The role of family-based cognitive behavioral therapy in managing adolescent depression in low-resource settings: A study from ethiopia

36^th International Conference on Adolescent Medicine and Child Psychology

June 02-03, 2025 Webinar

Hana Mulugeta

Addis Ababa University, Ethiopia

Posters & Accepted Abstracts: Clinical Neurology & Neurosurgery

Abstract :

Statement: Adolescent depression is a growing public health concern in low-resource countries like Ethiopia. While pharmacological treatments are limited by access and stigma, psychological interventions—especially family-based approaches—are emerging as effective alternatives. This study explores the impact of Family- Based Cognitive Behavioral Therapy (FB-CBT) on adolescents diagnosed with moderate to severe depression in a rural Ethiopian setting. Methodology: A mixed-method, quasi-experimental study was conducted involving 60 adolescents (ages 12– 17) from public health centers in Addis Ababa and surrounding rural districts. Participants were divided into intervention (n=30) and control (n=30) groups. The intervention group received 8 weekly FB-CBT sessions facilitated by trained mental health professionals. Pre- and post-intervention depression levels were assessed using the Beck Depression Inventory-II (BDI-II), alongside in-depth qualitative interviews with families. Results: Post-intervention analysis revealed a significant reduction in BDI-II scores in the intervention group (mean decrease of 14.5 points, p<0.01) compared to the control group (mean decrease of 3.2 points). Families reported improved communication, emotional understanding, and reduced behavioral issues. Qualitative themes emphasized the value of parental involvement, cultural relevance of the sessions, and reduced stigma related to mental illness. Conclusion: FB-CBT is a feasible and effective treatment for adolescent depression in Ethiopia. The intervention not only improved individual outcomes but also strengthened family dynamics. Given its cost-effectiveness and adaptability, FB-CBT holds promise for scaling in similar low-resource environments, potentially bridging the mental health service gap for adolescents in sub-Saharan Africa.