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行为激活疗法对抑郁症患者寻求奖励行为的影响:一项实验研究。

Behavioral Activation Therapy on Reward Seeking Behaviors in Depressed People: An Experimental study.

作者信息

Karimpour-Vazifehkhorani Alireza, Bakhshipour Rudsari Abbas, Rezvanizadeh Akram, Kehtary-Harzang Leila, Hasanzadeh Kamyar

机构信息

Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tabriz, Tabriz, Iran.

Department of Psychology, Faculty of Psychology and Educational Sciences, Islamic Azad University, Central Tehran Branch, Tehran, Iran.

出版信息

J Caring Sci. 2020 Dec 1;9(4):195-202. doi: 10.34172/jcs.2020.030. eCollection 2020 Dec.

Abstract

Behavioral activation therapy (BAT) is designed to help individuals' approach and access sources of positive reinforcement in their life, which can serve a natural antidepressant function and efforts to help depressed people reengage in their life through focused activation strategies. In this study, 60 individuals were selected and randomly assigned to intervention and control groups. The intervention group received behavioral activation treatment, including eight treatment sessions and 5 weeks later, a follow-up study was conducted. The data were collected, using a Beck Depression Inventory-II and behavioral activation system (BIS)/ behavioral inhibition system (BAS) Carver and White questionnaires, before the intervention and after the intervention and five weeks after the intervention. SPSS 23 and analysis of covariance (ANCOVA) was used for data analysis. Results showed a significant increase in the two components of the BAS including reward seeking and response to reward in the intervention group, which indicates an increase in positive affect and appetitive motivation for reward seeking and decreases the risk of depression. Also, the results showed a significant decrease in the BIS and depression in the intervention group, which indicates a decline in experiencing negative emotions. The implementation of BAT will cause depressed people to try to maximize future rewards and it's effective in improving the reward seeking and reward response in depressed people because this treatment will increase the positive reinforcement and lead to learning cues that predict possible rewards in environments.

摘要

行为激活疗法(BAT)旨在帮助个体接近并获取生活中积极强化的来源,这可起到天然的抗抑郁作用,并通过有针对性的激活策略帮助抑郁症患者重新融入生活。在本研究中,选取了60名个体并随机分为干预组和对照组。干预组接受行为激活治疗,包括八个治疗疗程,5周后进行随访研究。在干预前、干预后以及干预后五周,使用贝克抑郁量表第二版(Beck Depression Inventory-II)以及卡弗和怀特的行为激活系统(BIS)/行为抑制系统(BAS)问卷收集数据。使用SPSS 23和协方差分析(ANCOVA)进行数据分析。结果显示,干预组中BAS的两个组成部分(包括寻求奖励和对奖励的反应)显著增加,这表明积极情绪增加,寻求奖励的食欲动机增强,且降低了抑郁风险。此外,结果显示干预组中BIS和抑郁显著降低,这表明负面情绪体验减少。实施BAT会使抑郁症患者努力最大化未来奖励,并且在改善抑郁症患者的寻求奖励和奖励反应方面有效,因为这种治疗会增加积极强化,并导致学习到在环境中预测可能奖励的线索。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/006e/7770387/2f0968fc322e/jcs-9-195-g001.jpg

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