Behavioral Activation for Treatment-resistant Depression: Theoretical Model and Intervention Protocol (BA-TRD)

Background: Treatment-resistant depression (TRD) is a severe public health problem and a condition uncommonly addressed by psychological therapies. This paper presents a theoretical model, grounded in established learning principles and in the perspective of behavioral activation (BA), to explain it...

Full description

Bibliographic Details
Authors: Reyes-Ortega, Michel A., Barraca, J., Zapata-Téllez, Jessica, Castellanos-Espinosa, Alejandra M., Jiménez-Pavón, Joanna
Format: article
Publication Date:2024
Country:España
Institution:Universidad Camilo José Cela (UCJC)
Repository:Depósito Digital e-UCJC
OAI Identifier:oai:repositorio.ucjc.edu:20.500.12020/1376
Online Access:https://journals.copmadrid.org/clysa/art/clysa2024a17
http://hdl.handle.net/20.500.12020/1376
https://doi.org/10.5093/clysa2024a17
Access Level:Open access
Keyword:Psicología
Behavioral Activation
Treatment-resistant Depression
Treatment Protocol
Major Depressive Disorder
Treatment-resistant Depression Theory
61 Psicología
id ES_8d40184e3640efc92cea927bbfe0d92f
oai_identifier_str oai:repositorio.ucjc.edu:20.500.12020/1376
network_acronym_str ES
network_name_str España
repository_id_str
spelling Behavioral Activation for Treatment-resistant Depression: Theoretical Model and Intervention Protocol (BA-TRD)Activación conductual para el tratamiento de la depresión resistente al tratamiento: modelo teórico y protocolo de intervención (AC-DRT)Reyes-Ortega, Michel A.Barraca, J.Zapata-Téllez, JessicaCastellanos-Espinosa, Alejandra M.Jiménez-Pavón, JoannaPsicologíaBehavioral ActivationTreatment-resistant DepressionTreatment ProtocolMajor Depressive DisorderTreatment-resistant Depression Theory61 PsicologíaBackground: Treatment-resistant depression (TRD) is a severe public health problem and a condition uncommonly addressed by psychological therapies. This paper presents a theoretical model, grounded in established learning principles and in the perspective of behavioral activation (BA), to explain its constitution and development. Method: A review of theoretical models and empirical research on TRD was conducted in major databases. Results: The model reflects how patients with TRD are more susceptible to becoming trapped in their condition by seeking to avoid discomfort through avoidance and escape behaviors, which increasingly drives them away from sources of positive reinforcement. Based on this model, a BA-based intervention protocol is suggested for the treatment of TRD. Through six phases (in a total of thirteen sessions), the protocol guides the intervention towards the reestablishment of personalized routines to increase the probability of reinforcement and reduce avoidance behaviors. Conclusions: Although the model holds significant potential to become an effective intervention in TRD, future research will allow the evaluation of the efficacy of the protocol as a standalone intervention.Antecedentes: La depresión resistente al tratamiento (DRT) constituye un severo problema de salud pública y es una condición poco abordada por las terapias psicológicas. En este artículo se presenta un modelo teórico, fundamentado en contrastados principios de aprendizaje y en el modelo de activación conductual (AC) para explicar su constitución y desarrollo. Método: Una revisión de los modelos teóricos y una investigación empírica de la depresión resistente al tratamiento se llevó a cabo a través de las principales bases de datos. Resultados: El modelo refleja cómo los pacientes con DRT son más propensos a quedar atrapados en su estado al procurar evitar el malestar por medio de comportamientos de evitación y escape, lo que les aleja cada vez más de las fuentes de reforzamiento positivo. A partir de este modelo se propone un protocolo de intervención basado en la AC para el tratamiento de la DRT. A través de seis fases (en un total de trece sesiones) el protocolo orienta la intervención hacia el restablecimiento de rutinas personalizadas para aumentar la probabilidad del refuerzo y reducir los comportamientos de evitación. Conclusiones: Aunque este modelo cuenta con un potencial significativo de llegar a ser una intervención eficaz en el tratamiento de la depresión resistente al tratamiento, la investigación futura permitirá medir la eficacia del protocolo como intervención única.2024info:eu-repo/semantics/articlehttps://journals.copmadrid.org/clysa/art/clysa2024a17http://hdl.handle.net/20.500.12020/1376https://doi.org/10.5093/clysa2024a17reponame:Depósito Digital e-UCJCinstname:Universidad Camilo José Cela (UCJC)Inglésinfo:eu-repo/semantics/openAccessoai:repositorio.ucjc.edu:20.500.12020/13762026-05-27T07:36:51Z
