Sage Journals: Discover world-class research

Abstract

Following from the seminal work of Ferster, Lewinsohn, and Jacobson, as well as theory and research on the Matching Law, Lejuez, Hopko, LePage, Hopko, and McNeil developed a reinforcement-based depression treatment that was brief, uncomplicated, and tied closely to behavioral theory. They called this treatment the brief behavioral activation treatment for depression (BATD), and the original manual was published in this journal. The current manuscript is a revised manual (BATD-R), reflecting key modifications that simplify and clarify key treatment elements, procedures, and treatment forms. Specific modifications include (a) greater emphasis on treatment rationale, including therapeutic alliance; (b) greater clarity regarding life areas, values, and activities; (c) simplified (and fewer) treatment forms; (d) enhanced procedural details, including troubleshooting and concept reviews; and (e) availability of a modified Daily Monitoring Form to accommodate low literacy patients. Following the presentation of the manual, the authors conclude with a discussion of the key barriers in greater depth, including strategies for addressing these barriers.

Keywords

depression reinforcement activation matching law

Get full access to this article

View all access options for this article.

References

Beck, A. , Rush, A. , Shaw, B. , & Emery, G. ( 1979). Cognitive therapy of depression. New York, NY: Guilford.

Cuijpers, P. , van Straten, A. , & Warmerdam, L. ( 2007). Behavioral activation treatments of depression: A meta-analysis . Clinical Psychology Review, 27, 318-326.

Daughters, S. , Braun, A. , Sargeant, M. , Reynolds, E. , Hopko, D. , Blanco, C. , & Lejuez, C.W. ( 2008). Effectiveness of a brief behavioral treatment for inner-city illicit drug users with elevated depressive symptoms: The life enhancement treatment for substance use (LETS Act!). Journal of Clinical Psychiatry, 69, 122-129.

Daughters, S.B. , Magidson, J.F. , Schuster, R. , & Safren, S. ( 2010). Act healthy: A combined behavioral activation for depression and cognitive-behavioral HIV medication adherence treatment for substance users in residential treatment. Cognitive and Behavioral Practice , 17, 309-321.

Dimidjian, S. , Hollon, S.D. , Dobson, K.S. , Schmaling, K.B. , Kohlenberg, R. , Addis, M. , . . . Jacobson, N.S. (2006). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74, 658-670.

Dobson, K. , Hollon, S.D. , Dimidjian, S. , Schmaling, K.B. , Kohlenberg, R.J. , Gallop, R. , . . . Jacobson, N.S. (2008). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the prevention of relapse and recurrence in major depression. Journal of Consulting and Clinical Psychology, 76, 468-477.

Egede, L.E. , Frueh, C.B. , Richardson, L.K. , Acierno, R. , Maudlin, P.D. , Knapp, R.G. , & Lejuez, C.W. ( 2009). Rationale and design: Telepsychology service delivery for depressed elderly veterans. Trials, 10, 10-22.

Ekers, D. , Richards, D. , & Gilbody, S. ( 2008). A meta-analysis of randomized trials of behavioural treatment of depression. Psychological Medicine, 38, 611-623.

Ferster, C. ( 1973). A functional analysis of depression. American Psychologist, 28, 857-870.

10.

Gawrysiak, M. , Nicholas, C. , & Hopko, D.R. ( 2009). Behavioral activation for moderately depressed university students: Randomized controlled trial. Journal of Counseling Psychology, 56, 468-475.

11.

Hayes, S.C. , Strosahl, K. , & Wilson, K.G. ( 1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York, NY: Guilford.

12.

Herrnstein, R. ( 1970). On the law of effect. Journal of the Experimental Analysis of Behavior, 13, 243-266.

13.

Hopko, D. , Bell, J. , Armento, M. , Hunt, M. , & Lejuez, C. ( 2005). Behavior therapy for depressed cancer patients in primary care. Psychotherapy: Theory, Research, Practice, Training , 42, 236-243.

14.

Hopko, D. , Lejuez, C. , LePage, J. , Hopko, S. , & McNeil, D. (2003). A brief behavioral activation treatment for depression: A randomized pilot trial within an inpatient psychiatric hospital. Behavior Modification, 27, 458-469.

15.

Hopko, D. , Lejuez, C. , Ruggiero, K. , & Eifert, G. ( 2003). Contemporary behavioral activation treatments for depression: Procedures, principles and progress. Clinical Psychology Review , 23, 699-717.

