The effectiveness of behavioral activation therapy in reducing apathy, hopelessness, and suicidal ideation in adolescents with major depressive disorder: A quasi-experimental study with a two-month follow-up
Journal of Research in Psychopathology
مقاله 2 ، دوره 7، شماره 3 - شماره پیاپی 25 ، آبان 2026، صفحه 10-20 1.05 M )
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22098/jrp.2026.19050.1351 نویسندگان
Elahe Bigham Lal Abadi 1 Niloofar Mikaeili* 2 Akbar Atadokht 2 sajad Basharpoor 2 Parviz Molavi 3 1 Ph.D. Student of Psychology, School of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran2 Professor, Psychology Departmen, School of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran3 M.D. professor of psychiatry,Ardabil University of Medical Science psychiatrist, Subspeciality in Child & Adolescent Psychiatry, Ardabil, Iranچکیده The aim of the present study was to investigate the effectiveness of group behavioral activation (BA) therapy on reducing apathy, hopelessness, and suicidal ideation in adolescents with major depressive disorder (MDD). The study employed a randomized controlled trial design with pre-test, post-test, and two-month follow-up assessments. The statistical population included all adolescents aged 12-19 years with MDD who were referred to counseling and psychology centers in three educational districts of Kermanshah during the 2023-2024 academic year. Forty participants were selected through purposive sampling and randomly assigned to experimental and control groups, each consisting of 20 individuals. The research instruments included the Behavioral Activation for Depression Scale (BADS), the Hopelessness Scale for Children (HSC), and the Beck Scale for Suicidal Ideation (BSSI). Data were analyzed using mixed ANOVA in SPSS version 27. The results showed a statistically significant group × time interaction for all variables, confirming the effectiveness of the BA intervention. BA significantly decreased apathy (F(1, 24) = 12.33, p < 0.001, η² = 0.24), hopelessness (F(1, 22) = 11.18, p < 0.001, η² = 0.22), and suicidal ideation (F(1, 52) = 29.92, p < 0.001, η² = 0.37) compared to the control group. Follow-up analyses confirmed that treatment gains were maintained at the two-month follow-up assessment. The effect size was strongest for reducing suicidal ideation (η² = 0.37), followed by apathy (η² = 0.24) and hopelessness (η² = 0.22). The findings suggest that behavioral activation is an effective, evidence-based, and cost-effective intervention for reducing core depressive symptoms and exerting a profound therapeutic effect on high-risk constructs such as hopelessness and suicidal ideation in adolescents. This study emphasizes the importance of implementing BA in clinical and educational settings. کلیدواژهها
Adolescents ؛ Apathy ؛ Behavioral activation ؛ Hopelessness ؛ Major depressive disorder ؛ Suicidal ideation
مراجع
Alirahmi, M., Soleimannejad, H., & Kikhavani, S. (2024). The Effectiveness of Behavioral Activation on Depression, Social Avoidance, and Mental Rumination of Mothers of Children With Cerebral Palsy in Ilam City, Iran. Journal of Research and Health , 14 (1), 71-82. [In Persian] doi:10.32598/JRH.14.1.2107.1
Anderson, A. J., & Perone, S. (2024). The kids are bored: Trait boredom in early childhood and links to self-regulation, coping strategies, and parent–child interactions. Journal of Experimental Child Psychology , 243, 105919. doi:10.1016/j.jecp.2024.105919
Andrews, G., Issakidis, C., Sanderson, K., Corry, J., & Lapsley, H. (2004). Utilising survey data to inform public policy: comparison of the cost-effectiveness of treatment of ten mental disorders. The British Journal of Psychiatry , 184 (6), 526-533. doi:10.1192/bjp.184.6.526