dc.title.none.fl_str_mv Behavioral Activation for Treatment-resistant Depression: Theoretical Model and Intervention Protocol (BA-TRD)
Activación conductual para el tratamiento de la depresión resistente al tratamiento: modelo teórico y protocolo de intervención (AC-DRT)
title Behavioral Activation for Treatment-resistant Depression: Theoretical Model and Intervention Protocol (BA-TRD)
spellingShingle Behavioral Activation for Treatment-resistant Depression: Theoretical Model and Intervention Protocol (BA-TRD)
Reyes-Ortega, Michel A.
Psicología
Behavioral Activation
Treatment-resistant Depression
Treatment Protocol
Major Depressive Disorder
Treatment-resistant Depression Theory
61 Psicología
title_short Behavioral Activation for Treatment-resistant Depression: Theoretical Model and Intervention Protocol (BA-TRD)
title_full Behavioral Activation for Treatment-resistant Depression: Theoretical Model and Intervention Protocol (BA-TRD)
title_fullStr Behavioral Activation for Treatment-resistant Depression: Theoretical Model and Intervention Protocol (BA-TRD)
title_full_unstemmed Behavioral Activation for Treatment-resistant Depression: Theoretical Model and Intervention Protocol (BA-TRD)
title_sort Behavioral Activation for Treatment-resistant Depression: Theoretical Model and Intervention Protocol (BA-TRD)
dc.creator.none.fl_str_mv Reyes-Ortega, Michel A.
Barraca, J.
Zapata-Téllez, Jessica
Castellanos-Espinosa, Alejandra M.
Jiménez-Pavón, Joanna
author Reyes-Ortega, Michel A.
author_facet Reyes-Ortega, Michel A.
Barraca, J.
Zapata-Téllez, Jessica
Castellanos-Espinosa, Alejandra M.
Jiménez-Pavón, Joanna
author_role author
author2 Barraca, J.
Zapata-Téllez, Jessica
Castellanos-Espinosa, Alejandra M.
Jiménez-Pavón, Joanna
author2_role author
author
author
author
dc.subject.none.fl_str_mv Psicología
Behavioral Activation
Treatment-resistant Depression
Treatment Protocol
Major Depressive Disorder
Treatment-resistant Depression Theory
61 Psicología
topic Psicología
Behavioral Activation
Treatment-resistant Depression
Treatment Protocol
Major Depressive Disorder
Treatment-resistant Depression Theory
61 Psicología
description Background: Treatment-resistant depression (TRD) is a severe public health problem and a condition uncommonly addressed by psychological therapies. This paper presents a theoretical model, grounded in established learning principles and in the perspective of behavioral activation (BA), to explain its constitution and development. Method: A review of theoretical models and empirical research on TRD was conducted in major databases. Results: The model reflects how patients with TRD are more susceptible to becoming trapped in their condition by seeking to avoid discomfort through avoidance and escape behaviors, which increasingly drives them away from sources of positive reinforcement. Based on this model, a BA-based intervention protocol is suggested for the treatment of TRD. Through six phases (in a total of thirteen sessions), the protocol guides the intervention towards the reestablishment of personalized routines to increase the probability of reinforcement and reduce avoidance behaviors. Conclusions: Although the model holds significant potential to become an effective intervention in TRD, future research will allow the evaluation of the efficacy of the protocol as a standalone intervention.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://journals.copmadrid.org/clysa/art/clysa2024a17
http://hdl.handle.net/20.500.12020/1376
https://doi.org/10.5093/clysa2024a17
url https://journals.copmadrid.org/clysa/art/clysa2024a17
http://hdl.handle.net/20.500.12020/1376
https://doi.org/10.5093/clysa2024a17
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:Depósito Digital e-UCJC
instname:Universidad Camilo José Cela (UCJC)
instname_str Universidad Camilo José Cela (UCJC)
reponame_str Depósito Digital e-UCJC
collection Depósito Digital e-UCJC
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869413029789040641
score 15,812429

Similar Items