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Development and evaluation of behavioral activation guided self-help treatment for mild to moderate depression
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Schwartz, Carey. Development and evaluation of behavioral activation guided self-help treatment for mild to moderate depression. Retrieved from https://doi.org/doi:10.7282/T3MC9321

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TitleDevelopment and evaluation of behavioral activation guided self-help treatment for mild to moderate depression
NameSchwartz, Carey (author); Wilson, G. Terence (chair); Chu, Brian C (co-chair); Rutgers University; Graduate School of Applied and Professional Psychology
Date Created2017
Other Date2017-10 (degree)
SubjectClinical Psychology, Depression, Mental--Treatment
Extent1 online resource (vi, 40 p. : ill.)
DescriptionBackground: Cognitive behavioral guided self-help (CBTgsh) programs are brief, costeffective, and have been shown to be effective in the treatment of depression, anxiety, and eating disorders. Aims: The present study developed a novel guided self-help treatment based on Behavioral Activation (BA), an empirically supported treatment for depression and evaluated its acceptability and effectiveness among college students. Methods: Utilizing a train-the-trainer implementation strategy, an advanced graduate student in clinical psychology received expert-led training in BA, developed the guided self-help treatment (BAgsh) under supervision, and subsequently trained and supervised two junior graduate students to implement the treatment in an open clinical trial. Treatment comprised 10 sessions of BAgsh for 19 college students with mild to moderately severe depressive symptoms. Client outcomes were improvement in depressive symptoms on the Patient Health Questionnaire (PHQ-9) and the Behavioral Activation for Depression Scale (BADS). Implementation outcomes were acceptability and both therapist and client adherence. Results: Intent-to-treat analyses revealed that 31.6% of clients achieved reliable recovery, comparable to recovery rates from a largescale clinical trial of CBTgsh. Clients also reported significant improvements on both measures with medium to very large effect sizes. Clients and counseling center staff reported high levels of satisfaction and therapists showed a 95% rate of adherence to the treatment protocol. Conclusions: The results of the current study provide “proof-ofconcept” for the effectiveness and acceptability of BAgsh and support for the train-thetrainer model. These findings suggest that, given adequate training and supervision, specialized therapist credentials are not necessary for the effectiveness of BAgsh.
NotePsy.D.
NoteIncludes bibliographical references
Noteby Carey Schwartz
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/T3MC9321
Languageeng
CollectionGraduate School of Applied and Professional Psychology Electronic Theses and Dissertations
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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