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Examining the Theor...
Examining the Theoretical Framework of Behavioral Activation for Major Depressive Disorder : Smartphone-Based Ecological Momentary Assessment Study
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- van Genugten, Claire Rosalie (författare)
- GGZ InGeest, Netherlands; Vrije Univ, Netherlands; Vrije Univ, Netherlands
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- Schuurmans, Josien (författare)
- GGZ InGeest, Netherlands; Vrije Univ, Netherlands
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- Hoogendoorn, Adriaan W. (författare)
- GGZ InGeest, Netherlands; Vrije Univ, Netherlands
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- Araya, Ricardo (författare)
- Kings Coll London, England
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- Andersson, Gerhard (författare)
- Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Karolinska Inst, Sweden
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- Banos, Rosa (författare)
- Univ Valencia, Spain; Inst Hlth Carlos III, Spain; Univ Valencia, Spain
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- Botella, Cristina (författare)
- Inst Hlth Carlos III, Spain; Jaume I Univ, Spain
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- Pashoja, Arlinda Cerga (författare)
- London Sch Hyg & Trop Med, England
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- Cieslak, Roman (författare)
- SWPS Univ Social Sci & Humanities, Poland; Lyda Hill Inst Human Resilience, CO USA
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- Ebert, David Daniel (författare)
- Tech Univ Munich, Germany
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- Garcia-Palacios, Azucena (författare)
- Inst Hlth Carlos III, Spain; Jaume I Univ, Spain
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- Hazo, Jean-Baptiste (författare)
- Univ Paris, France; AP HP, France
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- Herrero, Rocio (författare)
- Univ Valencia, Spain; Inst Hlth Carlos III, Spain
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- Holtzmann, Jerome (författare)
- Univ Hosp Grenoble Alpes, France
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- Kemmeren, Lise (författare)
- GGZ InGeest, Netherlands; Vrije Univ, Netherlands
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- Kleiboer, Annet (författare)
- Vrije Univ, Netherlands
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- Krieger, Tobias (författare)
- Univ Bern, Switzerland
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- Smoktunowicz, Ewelina (författare)
- SWPS Univ Social Sci & Humanities, Poland
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- Titzler, Ingrid (författare)
- Friedrich Alexander Univ Erlangen Nurnberg, Germany
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- Topooco, Naira (författare)
- Linköpings universitet,Psykologi,Filosofiska fakulteten,Palo Alto Univ, CA USA
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- Urech, Antoine (författare)
- Univ Bern, Switzerland
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- Smit, Johannes H. (författare)
- GGZ InGeest, Netherlands; Vrije Univ, Netherlands
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- Riper, Heleen (författare)
- GGZ InGeest, Netherlands; Vrije Univ, Netherlands; Vrije Univ, Netherlands; Univ Southern Denmark, Denmark; Univ Turku, Finland
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(creator_code:org_t)
- 2021-12-06
- 2021
- Engelska.
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Ingår i: JMIR Mental Health. - : JMIR Publications Inc. - 2368-7959. ; 8:12
- Relaterad länk:
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https://liu.diva-por... (primary) (Raw object)
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https://mental.jmir....
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https://urn.kb.se/re...
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https://doi.org/10.2...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Background: Behavioral activation (BA), either as a stand-alone treatment or as part of cognitive behavioral therapy, has been shown to be effective for treating depression. The theoretical underpinnings of BA derive from Lewinsohn et als theory of depression. The central premise of BA is that having patients engage in more pleasant activities leads to them experiencing more pleasure and elevates their mood, which, in turn, leads to further (behavioral) activation. However, there is a dearth of empirical evidence about the theoretical framework of BA. Objective: This study aims to examine the assumed (temporal) associations of the 3 constructs in the theoretical framework of BA. Methods: Data were collected as part of the "European Comparative Effectiveness Research on Internet-based Depression Treatment versus treatment-as-usual" trial among patients who were randomly assigned to receive blended cognitive behavioral therapy (bCBT). As part of bCBT, patients completed weekly assessments of their level of engagement in pleasant activities, the pleasure they experienced as a result of these activities, and their mood over the course of the treatment using a smartphone-based ecological momentary assessment (EMA) application. Longitudinal cross-lagged and cross-sectional associations of 240 patients were examined using random intercept cross-lagged panel models. Results: The analyses did not reveal any statistically significant cross-lagged coefficients (all P>.05). Statistically significant cross-sectional positive associations between activities, pleasure, and mood levels were identified. Moreover, the levels of engagement in activities, pleasure, and mood slightly increased over the duration of the treatment. In addition, mood seemed to carry over, over time, while both levels of engagement in activities and pleasurable experiences did not. Conclusions: The results were partially in accordance with the theoretical framework of BA, insofar as the analyses revealed cross-sectional relationships between levels of engagement in activities, pleasurable experiences deriving from these activities, and enhanced mood. However, given that no statistically significant temporal relationships were revealed, no conclusions could be drawn about potential causality. A shorter measurement interval (eg, daily rather than weekly EMA reports) might be more attuned to detecting potential underlying temporal pathways. Future research should use an EMA methodology to further investigate temporal associations, based on theory and how treatments are presented to patients.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- depression; behavioral activation; theoretical framework; ecological momentary assessment; random-intercept cross-lagged panel model; behavior; framework; EMA; smartphone; mental health; treatment; engagement; mood
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van Genugten, Cl ...
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Schuurmans, Josi ...
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Hoogendoorn, Adr ...
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Araya, Ricardo
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Andersson, Gerha ...
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Banos, Rosa
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Botella, Cristin ...
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Pashoja, Arlinda ...
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Cieslak, Roman
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Ebert, David Dan ...
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Garcia-Palacios, ...
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Hazo, Jean-Bapti ...
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Herrero, Rocio
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Holtzmann, Jerom ...
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Kemmeren, Lise
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Kleiboer, Annet
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Krieger, Tobias
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Smoktunowicz, Ew ...
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Titzler, Ingrid
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Topooco, Naira
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Urech, Antoine
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Smit, Johannes H ...
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Riper, Heleen
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Linköpings universitet
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