Behavioral activation for depressed breast cancer patients: The impact of therapeutic compliance and quantity of activities completed on symptom reduction.

Ryba, Marlena M.; Lejuez, Carl W.; Hopko, Derek R.

doi:10.1037/a0035363

Cited by 50 publications

(47 citation statements)

References 60 publications

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“…The theoretically critical questions about whether therapy-induced activation and decreased avoidance mediate symptomatic improvement have only been investigated in a few studies . Some researchers have used single case designs to investigate the temporal relations between the proposed mechanisms and outcome (Gaynor & Harris, 2008;Manos, Kanter & Lou, 2011;Folke et al, 2015) and others have investigated the correlation between client compliance with activation assignments and outcomes (e.g., Busch, Uebelacker, Kalibatseva & Miller, 2010;Folke et al, 2014;Hershenberg, Paulson, Gros & Acierno, 2014;Ryba, Lejuez & Hopko, 2014).…”

Section: Resultsmentioning

confidence: 99%

A learning theory account of depression

Ramnerö

Folke

Kanter

2015

Scandinavian J Psychology

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Learning theory provides a foundation for understanding and deriving treatment principles for impacting a spectrum of functional processes relevant to the construct of depression. While behavioral interventions have been commonplace in the cognitive behavioral tradition, most often conceptualized within a cognitive theoretical framework, recent years have seen renewed interest in more purely behavioral models. These modern learning theory accounts of depression focus on the interchange between behavior and the environment, mainly in terms of lack of reinforcement, extinction of instrumental behavior, and excesses of aversive control, and include a conceptualization of relevant cognitive and emotional variables. These positions, drawn from extensive basic and applied research, cohere with biological theories on reduced reward learning and reward responsiveness and views of depression as a heterogeneous, complex set of disorders. Treatment techniques based on learning theory, often labeled Behavioral Activation (BA) focus on activating the individual in directions that increase contact with potential reinforcers, as defined ideographically with the client. BA is considered an empirically well-established treatment that generalizes well across diverse contexts and populations. The learning theory account is discussed in terms of being a parsimonious model and ground for treatments highly suitable for large scale dissemination.

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Section: Resultsmentioning

confidence: 99%

A learning theory account of depression

Ramnerö

Folke

Kanter

2015

Scandinavian J Psychology

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“…Self-reported activation obtained through the BADS-SF likely captures activation caused by other factors in a client’s life (e.g., increased activity due to non-mental health intervention). Previous research has used the proportion or percent completion of ideographically designed homework assignments as a measure of personalized activation in BA treatment (Ryba et al, 2014). …”

Section: Discussionmentioning

confidence: 99%

“…Recent BA research has lent additional support. Ryba, Lejuez, & Hopko (2014) conducted a post-hoc analysis of the causal relationship between structured activities (i.e., quantity of activities and proportion of activities completed) and depression. The authors concluded that although the specific quantity of completed activities was not causally related to reductions in depression, participant compliance with assigned activities was causally associated with improvements.…”

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confidence: 99%

A client-level session-by-session evaluation of behavioral activation’s mechanism of action

Santos

Rae

Nagy

et al. 2017

Journal of Behavior Therapy and Experimental Psychiatry

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Background and Objectives Our understanding of how Behavioral Activation (BA) for depression works is limited. BA is theorized to lead to changes in depression through changes in activation. While distal support for activation as a mechanism has been obtained, more research is needed before definitive conclusions can be drawn. Research on mechanism should consider the appropriate time-frame for examining changes in the theorized mechanism variable and whether the proposed mechanism is expected to exert causal influence in all BA cases. These issues were considered in the current study in which a post-hoc analysis was conducted to explore BA’s mechanism using single-subject data obtained at each session during the course of treatment. Methods Activation and depression data were obtained from a randomized-controlled trial of BA for Latinos (BAL) compared to treatment-as-usual (TAU). Cross-lagged correlations were computed to test whether activation changes preceded, co-occurred with, or lagged behind changes in depression in a sample of 21 clients (BAL n = 14; TAU n = 7). Differences among participants based on activation-depression patterns were examined. Results For 79% of the BAL sample, changes in activation preceded or co-occurred with changes in depression, while no clients in the TAU sample evidenced this pattern. Limitations Use of more proximal and objective measures of the constructs of interest and a higher dosage of BA may have served as a stronger test of the treatment’s mechanism. Conclusions More time-sensitive measurement of changes in variables of interest is needed.

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“…La EROS ha sido utilizada en investigaciones relacionadas con estados de ánimo bajos o diagnósticos de depresión (Barraca-Mairal, 2010;Carvalho et al, 2011;Gawrysiak, Nicholas, & Hopko, 2009); además, de ser un instrumento necesario para medir noción de refuerzo medioambiental en investigaciones relacionadas con el consumo de tabaco y sustancias (Daughters, Magidson, Schuster, & Safren, 2010;MacPherson et al, 2010), problemas de personalidad y trastornos esquizofrénicos (Daughters, Sargeant, Bornovalova, Gratz, & LeJuez, 2008;Gamero, Vucinovich, & Oñate, 2011), desarrollo de tareas en niños (Busch et al, 2009) y pacientes con problemas afectivos debido a enfermedades médicas como el cáncer (Carvalho & Hopko, 2009;Carvalho et al, 2011;Ryba, LeJuez, & Hopko, 2014).…”

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Validación de la Environmental Reward Observation Scale (EROS) en población Colombiana

2016

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RESUMENSe estimaron las propiedades psicométricas de la Environmental Reward Observation Scale (EROS) en población colombiana, con dos muestras: población comunitaria y clínica. Para la primera, se evaluaron 507 personas en 22 departamentos del país, con edades entre 18 y 72 años, 60.5 % mujeres y el restante hombres; la segunda muestra estuvo compuesta por 68 personas, con edades comprendidas entre 18 y 72 años, atendidas en el momento de la evaluación por profesionales en salud mental. Se realizó la aplicación de los instrumentos (Enviromental Reward Observation Scale y Escala Autoaplicada de Depresión de Zung), a través de redes sociales y correos electrónicos, con el fin de tener una muestra más amplia y una mayor variabilidad de la misma. Se encontraron niveles apropiados de consistencia interna (alfa de 0.87) e importantes evidencias de validez de constructo (agrupación en un factor que explica el 46.82 % de la varianza total) y discriminante (r = -0.67). Palabras claveEnvironmental Reward Observation Scale, psicometría, evidencias de validez . ABSTRACTIn the present study the psychometric properties of the Environmental Reward Observation Scale (EROS) in Colombian population were estimated with two different samples: population and clinic. For the first sample 517 people were evaluated in 22 departments of the country aged 18 to 72, 60.5% are women and the remaining men, the second sample was composed of 68 people aged between 18 and 72 years who They are served at present by mental health professionals. Based on the above, the application of the instruments (Environmental Observation Reward Scale Y Auto Scale Applied Zung Depression) was made through social networks and emails in order to have a larger sample and greater variability the same in relation to the general population. Appropriate levels of internal consistency (alpha of 0.87) and significant evidence of construct validity (grouping by a factor that explains the 46.815% of the total variance) and discriminant (r = -0.67).

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Behavioral activation for depressed breast cancer patients: The impact of therapeutic compliance and quantity of activities completed on symptom reduction.

Cited by 50 publications

References 60 publications

A learning theory account of depression

A learning theory account of depression

A client-level session-by-session evaluation of behavioral activation’s mechanism of action

Validación de la Environmental Reward Observation Scale (EROS) en población Colombiana

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