Wang Xiaoxia, Feng Zhengzhi
Department of Basic Psychology, School of Psychology, Army Medical University, Chongqing, China.
School of Psychology, Army Medical University, Chongqing, China.
Front Psychiatry. 2022 Apr 25;13:845138. doi: 10.3389/fpsyt.2022.845138. eCollection 2022.
Grounded in the profound tradition of behaviorism theory and research, behavioral activation (BA) has become a standalone psychotherapy for depression. It is simple, straightforward, and easy to comprehend, with comparable efficacy to traditional CBT, and has developed into an evidence-based guided self-help intervention. The main work in the theoretical models and treatment manuals, as well as empirical evidence of the effectiveness of BA for (comorbid) depression in primary and medical care setting are introduced. With the rise of the third wave of CBT, therapeutic components across diagnoses will be incorporated into BA (e.g., mindfulness). Extensive studies are required to examine the neurobiological reward mechanism of BA for depression, and to explore the feasibility and necessity of e-mental health BA application into the public healthcare system in China.
基于行为主义理论与研究的深厚传统，行为激活（BA）已成为一种独立的抑郁症心理治疗方法。它简单、直接且易于理解，疗效与传统认知行为疗法（CBT）相当，并已发展成为一种循证指导自助干预方法。本文介绍了行为激活在理论模型和治疗手册方面的主要工作，以及其在初级和医疗环境中治疗（共病）抑郁症有效性的实证证据。随着CBT第三波浪潮的兴起，跨诊断的治疗成分将被纳入行为激活（如正念）。需要进行广泛研究，以检验行为激活治疗抑郁症的神经生物学奖励机制，并探索将电子心理健康行为激活应用于中国公共医疗系统的可行性和必要性。
