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Cognitive Therapy and Research

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14-03-2020 | Original Article

Therapist Guided Activity Practice for Depressive Symptoms in University Students: A Randomized Controlled Trial

Auteurs: Aliza T. Stein, Jason Shumake, Christopher G. Beevers, Jasper A. J. Smits

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2020

Abstract

Background

Behavioral activation (BA) interventions are efficacious for depression, yet a substantial minority of patients do not respond to treatment. Strategies that facilitate activity outside of session may improve BA treatment outcomes. The objective of the current study was to examine whether briefly practicing a target activity (guided practice) during a modified single session of BA resulted in (1) higher homework completion and (2) improved self-efficacy compared to activity planning alone (control).

Methods

Participants (n = 100) were college students with depressive symptoms randomized to the guided practice (n = 50) and control (n = 50) conditions (NCT03327259). All participants selected an activity to monitor for 7 days with a goal of completing the activity five times. Self-report questionnaires were completed at baseline and 7-days later.

Results

There was a positive effect of guided practice on activity completion. Participants assigned to the guided practice condition evidenced a higher rate of activity completion relative to those assigned to the control condition. However, participants assigned to the guided practice condition did not evidence a greater improvement in self-efficacy for completing the targeted activity relative to the control condition.

Conclusions

These results support the potential utility of guided practice as a strategy for improving homework compliance in BA.

vorige artikel Increased Direct Retrieval of Overgeneral Categoric Memory in Individuals with Dysphoria and a History of Major Depression

volgende artikel Neural Correlates Supported by Eye Movements of Self-Focused Attention and Other-Focused Attention in Social Situations

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Due to an experimenter error, two different versions of the BDI (I and II) were administered. Given that they are highly correlated and the BDI is validated for use in student samples, we chose not to change versions of the measure part way through the study.

Addis, M. E., & Jacobson, N. S. (2000). A closer look at the treatment rationale and homework compliance in cognitive-behavioral therapy for depression. Cognitive Therapy and Research,24(3), 313–326. https://doi.org/10.1023/A:1005563304265.CrossRef

Auerbach, R. P., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., et al. (2018). WHO world mental health surveys international college student project: Prevalence and distribution of mental disorders. Journal of Abnormal Psychology,127(7), 623–638. https://doi.org/10.1037/abn0000362.CrossRefPubMedPubMedCentral

Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37(2), 122.CrossRef

Bandura, A. (1990). Perceived self-efficacy in the exercise of control over AIDS infection. Evaluation and Program Planning,13(1), 9–17. https://doi.org/10.1016/0149-7189(90)90004-G.CrossRef

Bates, D., Mächler, M., Bolker, B., & Walker, S. (2014). Fitting linear mixed-effects models using lme4. ArXiv Preprint arXiv:abs/1406.5823 .

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the beck depression inventory-II. San Antonio, TX: Psychological Corporation.

Beck, A. T., Steer, R. A., & Carbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review,8(1), 77–100. https://doi.org/10.1016/0272-7358(88)90050-5.CrossRef

Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry,4(6), 561–571. https://doi.org/10.1001/archpsyc.1961.01710120031004.CrossRefPubMed

Bertha, E. A., & Balázs, J. (2013). Subthreshold depression in adolescence: A systematic review. European Child & Adolescent Psychiatry,22(10), 589–603.CrossRef

Browner, W. S. (2006). Publishing and presenting clinical research. Philadelphia: Lippincott Williams & Wilkins.