Batail, J. M., Palaric, J., Guillery, M., Gadoullet, J., Sauleau, P., Le Jeune, F., ... & Drapier, D. (2018). Apathy and depression: which clinical specificities?. Personalized Medicine in Psychiatry , 7 , 21-26 doi:10.1016/j.pmip.2017.12.001
Beck, A. T., & Alford, B. A. (2009). Depression: Causes and treatment . University of Pennsylvania Press. doi:10.9783/9780812290882
Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assessment of suicidal intention: the Scale for Suicide Ideation. Journal of consulting and clinical psychology , 47 (2), 343. doi:10.1037//0022-006x.47.2.343
Bedayat E, Askary M. (2020). The Effectiveness of Behavioral Activation Group Therapy on Emotional Regulation and Suicidal Ideation Strategies in Female Students With Major Depressive Disorder. Rooyesh . 9(1), 47-56. dor:20.1001.1.2383353.1399.9.1.8.1
Beigham Lal Abadi, E., Narimani, M., & Haji Moradi, R. (2022). Meta-analysis of the effectiveness of behavioral activation therapy on depression levels in adolescents. Journal of Psychological Methods and Models , 13 (47), 161–174. [In Persian] doi:10.30495/jpmm.2022.29369.3533
Burhunduli, P. (2025). Multimodal Neuroimaging Approaches to Understanding Suicide-Related Thoughts, Behaviours and Clinical Risk Factors in Treatment Resistant Depression (Doctoral dissertation, Université d'Ottawa| University of Ottawa). doi:10.20381/ruor-31576
Choi, H., & Shin, H. (2023). Entrapment, hopelessness, and cognitive control: A moderated mediation model of depression. In Healthcare . 11, 8, 1065. MDPI . doi:10.3390/healthcare11081065
Choubi, E., Mehrabi Zadeh Honarmand, M., & Amini, N. (2024). The effectiveness of behavioral activation therapy on experiential avoidance and self-defeating beliefs in students with academic procrastination. Journal of Educational Development, Jundishapur University of Medical Sciences, 16(1), 1–15. [In Persian] doi:10.22118/edc.2023.343729.2095
Clayborne, Z. M., Kingsbury, M., Sampasa-Kinyaga, H., Sikora, L., Lalande, K. M., & Colman, I. (2021). Parenting practices in childhood and depression, anxiety, and internalizing symptoms in adolescence: a systematic review. Social psychiatry and psychiatric epidemiology , 56 (4), 619-638. doi:10.1007/s00127-020-01956-z
Clayborne, Z. M., Varin, M., & Colman, I. (2019). Systematic review and meta-analysis: adolescent depression and long-term psychosocial outcomes. Journal of the American Academy of Child & Adolescent Psychiatry , 58 (1), 72-79. doi:10.1016/j.jaac.2018.07.896
Cohen, J. (2013). Statistical power analysis for the behavioral sciences . Cambridge: Academic Press. doi:10.4324/9780203771587
Colman, I., Wadsworth, M. E., Croudace, T. J., & Jones, P. B. (2007). Forty-year psychiatric outcomes following assessment for internalizing disorder in adolescence. American Journal of Psychiatry , 164 (1), 126-133. doi:10.1176/ajp.2007.164.1.126
Copeland, W. E., Alaie, I., Jonsson, U., & Shanahan, L. (2021). Associations of childhood and adolescent depression with adult psychiatric and functional outcomes. Journal of the American Academy of Child & Adolescent Psychiatry , 60 (5), 604-611. doi:10.1016/j.jaac.2020.07.895
de Zwart, P. L., Jeronimus, B. F., & De Jonge, P. (2019). Empirical evidence for definitions of episode, remission, recovery, relapse and recurrence in depression: a systematic review. Epidemiology and psychiatric sciences , 28(5), 544-562. doi:10.1017/S2045796018000227
Dimidjian, S., Barrera Jr, M., Martell, C., Muñoz, R. F., & Lewinsohn, P. M. (2011). The origins and current status of behavioral activation treatments for depression. Annual review of clinical psychology, 7(1), 1-38. doi:10.1146/annurev-clinpsy-032210-104535
