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

Flint, Daniel D.; Ferrell, Emily L.; Engelman, Joel

doi:10.1002/bin.1712

Cited by 6 publications

(4 citation statements)

References 34 publications

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“…Indeed, one possible explanation for this is the social causation theory, i.e. that having more social support or more pleasant interactions alleviated PTS (Flint et al, 2020 ). Alternatively, it is possible that survivors with lower PTS may have been less likely to avoid social interaction or that survivors with higher PTS may have found that others were less willing to engage in social interactions with them (i.e.…”

Section: Discussionmentioning

confidence: 99%

The day-to-day relationship between posttraumatic stress symptoms and social support after sexual assault

Howe,

Dworkin

2024

European Journal of Psychotraumatology

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Background: Experiencing sexual assault is associated with a significant increase in risk for developing posttraumatic stress disorder and related concerns (e.g. alcohol misuse). Cross-sectional and longitudinal evidence suggests that social support may be both broadly protective against and eroded by posttraumatic stress symptoms. However, little is known about how different aspects of social support and posttraumatic stress symptoms influence each other in the weeks and months immediately following sexual assault, when posttraumatic stress (PTS) symptoms first emerge. Objective: The present study assessed the day-to-day relationship between social support and PTS in a sample of distressed, alcohol-using, recently-assaulted female survivors participating in a clinical trial of an app-based intervention ( N = 41). Method: Participants completed 3 weeks of daily diaries starting within 10 weeks of sexual assault. Mixed-effects models were used to examine prior-day and same-day relationships between PTS and four social support constructs (social contact, emotional support, pleasantness of social interactions, and talking about sexual assault). Results: Results indicate that higher quantity and pleasantness of social interactions over the full sampling period was associated with lower PTS symptoms on any given day. Experiencing better-than-typical social interactions on one day was associated with lower than typical PTS symptoms on that day and the next day. On days when participants discussed their sexual assault with others, they tended to be having higher than usual PTS symptoms. Conclusions: Findings suggest that increasing the quantity and pleasantness of social interactions soon after sexual assault might protect against worsening posttraumatic stress symptoms. Trial registration : ClinicalTrials.gov identifier: NCT03703258.

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Section: Discussionmentioning

confidence: 99%

The day-to-day relationship between posttraumatic stress symptoms and social support after sexual assault

Howe,

Dworkin

2024

European Journal of Psychotraumatology

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“…Moreover, behavioral activation teaches participants how to identify and engage in activities that are supportive and consistent with their values and goals to reduce prevention and isolation (Cuijpers et al, 2020). A meta-analysis of behavioral activation for PTSD symptoms found that symptoms were significantly decreased, with an average reduction of 25.8 % (Flint et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Total score ranges from 0 to 27, where high scores mean higher possibility of depression. The total score can then be interpreted as suggesting no depression (0-4), mild (5-9), moderate (10)(11)(12)(13)(14), moderately severe (15)(16)(17)(18)(19), or severe (20)(21)(22)(23)(24)(25)(26)(27). A cut-off score of 10 is considered to indicate the possibility of depressive disorder.…”

Section: Patient Health Questionnaire-9 (Phq-9)mentioning

confidence: 99%

pilot protocol for improving institutionalized older adults psychosocial health during COVID-19 pandemic

Ibrahim¹,

Fadila²,

Saad³

2022

ijhs

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The COVID-19 pandemic has globally threatened the psychosocial health life quality of older adults worldwide. Aim: Ascertain the effect of nursing protocol implementation on the psychosocial health of institutionalized older adults during the COVID-19 pandemic. Methods: A quasi-experimental design was used to assess 46 older adults of two governmental geriatric homes. Four tools were utilized: a structured interview questionnaire sheet, Patient Health Questionnaire-9 PHQ-9, Generalized Anxiety Disorder –7 GAD-7, and Positive and Negative Affect Scale. Results: The PHQ-9, GAD-7, Positive Affect Schedule, and Negative Affect Schedule total scores improved significantly immediately and two months after protocol implementation (P=0.005, 0.002, < 0.001, < 0.001, respectively). Conclusion: Implementation of the nursing protocol effectively improves the level of psychosocial status among geriatric home older adults. Recommendation: Both short- and long-term nursing interventions are critical to enhancing older adults' psychological and mental health in geriatric homes, particularly during this pandemic.

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“…While behavioral activation was originally developed for depression and has well-established empirical support ( Simmonds-Buckley et al, 2019 , Stein et al, 2020 ), including successful delivery via the Internet ( Huguet et al, 2018 ), more recently, behavioral activation has been studied as an intervention for PTSD. A meta-analysis of behavioral activation for PTSD symptoms found significant reductions in PTSD symptoms with an average symptom reduction of 25.8% ( Flint et al, 2020 ). Another small meta-analysis of three studies found large effect size improvements in PTSD symptoms compared to wait-list controls ( Etherton & Farley, 2020 ).…”

Section: Evidence-based Psychological and Behavioral Strategiesmentioning

confidence: 99%

A Public Health Framework for Preventing Mental Disorders in the Context of Pandemics

Litz

Cummings

Grunthal

et al. 2021

Cognitive and Behavioral Practice

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The COVID-19 pandemic has universally threatened the building blocks of mental health, well-being, and quality of life, namely, expectations of safety, connectedness, hope, and individual and societal efficacy. Consequently, unprecedently large numbers of individuals are significantly stressed and many are at risk for relapse of mental health problems, exacerbations of existing mental and behavioral health problems, and new onset clinical problems. Because of the scope of the problem, a population-based public health perspective is needed, which in the context of disasters has well-established theories and prevention approaches. Public health approaches to disasters and pandemics focus on preventing subclinical problems from becoming clinical disorders, in comparison to clinical care approaches that focus on treating established disorders. Fortunately, specialty care clinicians who typically think about assessing and treating established disorders have the training and clinical competencies to deliver prevention-focused interventions. This paper is designed to help specialty care clinicians who use cognitive-behavioral strategies to understand the biopsychosocial impacts and resource deficits associated with COVID-19-related stressors and the public health perspective to address them. We also provide ways clinicians can help people who are suffering from significant stress and resource deficits bounce back and regain functioning. We describe psychological first aid, stress management, repeated ecological assessment, writing about stressors, problem-solving, and behavioral activation approaches to assist individuals at risk for enduring stress-linked problems.

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

Cited by 6 publications

References 34 publications

The day-to-day relationship between posttraumatic stress symptoms and social support after sexual assault

The day-to-day relationship between posttraumatic stress symptoms and social support after sexual assault

pilot protocol for improving institutionalized older adults psychosocial health during COVID-19 pandemic

A Public Health Framework for Preventing Mental Disorders in the Context of Pandemics

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