Activating Veterans Toward Sources of Reward: A Pilot Report on Development, Feasibility, and Clinical Outcomes of a 12-Week Behavioral Activation Group Treatment

Rachel Hershenberg, Rachel Vickers Smith, Jason T. Goodson, Michael E. Thase

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

This pilot study evaluates a 12-week group Behavioral Activation protocol adapted to meet the needs of a Veteran population seeking treatment in an outpatient mental health clinic at a Veteran Affairs Medical Center. In a detailed Method we describe the treatment structure. Acceptability and feasibility are addressed by providing data on referral sources, treatment retention, attendance, and patient satisfaction. Initial clinical outcomes are presented, focusing on symptom reduction, improved quality of life, and changes in the hypothesized mechanism of treatment: improving motivated behavior to pursue rewards (decisional anhedonia). Finally, feedback from individual exit interviews is presented. We conclude with implementation tips and challenges in the service of continuing to improve our evidence-based interventions in Veteran Affairs facilities.

Original languageEnglish
Pages (from-to)57-69
Number of pages13
JournalCognitive and Behavioral Practice
Volume25
Issue number1
DOIs
StatePublished - Feb 2018

Bibliographical note

Publisher Copyright:
© 2017

Keywords

  • Behavioral Activation
  • Veteran mental health
  • decisional anhedonia
  • depression

ASJC Scopus subject areas

  • Clinical Psychology

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