How does behavioral activation therapy compare with cognitive-behavioral therapy for adults with depression?

2020 ◽  
Author(s):  
Sarah R. Davies
2020 ◽  
Author(s):  
Hassan Majeed ◽  
Charles Stanfa ◽  
Donna Sudak

Cognitive-behavioral therapy (CBT) is an empirically supported psychotherapy shown to be effective and durable for the treatment of a variety of psychiatric illnesses. It is problem focused and conceptually driven. Cognitive restructuring, behavioral activation, exposure, and developing good action plans for out-of-session practice are tools that benefit patients for a lifetime. The purpose of this review is to provide an overview of the literature that supports the use of CBT, introduce the key elements of the therapeutic approach, and illustrate them with case examples. The structure of the session and the CBT approach to the therapeutic alliance are highlighted in the text.  This review contains 23 tables, and 59 references. Key words: Cognitive-behavioral therapy, cognitive restructuring, collaboration, behavioral activation, exposure


2004 ◽  
Vol 18 (4) ◽  
pp. 337-350 ◽  
Author(s):  
Hal Arkowitz ◽  
Henny A. Westra

Many clients engaging in Cognitive Behavioral Therapy (CBT) for depression and anxiety are ambivalent about change, and about taking necessary actions to bring about change such as exposure or behavioral activation exercises. Given the focus of motivational interviewing (MI) on enhancing readiness for change, it is of great interest to investigate applications of MI to prevalent disorders such as depression and anxiety. After exploring the rationale for integrating MI with CBT for these disorders, we outline unique features of MI that may render it a useful complement to CBT, such as its focus on resolving ambivalence for change and specific strategies for responding to resistance. We suggest several possible ways in which MI may be combined with CBT. Finally, we discuss our clinical experience with adapting MI to the treatment of depression and anxiety, including case illustrations of each, and discuss some of the unique issues arising in generalizing MI for use with these populations.


2020 ◽  
Author(s):  
Xiaoxia Wang

Behavioral activation (BA) treatment has evolved from a component of cognitive behavioral therapy (CBT) and has become standalone psychotherapy for depression. The rapid increasing application of tele-mental health approaches such as telephone-, internet-, and smartphone-based interventions with BA were emphasized. With its efficacy comparable to traditional CBT, and its evidenced-based cost-effectiveness, BA is promising to be developed into a guided self-help intervention. The efficacy across diagnoses and effective components of BA treatment were reviewed. With the rise of the third wave of psychotherapy, therapeutic components across diagnoses will be incorporated into behavioral activation therapy. However, extensive studies are required to examine the neural and modulatory mechanism of BA for depression, and to explore the feasibility and necessity of tele-mental health BA application into the healthcare system.


2011 ◽  
Vol 35 (6) ◽  
pp. 595-618 ◽  
Author(s):  
Karen L. Jacob ◽  
Michael S. Christopher ◽  
Edmund C. Neuhaus

Although several theories exist to describe why patients improve in cognitive-behavioral therapy (CBT), in only a limited number of studies has CBT skill acquisition been examined, particularly among patients with complex clinical profiles. Thus, the overarching aim of this research was to develop a tool to measure patients’ use of CBT skills, such that it would have clinical utility for patients and therapists during treatment. In Study 1, the authors developed an initial set of items for the Cognitive-Behavioral Therapy Skills Questionnaire (CBTSQ). They submitted these items to an exploratory factor analysis in an initial administration ( n = 350) and to a confirmatory factor analysis in a second administration ( n = 378). Results indicated that there were two factors (Behavioral Activation and Cognitive Restructuring) with good factor structure and internal consistency, and both the factors evidenced expected relationships with other constructs. In Study 2, the criterion validity of the CBTSQ was investigated on a patient sample in a CBT-oriented treatment setting. Results showed that CBTSQ scores increased following treatment, and Cognitive Restructuring and Behavioral Activation scores predicted reduction of overall psychiatric symptoms and depression. Thus, the CBTSQ appears to be a promising measure of CBT skill acquisition and treatment outcome as well as an instrument that can help patients and therapists monitor progress specifically related to a CBT skills training treatment approach.


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