16.

Hopko, D. , Sanchez, L. , Hopko, S. , Dvir, S. , & Lejuez, C. ( 2003). Behavioral activation and the prevention of suicidal behaviors in patients with borderline personality disorders. Journal of Personality Disorders, 17, 460-478.

17.

Jacobson, N. , Dobson, K. , Truax, P. , Addis, M. , Koerner, K. , Gollan, J.K. , . . . Prince, S.E. ( 1996). A component analysis of cognitive-behavioral treatment for depression. Journal of Consulting and Clinical Psychology , 64, 295-304.

18.

Jacobson, N.S. , Martell, C.R. , & Dimidjian, S. ( 2001). Behavioral activation treatment for depression: Returning to contextual roots. Clinical Psychology: Science and Practice , 8, 255-270.

19.

Kanter, J. , Busch, A. , & Rusch, L. ( 2009). Behavioral activation: Distinctive features (CBT distinctive features). New York, NY: Routledge .

20.

Kanter, J. , Manos, R. , Busch, A. , & Rusch, L. ( 2008). Making behavioral activation more behavioral. Behavior Modification, 32, 780-803.

21.

Lejuez, C.W. , Hopko, D. , & Hopko, S. ( 2001). A brief behavioral activation treatment for depression: Treatment manual. Behavior Modification, 25, 255-286.

22.

Lejuez, C.W. , Hopko, D. , LePage, J. , Hopko, S. , & McNeil, D. (2001). A brief behavioral activation treatment for depression. Cognitive and Behavioral Practice , 8, 164-175. Volume 17, Issue 3, August 2010, Pages 309-321

23.

Lejuez, C.W. , Hopko, D. , Levine, S. , Gholkar, R. , & Collins, L. ( 2006). The therapeutic alliance in behavior therapy. Psychotherapy: Theory, Research, Practice, Training, 42, 456-468.

24.

Lewinsohn, P. ( 1974). A behavioral approach to depression. The psychology of depression: Contemporary theory and research. Oxford, UK: John Wiley.

25.

Linehan, M.M. ( 1993). Skills training manual for treatment of borderline personality disorder. New York, NY: Guilford .

26.

MacPherson, L. , Tull, M.T. , Matusiewicz, A. , Rodman, S. , Strong, D.R. , Kahler, C.W. , . . . Lejuez, C. W. (2010). Randomized controlled trial of behavioral activation smoking cessation treatment for smokers with elevated depressive symptoms. Journal of Consulting and Clinical Psychology, 78, 55-71.

27.

Martell, C. , Addis, M. , & Jacobson, N. ( 2001). Depression in context: Strategies for guided action. New York, NY: Norton.

28.

Martell, C.R. , Dimidjian, S. , & Hermann-Dunn, R. (2010). Behavioral activation for depression: A clinician’s guide. New York, NY : Guilford.

29.

Mazzucchelli, T. , Kane, R. , & Rees, C. ( 2009). Behavioral activation treatments for depression in adults: A meta-analysis and review. Clinical Psychology: Science and Practice, 16, 383-411.

30.

McDowell, J.J. ( 1982). The importance of Herrnstein’s mathematical statement of the law of effect for behavior therapy. American Psychologist , 37, 771-779.

31.

National Institute of Health and Clinical Excellence. ( 2009). Depression: The treatment and management of depression in adults. Retrieved from http://www.nice.org.uk/nicemedia/pdf/Depression_Update_FULL_GUIDELINE.pdf

32.

Pagoto, S.L. , Bodenlos, J. , Schneider, K. , Olendzki, B. , Spates, C.R. , & Ma, Y. ( 2008). Initial investigation of behavioral activation treatment for comorbid major depressive disorder and obesity. Psychotherapy: Theory, Research and Practice, 45, 410-415.

33.

Rachman, S. ( 1978). Human fears: A three systems analysis. Scandinavian Journal of Behaviour Therapy, 7, 237-245.

34.

Rounsaville, B.J. , Carroll, K.M. , & Onken, L.S. , (2001). Clinical Psychology Science and Practice, 8, 133-142.

35.

Sturmey, P. ( 2009). Behavioral activation is an evidence-based treatment for depression. Behavior Modification, 33, 818-829.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.18 MB