Erbacher, T. A., Singer, J. B., & Poland, S. (2023). Suicide in schools: A practitioner's guide to multi-level prevention, assessment, intervention, and postvention . Taylor & Francis. doi:10.4324/9780429030703
Gall, M. D., Borg, W. R., & Gall, J. P. (1996). Educational research: An introduction . Longman Publishing. https://lccn.loc.gov/05056474
Green, S. L., Gignac, G. E., Watson, P. A., Brosnan, N., Becerra, R., Pestell, C., & Weinborn, M. (2022). Apathy and depression as predictors of activities of daily living following stroke and traumatic brain injuries in adults: a meta-analysis. Neuropsychology review , 32(1), 51-69. doi:10.1007/s11065-021-09509-0
Groeneweg-Koolhoven, I., Comijs, H. C., Naarding, P., de Waal, M. W., & van der Mast, R. C. (2016). Apathy in older persons with depression: course and predictors: the NESDO study. Journal of geriatric psychiatry and neurology , 29(4), 178-186. doi:10.1177/0891988716632914
Hemanny, C., Dos Santos, C. O., Moris, F. T. L., & Melnik, T. (2023). Trial-Based Cognitive Therapy for depressive and anxious symptoms: A systematic review and meta-analysis of efficacy and dropout rates. Journal of Mood and Anxiety Disorders , 1, 100005. doi:10.1016/j.xjmad.2023.100005
Hetrick, S. E., McKenzie, J. E., Bailey, A. P., Sharma, V., Moller, C. I., Badcock, P. B., ... & Meader, N. (2021). New generation antidepressants for depression in children and adolescents: a network meta‐analysis. Cochrane Database of Systematic Reviews , (5). doi:10.1002/14651858.CD013674.pub2
Hink, A. B., Killings, X., Bhatt, A., Ridings, L. E., & Andrews, A. L. (2022). Adolescent suicide—Understanding unique risks and opportunities for trauma centers to recognize, intervene, and prevent a leading cause of death. Current trauma reports , 8(2), 41-53. doi:10.1007/s40719-022-00223-7
Hopko, D. R., Funderburk, J. S., Shorey, R. C., McIndoo, C. C., Ryba, M. M., File, A. A., ... & Vitulano, M. (2013). Behavioral activation and problem-solving therapy for depressed breast cancer patients: preliminary support for decreased suicidal ideation. Behavior modification , 37(6), 747-767. doi:10.1177/0145445513501512
Hou, J., Deng, Q., Sha, L., Zhu, J., Xiang, R., Zhao, X., ... & Jiang, X. (2025). Physical activity and risk of depression in adolescents: A systematic review and meta-analysis of prospective observational studies. Journal of Affective Disorders , 371, 279-288. doi:10.1016/j.jad.2024.11.065
Huang, X., Chen, Y., Luo, J., Wang, D., Yang, C., Luo, W., & Zhou, Y. (2024). The effect of behavioral activation play therapy in adolescents with depression: A study protocol for a randomized controlled trial. PLoS one , 19(6), e0304084. doi:10.1371/journal.pone.0304084
Jacobson, N. S., Martell, C. R., & Dimidjian, S. (2001). Behavioral activation treatment for depression: returning to contextual roots. Clinical Psychology: science and practice , 8 (3), 255. doi:10.1093/clipsy.8.3.255
Kaiser, R. H., Hubley, S., & Dimidjian, S. (2015). Behavioural activation theory. Treating Depression: MCT, CBT, and Third‐Wave Therapies , 221-241. doi:10.1002/9781119114482.ch15
Kaliush, P. R., Molina, N. C., Berenbaum, T. S., Dennis, C. L., Gaynes, B. N., Meltzer-Brody, S., ... & Singla, D. R. (2025). Behavioral Activation for Perinatal Suicide Ideation: Secondary Analysis of a Noninferiority Randomized Clinical Trial. JAMA psychiatry . doi:10.1001/jamapsychiatry.2025.2116
Kanter, J. W., & Puspitasari, A. J. (2012). Behavioral activation. Cognitive behavior therapy: Core principles for practice , 215-250. doi:10.1016/j.cpr.2010.04.001
Kanter, J. W., Baruch, D. E., & Gaynor, S. T. (2006). Acceptance and commitment therapy and behavioral activation for the treatment of depression: Description and comparison. The behavior analyst , 29 (2), 161-185. doi:10.1007/bf03392129
