Behavioural activation

15 important questions on Behavioural activation

What can you do when problems/obstacles arise in behavioural activation?

  • Problem-solving
  • Imaginary rehearsal
  • back-up plans

What to do when activities are not completed in behavioural activation?

  • Be empathic and hopefull
  • Discourage self-blame/self-hatred
  • analyse
  • Different/smaller activity?
  • Rationale

How can you maximize the chance of a succesfull activity completion in behavioural activation?

  • Graded tasks (start with real simple, small tasks, so that mastery experience is gained)
  • assign simple to complex tasks in a stepwise matter
  • Design assignments so that early success is guaranteed
  • Goal is to get started, break the cycle of inactivation/avoidance
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How can you decide what activities a patient with depression can try in behavioural activation?q

  • Think back about things someone used to enjoy
  • Values
  • Experiment

How is reinforcement defined in the behavioural Activation theory (BA)?

An environmental event that increases the frequency of a behaviour.

Whereby the focus is on "what behaviours do you want to increase in frequency?" and find reinforcers that will enable this.

What is the description of a reduction in positive reinforcement of health behaviour in the BA model for depression?

A loss, reduction or chronically low levels of positive reinforcement from the environement,

What is the description of an increase in negative reinforcement from the environment in the BA model of depression?

Avoidance of aversive events, increases the change of reduction in positive reinforcement of health behavior.

What is the description of an increase in positive reinforcement of depressed behavior?

Behaviour from the environment that increases the likelihood of problametic depressed behaviour.

What negative thoughts are underlying cause of the severity of an actute depression?

Negative automatic thoughts: Thoughts that flow automatic, spontanuasly from out mind, whithout deliberate/rational consideration. Are often mood congruent, seem plausable and often go unexamined.

Explain how the changes in positive/negative reinforcement in depression alters mood in the BA model

Reduction in positive reinforcement, this will lead to anhedonia and an increase in negative mood. Reinforcement and negative mood may covary together.

What is meant by a reduction in activation in the BA model?

A reduction in positive reinforcement, will decrease the likelihood of healthy behaviors, which in depression will often lead to withdrawal from work, social activities, stop taking care of themselves.
On the other hand, there is an increase in negative reinforcement and positive reinforcement of depressed behaviours, increasing the likelihood of avoidance and depressed behavior.

Explain the BA's model of treatment of depression

Primary focus of BA is to increase behavioural activation, secondary techniques are used to decrease avoidance and depressed behaviours. This will directly influence behaviour, which influences the type of reinforcement a person experiences. In addition, treatment is focused on directly influencing reinforcement, via the environment. Reinforcement also increases right behaviour, which reduces negative mood and ultimately will break the depressive cycle, leading to a reduction in depressive symptoms.

What does research indicate on the effectiveness of BA vs. CBT + Ba? for the treatment of depression?

BA was a sufficient treatment as an independent treatment, CBT did not give additional benefits.

What is Behavioural activation as a treatment?

Expansion of the treatment model of Lewinsohn, focuses on activity scheduling, including activation techniques from CBT, including activity monitoring, scheduling, continguency management, skills training.

Out of which four components does CBT exists for the treatment of depression?

  1. Facilitative management (comfort from others)
  2. behavioural activation
  3. Automatic thoughts (adress)
  4. Core beliefs (maladaptive schema's)

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