Psychosocial factors associated with treatment outcomes in women with obesity and major depressive disorder who received behavioral activation for depression
Authors
Kern, DanielBusch, 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 MedicineDepartment of Quantitative Health Sciences
Document Type
Journal ArticlePublication Date
2019-06-01Keywords
Behavioral therapyComorbidity
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
Metadata
Show full item recordAbstract
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/s10865-018-9993-9Permanent Link to this Item
http://hdl.handle.net/20.500.14038/50386PubMed ID
30467656Related Resources
ae974a485f413a2113503eed53cd6c53
10.1007/s10865-018-9993-9