Behavioral activation in acute inpatient psychiatry: A multiple baseline evaluation

Folke, Fredrik; Hursti, Timo; Tungström, Stefan; Söderberg, Per; Kanter, Jonathan W.; Kuutmann, Klara; Olofsson, Hanna; Ekselius, Lisa

doi:10.1016/j.jbtep.2014.10.006

Cited by 26 publications

(43 citation statements)

References 39 publications

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“…Given the brief admission time, remission is an ambitious but still clinically meaningful goal. Previous studies have also found evidence for clinically significant change using the Reliable Change Index (RCI), but across longer periods of time (Jacobson & Truax 1991;Ekers et al 2011b;Folke et al 2015). In high severity symptom samples (as in the current study) PI is a more conservative estimate than RCI and reduces regression bias (Jacobson & Truax 1991;Hiller et al 2012).…”

Section: Discussionsupporting

confidence: 51%

“…In a pilot trial, the protocol was found to successfully bridge the gap between inpatient and outpatient treatment (Folke et al 2014). A later, multiple baseline trial also found support for the feasibility, effectiveness and clinical significance of BA (Folke et al 2015). Gollan et al (2014) developed and examined a milieu based group intervention based on BA (Behavioral Activation Communication), finding a greater change in positive affect compared to treatment as usual.…”

Section: Introductionmentioning

confidence: 99%

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The feasibility of brief behavioural activation treatment for depression in a PICU: a systematic replication

Myhre¹,

Strømgren²,

Arnesen³

et al. 2018

j psych intensive care

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Section: Discussionsupporting

confidence: 51%

Section: Introductionmentioning

confidence: 99%

The feasibility of brief behavioural activation treatment for depression in a PICU: a systematic replication

Myhre¹,

Strømgren²,

Arnesen³

et al. 2018

j psych intensive care

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“…Behavioural activation has also been found to be a particularly promising psychological inpatient treatment that has been used specifically to increase inpatients’ engagement in rewarding activities in a number of studies (Folke et al . ,b; Gollan et al . ; Hopko et al .…”

Section: Resultsmentioning

confidence: 99%

Exploring the relationship between activities and emotional experience using a diary in a mental health inpatient setting

Folke

Hursti

Kanter

et al. 2017

Int J Mental Health Nurs

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Mental health inpatient milieus have repeatedly been found to be associated with passivity, social disengagement, and low levels of interaction with staff. However, little is known about patients' experiences related to different ward activities. In the present study, we aimed to study the reports of activities and associated experiences of patients admitted to acute psychiatric inpatient wards. Disengaged, inactive, and solitary activities were hypothesized to be associated with less reward and more distress than their counterparts. We also aimed to investigate if such activities predicted distress, and if they were associated with clinical severity. Participants (n = 102) recorded their activities along with concurrent ratings of reward and distress in a structured 1-day diary, and nurses provided clinical severity ratings. On average, 3.74 of the 11 hours assessed (34%) were spent doing nothing, only 0.88 hours (8%) were spent with staff, and most of the time was spent in solitude. Doing nothing, being alone, and passivity were associated with the greatest levels of distress and lowest levels of reward, whereas informal socializing demonstrated the opposite pattern. Distress was not predicted by activity or reward when adjusting for baseline distress. Clinical severity was not associated with the amount of time spent alone or the experience of reward during activity. In conclusion, the risk for passivity and social disengagement during admission prevails. This activity pattern could have detrimental emotional consequences and warrants action, but more studies are needed to determine if activity actually precedes emotional experience.

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“…The theoretically critical questions about whether therapy‐induced activation and decreased avoidance mediate symptomatic improvement have only been investigated in a few studies (Manos et al ., ). Some researchers have used single case designs to investigate the temporal relations between the proposed mechanisms and outcome (Gaynor & Harris, ; Manos, Kanter & Lou, ; Folke et al ., ) and others have investigated the correlation between client compliance with activation assignments and outcomes (e.g., Busch, Uebelacker, Kalibatseva & Miller, ; Folke et al ., ; Hershenberg, Paulson, Gros & Acierno, ; Ryba, Lejuez & Hopko, ).…”

Section: Resultsmentioning

confidence: 99%

A learning theory account of depression

Ramnerö

Folke

Kanter

2015

Scandinavian J Psychology

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Learning theory provides a foundation for understanding and deriving treatment principles for impacting a spectrum of functional processes relevant to the construct of depression. While behavioral interventions have been commonplace in the cognitive behavioral tradition, most often conceptualized within a cognitive theoretical framework, recent years have seen renewed interest in more purely behavioral models. These modern learning theory accounts of depression focus on the interchange between behavior and the environment, mainly in terms of lack of reinforcement, extinction of instrumental behavior, and excesses of aversive control, and include a conceptualization of relevant cognitive and emotional variables. These positions, drawn from extensive basic and applied research, cohere with biological theories on reduced reward learning and reward responsiveness and views of depression as a heterogeneous, complex set of disorders. Treatment techniques based on learning theory, often labeled Behavioral Activation (BA) focus on activating the individual in directions that increase contact with potential reinforcers, as defined ideographically with the client. BA is considered an empirically well-established treatment that generalizes well across diverse contexts and populations. The learning theory account is discussed in terms of being a parsimonious model and ground for treatments highly suitable for large scale dissemination.

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Behavioral activation in acute inpatient psychiatry: A multiple baseline evaluation

Cited by 26 publications

References 39 publications

The feasibility of brief behavioural activation treatment for depression in a PICU: a systematic replication

The feasibility of brief behavioural activation treatment for depression in a PICU: a systematic replication

Exploring the relationship between activities and emotional experience using a diary in a mental health inpatient setting

A learning theory account of depression

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