Behavioural activation therapy to improve participation in adults with depression following brain injury: A single-case experimental design study
Behavioural activation therapy to improve participation in adults with depression following brain injury: A single-case experimental design study
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DOI：
10.1080/09602011.2019.1696212
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发表时间：
2019-11-28
影响因子：
2.7
通讯作者：
Tate, Robyn L.
中科院分区：
文献类型：
--
作者：
Gertler, Paul;Tate, Robyn L.
脑损伤后，抑郁症的风险增加。对于这个问题，很少有非药物干预的研究。行为激活（BA）可能会有所帮助，因为它已被证明与认知行为疗法一样有效，但对认知的要求较低，更适合大脑受损的人。目前的研究评估BA使用多基线设计的行为与复制。三名具有临床显著抑郁症状的男性参与者（两名患有创伤性脑损伤，年龄分别为26岁和46岁，一名在婴儿期中风，年龄为26岁）参与了为期10-14周的BA试验，重点关注三个活动领域：身体，社会和功能活动。参与者每天完成三次在线表格，记录活动参与情况和对单项情绪量表的反应。几乎没有证据支持BA增加参与。平均情绪也没有变化，但在这些参与者的抑郁症状和生活质量方面发现了一些积极的影响。影响参与的各种因素可能通过延长治疗接触、更多地使用提示或电子辅助设备或添加其他治疗模式来缓解。
Following brain injury, the risk of depression increases. There are few studies of non-pharmacological interventions for this problem. Behavioural Activation (BA) could help because it has been demonstrated to be as effective as cognitive-behaviour therapy but is less cognitively demanding and more suitable for people with brain impairment. The current study evaluated BA using a multiple-baseline design across behaviours with replication. Three male participants with clinically significant depressive symptoms (two with traumatic brain injury aged 26 and 46, one who experienced strokes in infancy, aged 26) engaged in a 10-14-week trial of BA focusing on three activity domains: physical, social and functional activities. Participants completed an online form three times a day which recorded activity participation and responses to a single-item mood scale. There was little evidence in support of BA for increasing participation. There was also a lack of change in average mood, but some positive effects were found on measures of depression symptoms and quality of life in these participants. Various factors affected participation which might have been mitigated by extended treatment contact, greater use of prompts or electronic aids or the addition of other therapy modes.