Department of Psychology, University at Albany, State University of New York.
Department of Psychology/Texas Institute for Measurement, Evaluation and Statistics, University of Houston.
Psychotherapy (Chic). 2017 Sep;54(3):231-236. doi: 10.1037/pst0000119.
Considerable work and attention has supported the use of behavioral activation (BA) strategies in the treatment of depressive disorders. Although not often recognized, BA, both implicitly and explicitly, appears to be conceptually and empirically relevant to the treatment of diverse problem areas, including the anxiety disorders. This article addresses the role of BA strategies in transdiagnostic cognitive-behavioral therapy (CBT) for anxiety and related disorders, including in cases without comorbid depression. Following a brief introduction to a transdiagnostic CBT model of anxiety and related disorders, this article will: (a) provide a rationale for the integration of BA strategies as a potentially potent facilitator of therapeutic change; (b) identify relevant treatment targets of BA in anxiety disorders; and (c) illustrate the implementation and impacts of these strategies using a clinical case example. Finally, suggestions for future research and implications for training and practice will be noted. (PsycINFO Database Record
大量的工作和关注支持了在治疗抑郁障碍中使用行为激活(BA)策略。尽管并不经常被认识到,但 BA 无论是在概念上还是在经验上,似乎与治疗各种问题领域都具有相关性,包括焦虑障碍。本文探讨了 BA 策略在广泛性焦虑障碍及相关障碍的跨诊断认知行为治疗(CBT)中的作用,包括在没有共病抑郁的情况下。在简要介绍广泛性焦虑障碍及相关障碍的跨诊断 CBT 模型之后,本文将:(a)为将 BA 策略整合为一种潜在的有效治疗变化促进因素提供一个基本原理;(b)确定 BA 在焦虑障碍中的相关治疗目标;(c)使用临床案例示例来说明这些策略的实施和影响。最后,将注意到对未来研究的建议以及对培训和实践的影响。