklowitz

doi:10.1111/bdi.13466

journal article Jul 25, 2024

Behavioral skill practice as a predictor of mood and family functioning in adolescents with bipolar and depressive mood disorders: Results of a 6‐month randomized trial of family‐focused therapy

Marc J. Weintraub

John A. Merranko Megan C. Ichinose Danielle M. Denenny

PATRICIA D. WALSHAW

Georga Morgan‐Fleming Robin D. Brown Armen C. Arevian David J. Miklowitz

Bipolar Disorders Vol. 26 No. 7 pp. 733-743 · Wiley

View at Publisher Save 10.1111/bdi.13466

Abstract

AbstractObjectiveBehavioral interventions require considerable practice of treatment skills in between therapy sessions. The effects of these treatments may vary with the degree to which patients are able to implement these practices. In offspring of parents with bipolar and major depressive disorders, we examined whether youth who frequently practiced communication and problem‐solving skills between family‐focused therapy (FFT) sessions had less severe mood symptoms and better psychosocial functioning over 6 months than youth who practiced less frequently.MethodsWe randomly assigned offspring (ages 12–19) of parents with mood disorders to 12 sessions of FFT plus a mobile app that encouraged the practice of communication, problem‐solving and mood management skills (FFT‐MyCoachConnect [MCC] condition) or 12 sessions of FFT with an app that only allowed for tracking of symptoms and stress (FFT‐Track condition). Independent evaluators assessed youths' mood and psychosocial functioning at 9‐week intervals over 27 weeks. Clinicians rated participants' between‐session skill practice at each FFT session.ResultsFFT‐MCC was associated with more frequent skill practice than FFT‐Track over 18 weeks of treatment. Skill practice was associated with reductions in youths' mood instability and perceptions of family conflict over 27 weeks in both app conditions. Skill practice mediated the effects of app condition on youths' mood instability and family functioning.ConclusionsMobile applications as adjuncts to family therapy for youth with mood disorders can help increase skill practice. These findings provide preliminary causal evidence for behavioral skill practice improving mood symptoms and family functioning among youth with mood disorders.

Topics

No keywords indexed for this article. Browse by subject →

References

48

[1]

10.1111/bdi.12556

[2]

10.1016/j.jaac.2014.08.013

[3]

10.1016/j.chc.2006.05.008

[4]

10.1016/j.jad.2022.05.094

[5]

10.1111/jcpp.13162

[6]

10.1016/j.jad.2020.06.057

[7]

10.1176/appi.ajp.2014.13081130

[8]

10.1001/jamapsychiatry.2019.4520

[9]

10.1016/j.jaac.2012.10.007

[10]

10.1111/famp.12237

[11]

10.1001/archpsyc.1988.01800270033004

[12]

10.1192/bjp.159.1.123

[13]

10.1016/j.jaac.2019.12.005

[14]

10.1176/appi.ajp.2015.15040414

[15]

10.1016/s0165-1781(97)00072-3

[16]

Fristad MA "The impact of psychoeducational workshops on families of mood‐disordered children" Family Therapy: The Journal of the California Graduate School of Family Psychology (1998)

[17]

10.1016/j.jaac.2022.03.009

[18]

10.1037/ccp0000708

[19]

10.1177/0145445504272979

[20]

10.1016/j.beth.2012.10.001

[21]

10.2196/resprot.5841

[22]

10.2196/games.8902

[23]

10.2196/30671

[24]

10.1016/j.jad.2020.12.012

[25]

10.1371/journal.pone.0225695

[26]

10.1016/j.jaacop.2023.04.002

[27]

A Rating Scale for Mania: Reliability, Validity and Sensitivity

R. C. Young, J. T. Biggs, V. E. Ziegler et al.

British Journal of Psychiatry 10.1192/bjp.133.5.429

[28]

Poznanski EO (1996)

[29]

10.4088/jcp.v69n0517

[30]

10.1016/s0165-1781(96)02851-x

[31]

Sheehan D (2014)

[32]

Sheehan DV "The MINI‐international neuropsychiatric interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM‐IV and ICD‐10" J Clin Psychiatry (1998)

[33]

10.1037/0021-843x.98.3.229

[34]

Miklowitz DJ (2010)

[35]

10.1001/archpsyc.1987.01800180050009

[36]

10.1111/bdi.12060

[37]

10.1001/archpsyc.1983.01790100074010

[38]

RobinA FosterS.The conflict behavior questionnaire. Dictionary of Behaviorial Assessment Techniques New York: Pergamon.1995. pp. 148–150.

[39]

R Core Team.R: A language and environment for statistical computing.2022.

[40]

Evaluating the use of exploratory factor analysis in psychological research.

Leandre R. Fabrigar, Duane T. Wegener, Robert C. MacCallum et al.

Psychological Methods 10.1037/1082-989x.4.3.272

[41]

Principal component analysis: a review and recent developments

Ian T. Jolliffe, Jorge Cadima

Philosophical Transactions of the Royal Society of... 10.1098/rsta.2015.0202

[42]

10.1007/978-3-030-61394-5_8

[43]

10.1016/j.beth.2016.09.003

[44]

10.1016/j.brat.2010.05.017

[45]

Hayes AF (2017)

[46]

10.1016/j.jad.2018.04.021

[47]

10.1016/j.beth.2012.04.005

[48]

10.1016/j.jad.2021.12.088

Metrics

2

Citations

48

References

Details

Published: Jul 25, 2024
Vol/Issue: 26(7)
Pages: 733-743
License: View

Authors

M

Marc J. Weintraub