Activating Veterans Toward Sources of Reward: A Pilot Report on Development, Feasibility, and Clinical Outcomes of a 12-Week Behavioral Activation Group Treatment

Hershenberg, Rachel; Vickers‐Smith, Rachel; Goodson, Jason T.; Thase, Michael E.

doi:10.1016/j.cbpra.2017.04.001

Cited by 13 publications

(19 citation statements)

References 37 publications

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“…BA is associated with increased self-reported goal-directed behavior, as measured by the Behavioral Activation for Depression Scale (BADS; Kanter, Mulick, Busch, Berlin, & Martell, 2007) across several trials (e.g., Dimidjian et al, 2017; Hellerstein et al, 2015; Hershenberg, Smith, Goodson, & Thase, 2018; Weinstock, Munroe, & Miller, 2011). Likewise, BA is associated with increased frequency of rewarding experiences, as measured on the Environmental Reward Observation Scale (EROS; Armento & Hopko, 2007) in diverse samples, including substance users (Daughters et al, 2008), veterans (Hershenberg et al, 2018), students (Armento, McNulty, & Hopko, 2012), and pregnant women (Dimidjian et al, 2017). Reductions in measures of anhedonia symptoms have been observed in some (Carl et al, 2016), but not all (Dichter et al, 2009) BA trials.…”

Section: Activation As the Mechanism Of Change In Bamentioning

confidence: 99%

Reward Network Modulation as a Mechanism of Change in Behavioral Activation

et al. 2018

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Behavioral Activation (BA) is a contemporary third-wave psychosocial treatment approach that emphasizes helping individuals become more active in ways that are meaningful to them as a means of improving mood and quality of life. BA has been designated as a well-established, validated treatment for depression by the American Psychological Association following several decades of accumulated empirical support demonstrating that BA techniques successfully reduce depression symptoms and produce other desirable outcomes across a variety of populations and contexts. The purported mechanism of change underlying BA treatment lies in increasing activation, which in turn increases contact with positive reinforcement thereby reversing the cycle of depression. Current studies are further investigating how increasing activation and subsequent contact with mood reinforcers can influence mood and behavior. Specifically, there is growing evidence that BA modifies function of reward-related networks in the brain, and that these changes are associated with clinical improvement. Herein, we provide a brief history of BA, describe the primary components of BA treatment, and describe BA’s purported mechanisms of change at behavioral, neural, and subjective activation levels. We present limitations as well as gaps in the current state of knowledge regarding mechanisms of action of BA.

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Section: Activation As the Mechanism Of Change In Bamentioning

confidence: 99%

Reward Network Modulation as a Mechanism of Change in Behavioral Activation

et al. 2018

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“…The PHQ‐9 has demonstrated strong levels of internal consistency in prior research. Cronbach's alpha is typically greater than .85 in treatment seeking veteran samples (e.g., Hershenberg, Smith, Goodson, & Thase, ).…”

Section: Studymentioning

confidence: 99%

Preventative and restorative safety behaviors: Effects on exposure treatment outcomes and risk for future anxious symptoms

Goodson

Haeffel

2018

J Clin Psychol

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“…Finally, in a study examining the impact of a 12‐week group‐based BA intervention for US military veterans, Hershenberg et al () reported symptom decrease and several psychosocial benefits. The intervention was also developed from Martell et al () work.…”

Section: Resultsmentioning

confidence: 99%

“…The primary limitation of this study was that the sample sizes for almost all of the included research articles were low as most studies included less than 10 participants. While many studies examined the role of BA paired with another treatment such as cognitive or dialectical behavior therapy on PTSD symptoms (Meyers et al, ; Nixon & Nearmy, ), very few studies examined the effects of BA as a stand‐alone treatment (Matthieu et al, ; Hershenberg et al, ; Jakupcak et al, ; Wagner et al, ; Jakupcak et al, . ; Rahman et al, ; Luxton et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…Over the past few decades, an element of CBT known as behavioral activation (BA) has been utilized as a component of treatment designed to reduce PTSD symptomatology (Hershenberg, Smith, Goodson, & Thase, ; Jakupcak, Wagner, Paulson, Varra, & McFall, ; Luxton, Pruitt, O'Brien, & Kramer, ). BA has been shown to reduce depressive symptomatology at a level that outperforms traditional cognitive therapy and is comparable to the use of antidepressant medication (Dimidjian et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Clinical research on behavioral activation as treatment for post‐traumatic stress disorder: A brief review and meta‐analysis

Flint

Ferrell

Engelman

2020

Behavioral Interventions

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Behavioral activation (BA), an effective treatment for depression, has recently been receiving attention as a possible intervention for PTSD. BA interventions could be particularly useful in treating underserved populations (i.e., individuals with lower socioeconomic status). A literature search was conducted, which identified seven outcome studies that examined the effectiveness of stand-alone BA treatment for individuals with PTSD. All studies identified for this brief review demonstrated clinically significant reductions in PTSD symptoms using BA as an intervention. A meta-analysis of these few studies revealed a nonsignificant effect (Cohen's d = 0.713, p = .512) despite reporting an average symptom reduction of 25.8%. Other studies utilizing BA treatment for PTSD do so in tandem with other interventions and were excluded from analysis. This brief review summarizes the literature on the use of BA as a stand-alone treatment for PTSD and suggests that future research seek to confirm the usefulness of BA as a potential treatment modality for mental health-care providers treating individuals with PTSD. K E Y W O R D S behavioral activation, post-traumatic stress disorder, PTSD

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Activating Veterans Toward Sources of Reward: A Pilot Report on Development, Feasibility, and Clinical Outcomes of a 12-Week Behavioral Activation Group Treatment

Cited by 13 publications

References 37 publications

Reward Network Modulation as a Mechanism of Change in Behavioral Activation

Reward Network Modulation as a Mechanism of Change in Behavioral Activation

Preventative and restorative safety behaviors: Effects on exposure treatment outcomes and risk for future anxious symptoms

Clinical research on behavioral activation as treatment for post‐traumatic stress disorder: A brief review and meta‐analysis

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