Bryant, M. J., Simons, A. D., & Thase, M. E. (1999). Therapist skill and patient variables in homework compliance: Controlling an uncontrolled variable in cognitive therapy outcome research. Cognitive Therapy and Research,23(4), 381–399. https://doi.org/10.1023/A:1018703901116.CrossRef

Burns, D. D., & Spangler, D. L. (2000). Does psychotherapy homework lead to improvements in depression in cognitive–behavioral therapy or does improvement lead to increased homework compliance? Journal of Consulting and Clinical Psychology,68(1), 46–56. https://doi.org/10.1037/0022-006X.68.1.46.CrossRefPubMed

Busch, A. M., Uebelacker, L. A., Kalibatseva, Z., & Miller, I. W. (2010). Measuring homework completion in behavioral activation. Behavior Modification,34(4), 310–329. https://doi.org/10.1177/0145445510373384.CrossRefPubMedPubMedCentral

Cuijpers, P., Andersson, G., Donker, T., & van Straten, A. (2011). Psychological treatment of depression: Results of a series of meta-analyses. Nordic Journal of Psychiatry,65(6), 354–364. https://doi.org/10.3109/08039488.2011.596570.CrossRefPubMed

Cuijpers, P., van Straten, A., & Warmerdam, L. (2007). Behavioral activation treatments of depression: A meta-analysis. Clinical Psychology Review,27(3), 318–326. https://doi.org/10.1016/j.cpr.2006.11.001.CrossRefPubMed

Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., et al. (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(4), 658–670. https://doi.org/10.1037/0022-006X.74.4.658.CrossRefPubMed

Dobson, K. S., Hollon, S. D., Dimidjian, S., Schmaling, K. B., Kohlenberg, R. J., Gallop, R. J., et al. (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(3), 468.CrossRef

Ekers, D., Richards, D., & Gilbody, S. (2008). A meta-analysis of randomized trials of behavioural treatment of depression. Psychological Medicine,38(5), 611–623. https://doi.org/10.1017/S0033291707001614.CrossRefPubMed

Ekers, D., Webster, L., Van Straten, A., Cuijpers, P., Richards, D., & Gilbody, S. (2014). Behavioural activation for depression; An update of meta-analysis of effectiveness and sub group analysis. PLoS ONE,9(6), e100100. https://doi.org/10.1371/journal.pone.0100100.CrossRefPubMedPubMedCentral

Etter, J.-F., Bergman, M. M., Humair, J.-P., & Perneger, T. V. (2000). Development and validation of a scale measuring self-efficacy of current and former smokers. Addiction,95(6), 901–913. https://doi.org/10.1046/j.1360-0443.2000.9569017.x.CrossRefPubMed

Ferster, C. B. (1973). A functional analysis of depression. American Psychologist,28(10), 857.CrossRef

Gawrysiak, M., Nicholas, C., & Hopko, D. R. (2009). Behavioral activation for moderately depressed university students: Randomized controlled trial. Journal of Counseling Psychology,56(3), 468–475. https://doi.org/10.1037/a0016383.CrossRef

Gress-Smith, J. L., Roubinov, D. S., Andreotti, C., Compas, B. E., & Luecken, L. J. (2015). Prevalence, severity and risk factors for depressive symptoms and insomnia in college undergraduates. Stress and Health,31(1), 63–70.CrossRef

Hopko, D. R., Armento, M. E. A., Cantu, M. S., Chambers, L. L., & Lejuez, C. W. (2003a). The use of daily diaries to assess the relations among mood state, overt behavior, and reward value of activities. Behaviour Research and Therapy,41(10), 1137–1148. https://doi.org/10.1016/S0005-7967(03)00017-2.CrossRefPubMed

Hopko, D. R., Bell, J. L., Armento, M., Robertson, S., Mullane, C., Wolf, N., et al. (2008). Cognitive-behavior therapy for depressed cancer patients in a medical care setting. Behavior Therapy,39(2), 126–136. https://doi.org/10.1016/j.beth.2007.05.007.CrossRefPubMed

Hopko, D. R., Lejuez, C. W., Ruggiero, K. J., & Eifert, G. H. (2003b). Contemporary behavioral activation treatments for depression: Procedures, principles, and progress. Clinical Psychology Review,23(5), 699–717. https://doi.org/10.1016/S0272-7358(03)00070-9.CrossRefPubMed

