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    Psychosocial factors associated with treatment outcomes in women with obesity and major depressive disorder who received behavioral activation for depression

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    Authors
    Kern, Daniel
    Busch, Andrew
    Schneider, Kristin L.
    Miller, Steven A.
    Appelhans, Bradley M.
    Waring, Molly E.
    Whited, Matthew C.
    Pagoto, Sherry L.
    UMass Chan Affiliations
    Department of Medicine, Division of Preventive and Behavioral Medicine
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2019-06-01
    Keywords
    Behavioral therapy
    Comorbidity
    Environmental reward
    Hedonic capacity
    Social engagement
    Treatment response
    UMCCTS funding
    Behavioral Medicine
    Health Psychology
    Mental and Social Health
    Psychiatry and Psychology
    Psychological Phenomena and Processes
    Social Psychology
    Translational Medical Research
    Women's Health
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    Link to Full Text
    https://doi.org/10.1007/s10865-018-9993-9
    Abstract
    Behavioral activation is an empirically supported treatment for depression, but much is unknown about factors associated with treatment response. The present study aimed to determine whether baseline levels and subsequent changes in psychosocial factors were associated with improvement in depression in women with comorbid obesity who received behavioral activation treatment for depression and a lifestyle intervention. Multilevel modeling was used to estimate the associations between psychosocial factors and change in depression scores during the first 10 weeks of treatment and associations between changes in psychosocial factors from baseline to 6-month follow-up and change in depression over the same time period. No baseline psychosocial factors were associated with depression improvement during treatment (p = 0.110-0.613). However, greater improvement in hedonic capacity (p = 0.001), environmental reward (p = 0.004), and social impairment (p = 0.012) were associated with greater reductions in depression over 6 months. Findings highlight the differential relationship specific psychosocial factors have with depression treatment outcomes.
    Source

    Kern D, Busch A, Schneider KL, Miller SA, Appelhans BM, Waring ME, Whited MC, Pagoto S. Psychosocial factors associated with treatment outcomes in women with obesity and major depressive disorder who received behavioral activation for depression. J Behav Med. 2019 Jun;42(3):522-533. doi: 10.1007/s10865-018-9993-9. Epub 2018 Nov 22. PMID: 30467656. Link to article on publisher's site

    DOI
    10.1007/s10865-018-9993-9
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/50386
    PubMed ID
    30467656
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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1007/s10865-018-9993-9
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