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Functional Analytic Psychotherapy Enhanced Behavioral Activation for Depression: A Concurrent and Non-Concurrent Between-Participants Study

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Abstract

Functional analytic psychotherapy enhanced behavioral activation (FEBA) is a therapeutic approach that combines strategies from behavioral activation and functional analytic psychotherapy to improve therapeutic outcomes in clients who lack stable sources of reinforcement in their natural environments. In FEBA, therapists modify clients’ behaviors within the therapeutic session and simultaneously change clients’ environmental conditions in their natural contexts. A concurrent and nonconcurrent multiple-baseline design between participants was conducted. Four participants—2 men and 2 women—who reported depressive symptoms were independently treated in a psychological services center by 2 male therapists. FEBA increased the frequency of healthy behaviors (e.g., engaging in meaningful conversations with friends) in session and out of session. However, depressive behaviors in therapeutic and natural settings did not show stable changes. The implications for implementing some of the results of this study with clients with depression are discussed. Methodological recommendations for using FEBA with specific populations and in other contexts are also presented.

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Correspondence to Marcos A. Montenegro.

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Human participants and Animal studies

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Montaño, O.M., Montenegro, M.A. & Muñoz-Martínez, A.M. Functional Analytic Psychotherapy Enhanced Behavioral Activation for Depression: A Concurrent and Non-Concurrent Between-Participants Study. Psychol Rec 68, 27–37 (2018). https://doi.org/10.1007/s40732-018-0263-6

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  • DOI: https://doi.org/10.1007/s40732-018-0263-6

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