Behavioral Activation and Therapeutic Exposure for Bereavement in Older Adults

American Journal of Hospice and Palliative Medicine - Tập 29 Số 1 - Trang 13-25 - 2012
Ron Acierno1,2, Alyssa A. Rheingold1, Ananda B. Amstadter3, Jerome E. Kurent1, Elaine J. Amella1, Heidi S. Resnick1, Wendy Muzzy1, Carl W. Lejuez4
1Medical University of South Carolina, Charleston, SC, USA
2Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA
3Department of Psychiatry, Virginia Commonwealth University, Richmond, VA, USA
4Department of Psychology, University of Maryland, College Park, MA, USA

Tóm tắt

The development and clinical trial of a 5-session behavioral intervention for complicated bereavement (CB) is presented. We conceptualized CB in terms of Major Depression (MDD) and Post-traumatic Stress Disorder (PTSD) and consequently applied treatment components of Behavioral Activation and Therapeutic Exposure (BA-TE). In order to assure standardization of treatment, control costs, and engage patients, a multi-media, multi-context format was adopted to address avoidance and withdrawal behaviors conceptualized as central pathogenic responses in CB. Participants (N = 26) were assessed before and after BA-TE treatment via structured clinical interview and standardized questionnaires in terms of PTSD, MDD, CB, and health concerns. The number of days since the death of the loved one was widely variable and served as a covariate for all outcome analyses. ANCOVAS revealed statistically significant improvement, irrespective of how many days since death had elapsed prior to initiation of intervention, on structured interviews and self-report measures for most outcome variables.

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American Journal of Hospice and Palliative Medicine

Tập 29 Số 1

13-25

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