Kanter, J. W., Mulick, P. S., Busch, A. M., Berlin, K. S., & Martell, C. R. (2007). The Behavioral Activation for Depression Scale (BADS): Psychometric properties and factor structure. Journal of Psychopathology and Behavioral Assessment,29(3), 191.CrossRef

Kazantzis, N., Deane, F. P., & Ronan, K. R. (2000). Homework assignments in cognitive and behavioral therapy: A meta-analysis. Clinical Psychology: Science and Practice,7(2), 189–202. https://doi.org/10.1093/clipsy.7.2.189.CrossRef

Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., et al. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry,60(2), 184–189. https://doi.org/10.1001/archpsyc.60.2.184.CrossRefPubMed

Lejuez, C. W., Hopko, D. R., & Hopko, S. D. (2001). A brief behavioral activation treatment for depression: Treatment manual. Behavior Modification,25(2), 255–286. https://doi.org/10.1177/0145445501252005.CrossRefPubMed

Lewinsohn, P. M., Sullivan, J. M., & Grosscup, S. J. (1980). Changing reinforcing events: An approach to the treatment of depression. Psychotherapy: Theory, Research & Practice,17(3), 322.CrossRef

MacPhillamy, D. J., & Lewinsohn, P. M. (1974). Depression as a function of levels of desired and obtained pleasure. Journal of Abnormal Psychology,83(6), 651–657. https://doi.org/10.1037/h0037467.CrossRefPubMed

Martell, C. R., Dimidjian, S., & Herman-Dunn, R. (2013). Behavioral activation for depression: A clinician’s guide. New York: Guilford Press.

Mausbach, B. T., Moore, R., Roesch, S., Cardenas, V., & Patterson, T. L. (2010). The relationship between homework compliance and therapy outcomes: An updated meta-analysis. Cognitive Therapy and Research,34(5), 429–438. https://doi.org/10.1007/s10608-010-9297-z.CrossRefPubMedPubMedCentral

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(4), 383–411. https://doi.org/10.1111/j.1468-2850.2009.01178.x.CrossRef

Richards, D. A., Ekers, D., McMillan, D., Taylor, R. S., Byford, S., Warren, F. C., et al. (2016). Cost and outcome of behavioural activation versus cognitive behavioural therapy for depression (COBRA): A randomised, controlled, non-inferiority trial. Lancet,388(10047), 871–880. https://doi.org/10.1016/S0140-6736(16)31140-0.CrossRefPubMedPubMedCentral

Ryba, M. M., & Hopko, D. R. (2012). Gender differences in depression: Assessing mediational effects of overt behaviors and environmental reward through daily diary monitoring. Depression Research and Treatment,2012, e865679. https://doi.org/10.1155/2012/865679.CrossRef

Ryba, M. M., Lejuez, C. W., & Hopko, D. R. (2014). Behavioral activation for depressed breast cancer patients: The impact of therapeutic compliance and quantity of activities completed on symptom reduction. Journal of Consulting and Clinical Psychology,82(2), 325–335. https://doi.org/10.1037/a0035363.CrossRefPubMed

Snarski, M., Scogin, F., DiNapoli, E., Presnell, A., McAlpine, J., & Marcinak, J. (2011). The effects of behavioral activation therapy with inpatient geriatric psychiatry patients. Behavior Therapy,42(1), 100–108. https://doi.org/10.1016/j.beth.2010.05.001.CrossRefPubMed

Wickham, H., Francois, R., Henry, L., & Müller, K. (2015). dplyr: A grammar of data manipulation. R Package Version 0.4, 3.

Titel: Therapist Guided Activity Practice for Depressive Symptoms in University Students: A Randomized Controlled Trial
Auteurs: Aliza T. Stein
Jason Shumake
Christopher G. Beevers
Jasper A. J. Smits
Publicatiedatum: 14-03-2020
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 3/2020
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-020-10095-3

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Abstract

Background

Methods

Results

Conclusions

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