Brief behavioural activation therapy for adolescent depression in schools: two case examples

Author(s):  
Simon Brett ◽  
Shirley Reynolds ◽  
Jonathan Totman ◽  
Laura Pass
2011 ◽  
Vol 40 (2) ◽  
pp. 233-237 ◽  
Author(s):  
Brad E. Bowins

Background: Although behavioural activation therapy is effective for depression there is always room for improvement, and also the need to extend this treatment modality to anxiety disorders. Method: A search was conducted for an easy to apply and effective method of achieving these aims. Results: To both enhance the effectiveness of behavioural activation treatment for depression and facilitate its extension to anxiety disorders, it is proposed that the Behavioral Approach/Activation System (BAS) and Behavioral Inhibition System (BIS) be incorporated. BIS/BAS Scales are easy to administer and evaluate ensuring that there is minimal added complexity. Overall, BAS, BAS subscale (Drive, Reward Responsiveness, and Fun Seeking) and BIS scores provide valuable information pertaining to a person's approach and avoidance responses. This general information, plus that derived from specific scale items, can be used to guide more focused and effective behavioural activation strategies. Brief case examples are provided to demonstrate how the BIS/BAS Scales can be applied. Conclusion: BIS/BAS Scales offer an easy to apply and effective means of enhancing behavioural activation therapy for depression and extending this treatment modality to anxiety disorders.


2017 ◽  
Vol 46 (2) ◽  
pp. 182-194 ◽  
Author(s):  
Laura Pass ◽  
Carl W. Lejuez ◽  
Shirley Reynolds

Background: Depression in adolescence is a common and serious mental health problem. In the UK, access to evidence-based psychological treatments is limited, and training and employing therapists to deliver these is expensive. Brief behavioural activation for the treatment of depression (BATD) has great potential for use with adolescents and to be delivered by a range of healthcare professionals, but there is limited empirical investigation with this group. Aims: To adapt BATD for depressed adolescents (Brief BA) and conduct a pilot study to assess feasibility, acceptability and clinical effectiveness. Method: Twenty depressed adolescents referred to the local NHS Child and Adolescent Mental Health service (CAMHs) were offered eight sessions of Brief BA followed by a review around one month later. Self- and parent-reported routine outcome measures (ROMs) were collected at every session. Results: Nineteen of the 20 young people fully engaged with the treatment and all reported finding some aspect of Brief BA helpful. Thirteen (65%) required no further psychological intervention following Brief BA, and both young people and parents reported high levels of acceptability and satisfaction with the approach. The pre–post effect size of Brief BA treatment was large. Conclusions: Brief BA is a promising innovation in the treatment of adolescent depression. This approach requires further evaluation to establish effectiveness and cost effectiveness compared with existing evidence-based treatments for adolescent depression. Other questions concern the effectiveness of delivery in other settings and when delivered by a range of professionals.


2016 ◽  
Vol 20 (1) ◽  
pp. 46-53 ◽  
Author(s):  
Joanne Cassar ◽  
Joanne Ross ◽  
Jennifer Dahne ◽  
Philippa Ewer ◽  
Maree Teesson ◽  
...  

2012 ◽  
Vol 29 (2) ◽  
pp. 77-96 ◽  
Author(s):  
Jarrod S. Turner ◽  
David J. Leach

Behavioural Activation (BA) therapy is a stand-alone evidence-based treatment for depression and also is being applied to anxiety with promising outcomes. Essentially, BA involves structured therapy aimed at increasing the amount of activity in a person's daily life, so that he or she comes into contact with sources of positive reinforcement for clinically healthy behaviours. Originally, contemporary BA was developed as a behaviour therapy treatment condition in a study that compared BA to Cognitive Behavioural Therapy (CBT). Over time, many variants of BA have appeared in the published literature, which included techniques that might be viewed as being incompatible with the original intended treatment model and more similar to generic forms of CBT. The purpose of this article is to provide researchers and practitioners with a description of what we consider to be the distinctive and essential elements of BA therapy.


Sign in / Sign up

Export Citation Format

Share Document