The Dutch version of the behavioral activation for depression scale (BADS): Psychometric properties and factor structure

Raes, Filip; Hoes, Dorien; Gucht, Dinska Van; Kanter, Jonathan W.; Hermans, Dirk

doi:10.1016/j.jbtep.2010.02.001

Cited by 32 publications

(35 citation statements)

References 26 publications

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“…30, nº 3 (octubre) pation reported higher levels of negative appraisals and both variables significantly predicted caregivers" depressive symptomatology (Mausbach et al, 2009). Similarly, it has been found that lower levels of behavioral activation were significantly linked with a more frequent use of rumination strategy in a non-caregiver sample (Raes, Hoes, Van Gucht, Kanter, & Hermans, 2010). These results suggested that behavioral activation may have a significant impact not only on caregivers" distress but also on the way caregivers use emotion regulation strategies, which may impact caregivers" mental health outcomes, as significant associations between emotional regulation (e.g.…”

Section: Behavioral Activation and Caregiver Distressmentioning

confidence: 86%

Effects of the frequency and satisfaction with leisure profile on dementia caregivers distress. [Efectos del perfil de frecuencia y satisfacción con el ocio en el malestar de cuidadores de personas con demencia]

2014

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Título: Efectos del perfil de frecuencia y satisfacción con el ocio en el malestar de cuidadores de personas con demencia. Resumen: Objetivos: El modelo PEAR ("Actividades AgradablesRestricción Conductual") ha sido propuesto como una manera de entender los efectos del ocio sobre el malestar de cuidadores de personas con demencia. En base al modelo PEAR y al de estrés y afrontamiento, el objetivo de este estudio fue analizar de forma conjunta el papel de la frecuencia y la satisfacción con la activación conductual en la explicación del malestar del cuidador (depresión, ansiedad, salud percibida), el riesgo de institucionalización de la persona cuidada, los estresores y recursos del cuidador (rumiación y reevaluación cognitiva) en una muestra de 275 cuidadores. Método: Se dividió a la muestra en cuatro grupos en función de sus niveles en la frecuencia y la satisfacción con la activación conductual: BFBS = Baja frecuencia + baja satisfacción; BFAS = Baja frecuencia + alta satisfacción; AFBS = Alta frecuencia + baja satisfacción; y AFAS = Alta frecuencia + alta satisfacción. Resultados: Mientras que los cuidadores del grupo AFAS mostraron un perfil más positivo en variables relacionadas con los recursos y de salud, y menores puntuaciones en riesgo de institucionalización en comparación con el resto de los grupos, los cuidadores del grupo BFBS utilizaron en mayor medida estrategias de regulación emocional desadaptativas y mostraron peores consecuencias sobre variables de resultado de salud. Discusión: Los resultados sugieren la importancia de considerar el perfil de frecuencia y satisfacción con el ocio a la hora de entender el malestar del cuidador. Palabras clave: cuidadores de personas con demencia; activación conductual; actividades agradables; riesgo de institucionalización; depresión; ansiedad. Abstract:Objectives: The PEAR (pleasant events-activity restriction) model has been proposed as a way of understanding leisure effects on dementia caregivers" distress. Considering both the PEAR model and the stress and coping model, the purpose of this study was to analyze the potential of both frequency and satisfaction with leisure to explain caregivers" distress (depression, anxiety and perceived health), risk of institutionalization of the care recipient, caregivers" stressors and resources variables (rumination and cognitive reappraisal) in 275 caregivers. Methods: The sample was divided in four groups based on caregivers" scores on frequency and satisfaction with leisure: LFLS = Low frequency + low satisfaction; LFHS = Low frequency and high satisfaction; HFLS = High frequency + low satisfaction; HFHS = High frequency + high satisfaction. Results: Results indicated that while caregivers from the HFHS group showed a generally more positive profile on resources variables, health outcomes and lower levels of risk of institutionalization compared with the other groups, caregivers from the LFLS group used significantly less adaptive emotional regulation strategies and showed worse consequences on health outcomes. Discu...