Kanter, J. W., Manos, R. C., Bowe, W. M., Baruch, D. E., Busch, A. M., & Rusch, L. C. (2010). What is behavioral activation? A review of the empirical literature. Clinical psychology review , 30 (6), 608-620. doi:10.1016/j.cpr.2010.04.001
Kanter, J. W., Mulick, P. S., Busch, A. M., Berlin, K. S., & Martell, C. R. (2007). The Behavioral Activation for Depression Scale (BADS): psychometric properties and factor structure. Journal of Psychopathology and Behavioral Assessment , 29 (3), 191-202. doi:10.1007/s10862-006-9038-5
Karimi, A., Yadegari, N., Sarokhani, D., Fakhri, M., & Dehkordi, A. H. (2021). Prevalence of depression in Iranian school students: a systematic review and meta-analysis. International journal of preventive medicine , 12 (1), 110. doi:10.4103/ijpvm.ijpvm_312_19
Karimpour vazifeh khorani, A., Hekmati, I., Rezvanizadeh, A., Amiri, N., Kadkhoda, M., & Arasteh, F. (2025). Brief Behavioral Activation Therapy is effective on apathy symptoms of the older adults with mild Alzheimer’s disease but not with moderate Alzheimer’s disease. Aging & Mental Health , 29 (6), 1000-1009. doi:10.1080/13607863.2025.2464712
Kazdin, A. E., Rodgers, A., & Colbus, D. (1986). The Hopelessness Scale for Children: Psychometric characteristics and concurrent validity. Journal of consulting and clinical psychology, 54(2), 241 -245. doi:10.1037//0022-006x.54.2.241
Khajehmirza, V., Saffarian, T. M., Nejat, H., & Zendehdel, A. (2020). Behavioral Activation Therapy on Motivational Beliefs (Academic Motivation, Self-efficacy, Test Anxiety) of Female Students with Depression. Journal of Disability Studies ; 10 :58-58. [In Persian] dor:20.1001.1.23222840.1399.10.0.90.9
Klim, P. (2022). A School-Based Cognitive Behavioural Therapy Skills Intervention for Suicide Prevention and Wellbeing in Youth (Doctoral dissertation, Ph. D.]. proquest. http://hdl.handle.net/1807/125484
Lanctôt, K. L., Ismail, Z., Bawa, K. K., Cummings, J. L., Husain, M., Mortby, M. E., & Robert, P. (2023). Distinguishing apathy from depression: a review differentiating the behavioral, neuroanatomic, and treatment‐related aspects of apathy from depression in neurocognitive disorders. International journal of geriatric psychiatry , 38 (2), e5882. doi:10.1002/gps.5882
Lázaro-Perlado, F. (2019). Apathy: a conceptual review. Current Psychiatry Research and Reviews Formerly: Current Psychiatry Reviews , 15 (2), 88-104. doi:10.2174/1573400515666190306150306
Lejuez, C. W., Hopko, D. R., Acierno, R., Daughters, S. B., & Pagoto, S. L. (2011). Ten year revision of the brief behavioral activation treatment for depression: revised treatment manual. Behavior modification , 35 (2), 111-161. doi:10.1177/0145445510390929
Lewinsohn, P. M. (1986). 5. A Behavioral Approach to Depression¹. Essential papers on depression , 6 , 150 .
Lima, C. L. S., Veloso, L. U. P., Lira, J. A. C., Silva, A. G. N., Rocha, Â. R. C., & Conceição, B. B. (2021). Factors related to hopelessness in college students. Cogitare enfermagem , 26 , e76641. doi:10.5380/ce.v26i0.76641
Lin, J., & Guo, W. (2024). The research on risk factors for adolescents’ mental health. Behavioral Sciences , 14 (4), 263. doi:10.3390/bs14040263
Lin, Y., Chen, Z., He, M., Zhou, W., Wang, L., Guo, H., & Huang, K. (2024). The relationship between anxiety and depression in adolescent depression patients: the mediating effect of hope level and coping modes. Heliyon , 10 (15). doi:10.1016/j.heliyon.2024.e35466
Liu, Q., Martin, N. C., Findling, R. L., Youngstrom, E. A., Garber, J., Curry, J. F., ... & Cole, D. A. (2021). Hopelessness and depressive symptoms in children and adolescents: An integrative data analysis. Journal of Abnormal Psychology , 130 (6), 594. doi:10.1037/abn0000667
López, R. (2024). Suicide—A silent threat. Centro de Investigación y Desarrollo Profesional.
