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    González-Roz, Alba Secades-Villa, Roberto and Muñiz, José 2018. Validity evidence of the Behavioral Activation for Depression Scale-Short Form among depressed smokers. International Journal of Clinical and Health Psychology, Vol. 18, Issue. 2, p. 162.
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Effects of Brief Behavioural Activation on Approach and Avoidance Tendencies in Acute Depression: Preliminary Findings

  • Farjana Nasrin (a1), Katharine Rimes (a1), Andrea Reinecke (a2), Mike Rinck (a3) and Thorsten Barnhofer (a4)...
Abstract

Background: It has been suggested that the behavioural activation (BA) treatments for depression unfold their effects, at least partly, through changes in approach and avoidance tendencies. However, as yet, little research has examined the cognitive effects of these interventions. Aims: This study investigated the impact of a single session of BA on depressive symptomatology, self-reported avoidance, and behavioural approach and avoidance tendencies. Method: Forty-six patients with a diagnosis of Major Depression were recruited from primary care psychological therapies services and block randomized to either a single session of behavioural activation (n = 22) or waiting list control (n = 24) delivered by an unblinded therapist. Self-reports of symptoms and cognitive factors were assessed before and after the one-week intervention phase. Approach and avoidance behavioural tendencies were assessed using the Approach-Avoidance Task (AAT). Results: Data from 40 participants (n = 20 in each group) was available for analyses. Depressive symptoms significantly decreased, and activation significantly increased from before to after treatment in the treatment group, but not in the control group. Performance on the AAT showed a trend indicating increased approach to positive valence stimuli in the treatment group, but not in the control group. Mediational analyses indicated small indirect effects of self-reported change in activation as mediators of the effect of condition on symptoms. Conclusions: The findings suggest that a single session of BA can have significant effects on symptoms in clinically depressed patients. Results hint at the possibility that increased behavioural approach might mediate the effect of BA.

Copyright
COPYRIGHT: © British Association for Behavioural and Cognitive Psychotherapies 2016 
Corresponding author
Correspondence to Thorsten Barnhofer, University of Exeter, Sir Henry Wellcome Building for Mood Disorders Research, Perry Road, Exeter EX4 4QG, UK. E-mail: t.barnhofer@exeter.ac.uk
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Behavioural and Cognitive Psychotherapy
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