Hopko Derek R, Lejuez C W, Ruggiero Kenneth J, Eifert Georg H
Department of Psychology, University of Tennessee, Room 301D, Austin Peay Building, Knoxville, TN 37996-0900, USA.
Clin Psychol Rev. 2003 Oct;23(5):699-717. doi: 10.1016/s0272-7358(03)00070-9.
In the past decade, there has been renewed interest in the feasibility and efficacy of purely behavioral treatments for clinical depression. Emphasizing the functional aspects of depressive and nondepressive behavior, these treatments focus on the concept of behavioral activation, which guides implementation of procedures aimed at increasing patient activity and access to reinforcement. Although researchers have provided positive preliminary support for behavioral activation-based interventions, many fundamental issues concerning strategies, principles, and change processes involved in behavioral activation have yet to be addressed. In this paper, we compare and contrast contemporary behavioral activation interventions, explore strategies and process of change issues, clarify the basic behavioral principles underlying activation strategies, and outline questions that need to be addressed to improve outcomes and better understand the potential significance of behavioral activation as it pertains to the future of behavior therapy for depression.
在过去十年中，人们对单纯行为疗法治疗临床抑郁症的可行性和疗效重新产生了兴趣。这些疗法强调抑郁和非抑郁行为的功能方面，专注于行为激活的概念，该概念指导实施旨在增加患者活动和获得强化的程序。尽管研究人员已为基于行为激活的干预措施提供了积极的初步支持，但许多与行为激活所涉及的策略、原则和改变过程相关的基本问题仍有待解决。在本文中，我们比较和对比当代行为激活干预措施，探讨改变问题的策略和过程，阐明激活策略背后的基本行为原则，并概述为改善治疗效果以及更好地理解行为激活对于抑郁症行为治疗未来的潜在意义而需要解决的问题。