MacPherson, H. A., Kim, K. L., Seymour, K. E., Wolff, J., Esposito-Smythers, C., Spirito, A., & Dickstein, D. P. (2022). Cognitive flexibility and impulsivity deficits in suicidal adolescents. Research on child and adolescent psychopathology , 50 (12), 1643-1656. doi:10.1007/s10802-022-00952-y
Mannekote Thippaiah, S., Wang, M., Ransdell, M., & Dwivedi, Y. (2025). The Clinical Impact of Habenular Dysfunction on Depression and Suicidality: A Literature Review and Discussion on the Implications for Psychiatric Practice. Current Behavioral Neuroscience Reports , 12 (1). doi:10.1007/s40473-024-00295-64
Marchetti, I., Alloy, L. B., & Koster, E. H. (2023). Breaking the vise of hopelessness: Targeting its components, antecedents, and context. International journal of cognitive therapy , 16 (3), 285-319. doi:10.1007/s41811-023-00165-1
Martell, C. R., Addis, M. E., & Jacobson, N. S. (2001). Depression in context: Strategies for guided action . WW Norton & Co. https://cir.nii.ac.jp/books?category=616.852706
Mast, A. E. (2016). Tissue factor pathway inhibitor: multiple anticoagulant activities for a single protein. Arteriosclerosis, thrombosis, and vascular biology , 36 (1), 9-14. doi:10.1161/ATVBAHA.115.305996
Mayer, R. E., & Anderson, R. B. (1991). Animations need narrations: An experimental test of a dual-coding hypothesis. Journal of educational psychology , 83 (4), 484. doi:10.1037/0022-0663.83.4.484
McLaughlin, J. A., Miller, P., & Warwick, H. (1996). Deliberate self-harm in adolescents: Hopelessness, depression, problems and problem-solving. Journal of Adolescence , 19(6), 523-532. doi:10.1006/jado.1996.0051
Menculini, G., Cinesi, G., Scopetta, F., Cardelli, M., Caramanico, G., Balducci, P. M., ... & Tortorella, A. (2024). Major challenges in youth psychopathology: treatment-resistant depression. A narrative review. Frontiers in Psychiatry , 15 , 1417977. doi:10.3389/fpsyt.2024.1417977
Mewton, L., & Andrews, G. (2016). Cognitive behavioral therapy for suicidal behaviors: improving patient outcomes. Psychology research and behavior management , 21-29. doi:10.2147/PRBM.S84589
Mikaeili, N., & Samadifard, H. (2019). The prediction of suicidal thoughts based on happiness, self-esteem and spiritual health among female teenagers. J Res Relig Health , 5 (3), 59-71. doi:10.22037/jrrh.v5i3.20897
Mikaeili, N. & Salmani, A. (2021). Investigating the Role of Parenting Styles in Predicting Students' Academic Procrastination. Journal of Family Relations Studies , 1 (1), 13-20. doi:10.22098/jhrs.2022.8669.1002
Mirzaie, S. N., & Shams Alizadeh, N. (2013). Prevalence rate of suicidal thoughts and its related factors in the medical students in Kurdistan University of Medical Sciences. Scientific Journal of Kurdistan University of Medical Sciences , 18 (1), 18-26. [In Persian] http://sjku.muk.ac.ir/article-1-1004-fa.html
Mohammadi, A., & Amiri, M. (2011). The behavioral activation for depression scale: Psychometric properties and confirmatory factor analysis of the Iranian version. Iranian Journal of Psychiatry and Clinical Psychology , 16 (1), 65–73. [In Persian] http://ijpcp.iums.ac.ir/article-1-920-fa.html
Morris, Lee‐Anne., Claire, O'Callaghan. & Campbell, Le Heron. (2022). Disordered decision making: a cognitive framework for apathy and impulsivity in huntington's disease. Movement disorders 37, 6: 1149-1163. doi:10.1002/mds.29013
Moselli, M., Casini, M. P., Frattini, C., & Williams, R. (2023). Suicidality and personality pathology in adolescence: A systematic review. Child Psychiatry & Human Development , 54 (2), 290-311. doi:10.1007/s10578-021-01239-x
Nair, A. (2021). A computational approach to motivated behaviour and apathy (Doctoral dissertation, UCL (University College London). https://discovery.ucl.ac.uk/id/eprint/10132308
Najati, V., Esmaeelian, N., & Amani, A. (1394). Psychometric properties and factor structure of the Children's Hopelessness Scale. Thought and Behavior in Clinical Psychology , 9(34), 67–76. [In Persian] https://www.magiran.com/p1431978
Nikmehr, P., Salmani, A. & Jafari, E. (2021). Investigating the Role of Social Anxiety in Predicting Students' Academic Self-Efficacy. Journal of Family Relations Studies , 1 (1), 51-58. doi:10.22098/jhrs.2022.1422