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Section: Behavioral Activation and Caregiver Distressmentioning

confidence: 86%

Effects of the frequency and satisfaction with leisure profile on dementia caregivers distress. [Efectos del perfil de frecuencia y satisfacción con el ocio en el malestar de cuidadores de personas con demencia]

2014

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“…To assess the extent of depressive brooding, the brooding subscale of the Rumination Response Scale (RRS) will be used [65–67]. The brooding scale consists of 5 questions on a 4-point Likert-scale.…”

Section: Discussionmentioning

confidence: 99%

Behavioural activation by mental health nurses for late-life depression in primary care: a randomized controlled trial

et al. 2017

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BackgroundDepressive symptoms are common in older adults. The effectiveness of pharmacological treatments and the availability of psychological treatments in primary care are limited. A behavioural approach to depression treatment might be beneficial to many older adults but such care is still largely unavailable. Behavioural Activation (BA) protocols are less complicated and more easy to train than other psychological therapies, making them very suitable for delivery by less specialised therapists. The recent introduction of the mental health nurse in primary care centres in the Netherlands has created major opportunities for improving the accessibility of psychological treatments for late-life depression in primary care. BA may thus address the needs of older patients while improving treatment outcome and lowering costs.The primary objective of this study is to compare the effectiveness and cost-effectiveness of BA in comparison with treatment as usual (TAU) for late-life depression in Dutch primary care. A secondary goal is to explore several potential mechanisms of change, as well as predictors and moderators of treatment outcome of BA for late-life depression.Methods/designCluster-randomised controlled multicentre trial with two parallel groups: a) behavioural activation, and b) treatment as usual, conducted in primary care centres with a follow-up of 52 weeks. The main inclusion criterion is a PHQ-9 score > 9. Patients are excluded from the trial in case of severe mental illness that requires specialized treatment, high suicide risk, drug and/or alcohol abuse, prior psychotherapy, change in dosage or type of prescribed antidepressants in the previous 12 weeks, or moderate to severe cognitive impairment. The intervention consists of 8 weekly 30-min BA sessions delivered by a trained mental health nurse.DiscussionWe expect BA to be an effective and cost-effective treatment for late-life depression compared to TAU. BA delivered by mental health nurses could increase the availability and accessibility of non-pharmacological treatments for late-life depression in primary care.Trial registrationThis study is retrospectively registered in the Dutch Clinical Trial Register NTR6013 on August 25th 2016.

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“…(17) BAS, the assessment instrument of behavioral activation, was generated through an exploratory factor analysis of a rationally derived set of items followed by a confirmatory factor analysis. (17, 18) This factor structure was replicated in community samples with elevated depressive symptoms (19, 20) and in depressed outpatients (21). Adequate reliability and validity were reported for the BAS in all the above studies, with BAS scores showing predicted associations with depressive symptoms.…”

Section: Methodsmentioning

confidence: 73%

“Engage” Therapy: Behavioral Activation and Improvement of Late-Life Major Depression

Alexopoulos

Raue

Gunning

et al. 2016

The American Journal of Geriatric Psychiatry

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Objective Engage is a treatment for late-life depression developed to match the skills of community clinicians. It is based on the theory that dysfunction in the RDoC positive valence systems (PVS) is a critical mechanism of late life depression. Accordingly, it uses “reward exposure” (engagement in meaningful, rewarding activities) as its principal intervention. This study tests the hypothesis that change in behavioral activation, an index of PVS function, during successive treatment periods with Engage and during follow-up predicts depression at the end of each period. Methods Forty-eight non-demented, older adults with unipolar major depression were treated openly with 9 weekly sessions of Engage and assessed 36 weeks after entry. Depression severity was assessed with the 24-item Hamilton Depression Rating Scale (HAM-D) and behavioral activation with the Behavioral Activation for Depression Scale (BAS) at baseline, 6 weeks (mid-treatment), 9 weeks (end of treatment), and 36 weeks. Results A mixed effects model examined whether change in BAS in successive periods occurring during Engage treatment and during follow-up predicts depression at the end of each period. Both BAS change (F1, 52=18.63, p<0.0001) and time (F2, 52=7.68, p=0.0012) predicted HAM-D scores at the end of each observation period. For every point of increase in BAS change, there was a reduction of HAM-D by 0.105 points. HAM-D at each point did not predict subsequent change in BAS (F1, 52=2.17, p = 0.146). Conclusion During Engage treatment and follow-up, change in behavioral activation is followed by improvement of depressive symptoms and signs.

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The Dutch version of the behavioral activation for depression scale (BADS): Psychometric properties and factor structure

Cited by 32 publications

References 26 publications

Effects of the frequency and satisfaction with leisure profile on dementia caregivers distress. [Efectos del perfil de frecuencia y satisfacción con el ocio en el malestar de cuidadores de personas con demencia]

Effects of the frequency and satisfaction with leisure profile on dementia caregivers distress. [Efectos del perfil de frecuencia y satisfacción con el ocio en el malestar de cuidadores de personas con demencia]

Behavioural activation by mental health nurses for late-life depression in primary care: a randomized controlled trial

“Engage” Therapy: Behavioral Activation and Improvement of Late-Life Major Depression

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