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Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

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Nội dung chi tiết: Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

Running head: REVISED BATD MANUALTen Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R) -R)c.w. LejuezCenter for Addictions, Personality, and Emotion Research. University of MarylandDerek R. HopkoUniversity of TennesseeRon AciemoMedical U

niversity of South CarolinaStacey B. DaughtersUniversity of MarylandSherry L. PagotoUniversity of Massachusetts Medical SchoolKeywords: Depression. Re Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

inforcement. Activation. Matching LawAddress Coưespondence to:c. w. LejuezDepartment of PsychologyCenter for Addictions, Personality, and Emotion Rese

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

arch (CAPER)University of MarylandCollege Park. MD 20742E-mail: clejuez@psyc Hind eduPhone (301)405-5932Fax: (301)314-95661Ten Year Revision of the Br

Running head: REVISED BATD MANUALTen Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R) nsohn (1974). as well as theory and research on the Matching Law (Herrnstein. 1970; McDowell. 1982), Jacobson et al. (1996) found that the behavioral

components of cognitive behavior therapy (CBT) for depression (Beck. Rush. Shaw. & Emery. 1979) performed as well as the full CBT package. Jacobson et Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

al (1996) referred to the behavioral component of CBT as Behavioral Activation (BA), and it included a wide range of behavioral strategies across 20

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

sessions including: (a) monitoring of daily activities; (b) assessment of the pleasure and mastery that is achieved by engaging in a variety of activi

Running head: REVISED BATD MANUALTen Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R) of scheduled activities, ill which participants imagine themselves engaging in various activities with the intent of finding obstacles to rhe imagine

d pleasure 01 master)' expected from those events; (e) discussion of specific problems (e.g.. difficult}' in falling asleep) and the prescription of b Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

ehavior therapy techniques for dealing with them; and (f) interventions to ameliorate social skills deficits (eg., assertiveness, conununication skill

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

s).From Jacobson et al (1996). Martell, Addis, and Jacobson (2001) and then Martell. Dimidjian. & Hermann-Duiui (2010) provided a more comprehensive B

Running head: REVISED BATD MANUALTen Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R) e indirectly related to behavioral activation (e.g.. periodic distraction from problems unpleasant events, mindfulness training, and self-reinforcemen

t). Lejuez. Hopko. and Hopko (2001) developed a compact 12 session protocol limited to components directly related to behavioral activation including Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

a focus on activity monitoring and scheduling with an idiogiaphic. values-driven’ framework supporting this approach. In recognition of the findings o

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

f Jacobson et al (1996). Lejuez and colleagues named then approach Brief Behavioral Activation3Treatment for Depression (BATD). with the original vers

Running head: REVISED BATD MANUALTen Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R) and BATD including strengths and weaknesses, as well as a review of the supportive literature for the two approaches. Comparative effectiveness studie

s have not been conducted to determine the superiority of either approach, or for which patients each version would be best suited. However, some have Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

hypothesized that BA may be the treatment of choice in cases of more complicated depression, whereas BATD may be more appropriate in cases where a mo

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

re straightforward and brief approach is desirable (Kanter. Manos. Busch. & Rusch. 2008; Sturmey. 2009) hl addition to conceptual pieces (eg.. Hopko e

Running head: REVISED BATD MANUALTen Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R) en. & Wanuerdam. 2007: Ekers. Richaids. & Gilbody. 2008. Mazzucchelh, Kane. & Rees. 2009). recent recommendations fiom clinical guidelines have indica

ted that behavioral activation is efficacious for treating depression (National Institute of Health and Clinical Excellence: NICE. 2009).Several key l Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

arge scale randomized clinical trials have indicated that BA is a cost-effective and efficacious alternative to cognitive therapy and antidepressant m

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

edication (Dobson et al.. 2008: Dimidjian et al.. 2006). Several trials provide support specific to BATD. Hopko. Lejuez. LePage. Hopko. and McNeil (20

Running head: REVISED BATD MANUALTen Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R) a small scale randomized clinical trial. In a second study highlighting the brief nature of BATD. Gawrysiak. Nicholas, and Hopko (2009) showed that a

structured single-session of BATD resulted in significant reductions in depression as compared to a no-treatment control for university students with Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

moderate depression symptoms. Several studies also have demonstrated efficacy for BATD foi depression in the context of other co-moibid conditions, h

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

l addition to4case controlled studies of individuals with depression co-morbid with obesity (Pagoto et al.. 2008) and cancer (Hopko. Bell. Armento. Hu

Running head: REVISED BATD MANUALTen Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R) .. 2010). and the other among individuals in residential drug treatment (Daughters et al .. 2008). In the context of our clinical and research experie

nce with the treatment combined with extensive manual development efforts (including key informant interviews with patients, counselors, and superviso Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

rs) usefill modifications to the manual have been made These fit well within the framework of Rounsaville. Carroll. & Onkin (2001) on the stage model

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

of behavior therapies research development. Specifically, we have completed each pail of Stage I including (a) pilot feasibility testing, (b) manual w

Running head: REVISED BATD MANUALTen Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R) ndomized clinical trials (RCTs) to evaluate efficacy as noted above, with the more recent studies using BATD-R manual (Daughters et al.. 2008; Gawrysi

ak et al.. 2009; MacPherson et al.. 2010). Moreover, although these studies have not explored mediation, they have shown significant changes compared Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

to a control group 111 activation and reinforcementbased variables we hypothesize as mediators, with future work planned to formally test mediation Ba

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

sed on this progress. Stage III work is being conducted w hich centers on systematically answering key questions of transportability (e.g.. generaliza

Running head: REVISED BATD MANUALTen Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-

Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R) ntation program, a junior high school summer scholars program for low income youth, a hospital-based cancer treatment program, as well as internationa

l settings including a community health center with Spanish speaking patients and a torture survivors recovery program 111 the Kurdistan region of Ira Ten Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-R)

q.Presentation of BATD-RIn considering the development of BATD. it is important to address the role of functional5

Running head: REVISED BATD MANUALTen Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-

Running head: REVISED BATD MANUALTen Year Revision of the Brief Behavioral Activation Treatment for Depression (BATD): Revised Treatment Manual (BATD-

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