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22-11-2018

Psychosocial factors associated with treatment outcomes in women with obesity and major depressive disorder who received behavioral activation for depression

Auteurs: Daniel Kern, Andrew Busch, Kristin L. Schneider, Steven A. Miller, Bradley M. Appelhans, Molly E. Waring, Matthew C. Whited, Sherry Pagoto

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2019

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Abstract

Behavioral activation is an empirically supported treatment for depression, but much is unknown about factors associated with treatment response. The present study aimed to determine whether baseline levels and subsequent changes in psychosocial factors were associated with improvement in depression in women with comorbid obesity who received behavioral activation treatment for depression and a lifestyle intervention. Multilevel modeling was used to estimate the associations between psychosocial factors and change in depression scores during the first 10 weeks of treatment and associations between changes in psychosocial factors from baseline to 6-month follow-up and change in depression over the same time period. No baseline psychosocial factors were associated with depression improvement during treatment (p = 0.110–0.613). However, greater improvement in hedonic capacity (p = 0.001), environmental reward (p = 0.004), and social impairment (p = 0.012) were associated with greater reductions in depression over 6 months. Findings highlight the differential relationship specific psychosocial factors have with depression treatment outcomes.
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Metagegevens
Titel
Psychosocial factors associated with treatment outcomes in women with obesity and major depressive disorder who received behavioral activation for depression
Auteurs
Daniel Kern
Andrew Busch
Kristin L. Schneider
Steven A. Miller
Bradley M. Appelhans
Molly E. Waring
Matthew C. Whited
Sherry Pagoto
Publicatiedatum
22-11-2018
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2019
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-018-9993-9