Comorbidity as a moderator of the differential efficacy of transdiagnostic behavior therapy and behavioral activation for affective disorders

2022 ◽  
pp. 1-12
Author(s):  
Alice E. Coyne ◽  
Daniel F. Gros
2011 ◽  
Vol 67 (11) ◽  
pp. 1106-1116 ◽  
Author(s):  
Derek R. Hopko ◽  
Jessica F. Magidson ◽  
C.W. Lejuez

Author(s):  
Samuel H. Hubley ◽  
Sona Dimidjian

This article discusses the three primary contemporary behavior therapy interventions for depression: problem-solving therapy (PST), coping with depression (CWD), and behavioral activation (BA).   After providing an overview of the historical roots of behavioral treatment for depression, the article describes the theoretical foundation of each approach. It then considers the evidence base, citing clinical trials that have evaluated the efficacy and effectiveness of PST, CWD, and BA. It also examines the primary treatment strategies of each approach and concludes by suggesting directions for future research that emphasize the need to clarify mechanisms of change and to extend the scope of behavioral therapy for depression.


2020 ◽  
Author(s):  
Josefin Särnholm ◽  
Helga Skúladóttir ◽  
Christian Rück ◽  
Sofia Klavebäck ◽  
Eva Ólafsdóttir ◽  
...  

BACKGROUND Atrial fibrillation (AF) is the most common cardiac arrhythmia in the adult population. AF is associated with a poor quality of life (QoL) and, in many patients, current medical treatments are inadequate in alleviating AF symptoms (eg, palpitations). Patients often present with symptom preoccupation in terms of symptom fear, avoidance, and control behaviors. Internet-delivered cognitive behavior therapy is effective for treating other somatic disorders but has never been evaluated in patients with AF. OBJECTIVE The aim of this study is to evaluate the efficacy and feasibility of AF-specific internet-delivered cognitive behavior therapy. METHODS We conducted an uncontrolled pilot study in which 19 patients with symptomatic paroxysmal AF underwent internet-delivered cognitive behavior therapy. Participants completed self-assessments at pretreatment, posttreatment, and at a 6-month follow-up along with handheld electrocardiogram measurements with symptom registration. The treatment lasted 10 weeks and included exposure to physical sensations, reduction in avoidance behavior, and behavioral activation. RESULTS We observed large within-group improvements in the primary outcome, AF-specific QoL (Cohen <i>d</i>=0.80; <i>P</i>&lt;.001), and in symptom preoccupation (Cohen <i>d</i>=1.24; <i>P</i>&lt;.001) at posttreatment; the results were maintained at the 6-month follow-up. Treatment satisfaction and adherence rates were also high. We observed an increased AF burden, measured by electrocardiogram, at the 6-month follow-up, but a significant decrease was observed in the overestimation of AF symptoms at posttreatment and 6-month follow-up. Exploratory mediation analysis showed that a reduction in symptom preoccupation mediated the effects of internet-delivered cognitive behavior therapy on AF-specific QoL. CONCLUSIONS This study presents preliminary evidence for the potential efficacy and feasibility of a novel approach in treating patients with symptomatic AF with internet-delivered cognitive behavior therapy. CLINICALTRIAL ClinicalTrials.gov NCT02694276; https://clinicaltrials.gov/ct2/show/NCT02694276


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