Therapist tips for the brief behavioural activation therapy for depression - revised (BATD-R) treatment manual practical wisdom and clinical nuance.
Therapist tips for the brief behavioural activation therapy for depression - revised (BATD-R) treatment manual practical wisdom and clinical nuance.
复制标题
抑郁症简短行为激活疗法的治疗师提示 - 修订版 (BATD-R) 治疗手册实用智慧和临床细微差别。
DOI：
10.1111/cp.12085
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Lejuez,CarlW
中科院分区：
文献类型：
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作者：
Cassar,Joanne;Ross,Joanne;Dahne,Jennifer;Ewer,Philippa;Teesson,Maree;Hopko,Derek;Lejuez,CarlW
本文旨在为临床医生使用简明行为激活治疗抑郁症修订版（BATD-R）手册提供支持性指导。扩展治疗手册中不太明确的关键点，目标是传达手册中可用的实用智慧和临床细微差别，从而提高治疗师对该方法的舒适度并改善治疗效果。方法为药物使用者中抑郁症行为激活治疗的随机对照试验做准备（激活研究），卡尔Lejuez教授，手册的作者，为我们的研究团队提供培训。2013年5月，在澳大利亚悉尼的国家药物和酒精研究中心进行了为期四天的讨论，涉及对治疗提供的深入讨论，通常涉及手册中隐含但未深入解决的重要问题。反思进行了讨论，整个培训，随后整理成关键themes. ResultsIntroduction与治疗交付相关的复杂性进行了鉴定。出现了七个关键主题，涵盖：提供治疗理由;治疗联盟和自我披露;行为监测;价值观;角度和步骤;合同;以及借鉴其他治疗方法。详细讨论如何处理这些主题的治疗形式的基础上，这篇文章。ConclusionsThe当前的文章旨在指导治疗师，并提供了一个补充的BATD-R手册，将提高灵活性和可访问性的治疗师利用这种治疗。所提出的建议是有用的简单的情况下抑郁症和更复杂的共病介绍，作为一个有用的补充治疗师使用手册。
ObjectiveThis article aims to provide supportive guidance for clinicians using the brief behavioral activation treatment for depression ‐ revised (BATD‐R) manual. Expanding upon key points less explicitly addressed in the treatment manual, the goal is to convey practical wisdom and clinical nuance beyond that available in the manual, thereby enhancing therapist comfort with the approach and improving treatment delivery.MethodsIn preparation for a randomised control trial of behavioural activation treatment for depression among substance users (the Activate Study), Professor Carl Lejuez, an author on the manual, provided training to our research team. This occurred over four days in May 2013 at the National Drug and Alcohol Research Centre in Sydney, Australia and involved in‐depth discussion about treatment delivery, often addressing important issues implied but not addressed in‐depth in the manual. Reflections were discussed throughout training and subsequently collated into key themes.ResultsIntricacies associated with treatment delivery were identified. Seven key themes emerged, covering: provision of the treatment rationale; therapeutic alliance and self‐disclosure; behaviour monitoring; values; angles and steps; contracts; and drawing from other therapeutic approaches. A detailed discussion of how to approach these themes in treatment forms the basis of this article.ConclusionsThe current article seeks to guide therapists and provide a supplement to the BATD‐R manual that will enhance the flexibility and accessibility for therapists utilising this treatment. The suggestions made are useful for straightforward cases of depression and more complicated comorbid presentations, serving as a useful complement for therapists using the manual.