Orgeta, V., Brede, J., & Livingston, G. (2017). Behavioural activation for depression in older people: systematic review and meta-analysis. The British Journal of Psychiatry , 211 (5), 274-279. doi:10.1192/bjp.bp.117.205021
Rezapour Mirsaleh, Y., Okhovat, M., & Amini, R. (2022). The Relationship between Adolescent Perception of Parental Conflict, Psychological Well-Being and Disappointment in Adolescent Female Students: A Mediating Role of Coping Styles. Rooyesh-e-Ravanshenasi Journal (RRJ) , 11 (2), 117-132. http://frooyesh.ir/article-1-3331-fa.html
Ribeiro, J. D., Huang, X., Fox, K. R., & Franklin, J. C. (2018). Depression and hopelessness as risk factors for suicide ideation, attempts and death: meta-analysis of longitudinal studies. The British Journal of Psychiatry , 212 (5), 279-286. doi:10.1192/bjp.2018.27
Runkle, J. R., Harden, S., Hart, L., Moreno, C., Michael, K., & Sugg, M. M. (2023). Socioenvironmental drivers of adolescent suicide in the United States: A scoping review. Journal of rural mental health , 47(2), 65. doi:10.1037/rmh0000208
Shorey, S., Ng, E. D., & Wong, C. H. (2022). Global prevalence of depression and elevated depressive symptoms among adolescents: A systematic review and meta‐analysis. British journal of clinical psychology , 61 (2), 287-305. doi:10.1111/bjc.12333
Snyder, C. R., Sympson, S. C., Ybasco, F. C., Borders, T. F., Babyak, M. A., & Higgins, R. L. (1996). Development and validation of the State Hope Scale. Journal of personality and social psychology, 70(2), 321. doi:10.1037/0022-3514.70.2.321
Spaeth, M., Weichold, K., & Silbereisen, R. K. (2015). The development of leisure boredom in early adolescence: Predictors and longitudinal associations with delinquency and depression. Developmental psychology , 51 (10), 1380. doi:10.1037/a0039480
Taghavi, R., Einy, S., & Kazemi, R. (2020). Effectiveness of Brief Behavioral Activation Treatment on the Hopelessness in Veterans with Post-Traumatic Stress Disorder. Iranian Journal of Isaar Studies , 1 (3), 149-154. [In Persian] http://ijis.ir/article-1-54-en.html
Tang, P., Pavlopoulou, G., Kostyrka-Allchorne, K., Phillips-Owen, J., & Sonuga-Barke, E. (2023). Links between mental health problems and future thinking from the perspective of adolescents with experience of depression and anxiety: a qualitative study. Child and Adolescent Psychiatry and Mental Health , 17 (1), 143 . doi:10.1186/s13034-023-00679-8
Taylor, R., Bodoukhin, N., Botros, M., & Luca, L. (2021). Joy journal: a behavioral activation technique used in the treatment of late-life depression associated with hopelessness during the covid-19 pandemic. The Primary Care Companion for CNS Disorders , 23 (1), 27407. doi:10.4088/PCC.20l02817
Teymoori, R., Salmani, A. & Salehinejad, M. A. (2022). The relationship between emotional character with depression and anxiety in patients with polycystic ovary syndrome. Journal of Research in Psychopathology , 3 (7), 47-53. doi:10.22098/jrp.2022.9595.1042
Wang, X., & Feng, Z. (2022). A narrative review of empirical literature of behavioral activation treatment for depression. Frontiers in Psychiatry , 13 , 845138. doi:10.3389/fpsyt.2022.845138
Webb, C. A., Murray, L., Tierney, A. O., Forbes, E. E., & Pizzagalli, D. A. (2023). Reward-related predictors of symptom change in behavioral activation therapy for anhedonic adolescents: a multimodal approach. Neuropsychopharmacology , 48 (4), 623–632. doi:10.1038/s41386-022-01481-4
Wolfe, K. L., Nakonezny, P. A., Owen, V. J., Rial, K. V., Moorehead, A. P., Kennard, B. D., & Emslie, G. J. (2019). Hopelessness as a predictor of suicide ideation in depressed male and female adolescent youth. Suicide and Life‐Threatening Behavior , 49 (1), 253-263 doi:10.1111/sltb.12428
Zhu, JH., Li, SF., Wang, P., Xin, X., Zhao, Q., Chen, SC, et al. (2023). Correlation and pathways of behavioral activation systems mediating physical activity level and depressive symptoms among college students. World J Psychiatry . 13(10):784. doi:10.5498/wjp.v13.i10.784
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