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Group behavioural activation and mindfulness therapy for the well-being of non-clinical adults: a preliminary open trial

Published online by Cambridge University Press:  21 December 2009

Trevor G. Mazzucchelli ,
Clare S. Rees  and
Robert T. Kane
Trevor G. Mazzucchelli*
Affiliation:
School of Psychology, Curtin University of Technology, Perth, WA, Australia
Clare S. Rees
Affiliation:
School of Psychology, Curtin University of Technology, Perth, WA, Australia
Robert T. Kane
Affiliation:
School of Psychology, Curtin University of Technology, Perth, WA, Australia
*
*Author for correspondence: T. G. Mazzucchelli, Curtin University of Technology – School of Psychology, GPO Box U1987, Perth, Western Australia 6859, Australia. (email: [email protected])
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Abstract

Using 16 non-clinical adults from the community, this study examined the effects on well-being of a group intervention consisting of a 4-week behavioural activation component followed by a 3-week mindfulness component, finishing with an integrating closure session. Results from intention-to-treat analyses showed moderate and significant improvements in psychological distress and several indices of well-being after the behavioural activation component. These improvements continued through the mindfulness component of the intervention such that effects were greater after participants had received the complete intervention. Half of the participants reported reliable and clinically significant improvement in the amount of time they felt happy after the intervention and a quarter of participants reported improvement at follow-up. Behavioural activation and mindfulness interventions may provide a useful framework for further research with non-clinical populations who wish to enhance their well-being and learn skills that may protect them against depression and other mental health problems.

Keywords

Behavioural activationhappinessmindfulnesspositive psychologytreatmentwell-being
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 2 , Issue 4 , December 2009 , pp. 256 - 271
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009

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References

Recommended follow-up reading

Jacobson, NS, Martell, CR, Dimidjian, S (2001). Behavioral activation treatment for depression: Returning to contextual roots. Clinical Psychologist 8, 255–270.Google Scholar
Lyubomirsky, S, King, L, Diener, E (2005 a). The benefits of frequent positive affect: does it lead to success? Psychological Bulletin 131, 803–855.CrossRefGoogle ScholarPubMed
Lyubomirsky, S, Sheldon, KM, Schkade, D (2005 b). Pursuing happiness: the architecture of sustainable change. Review of General Psychology 9, 111–131.CrossRefGoogle Scholar
Martell, CR, Addis, ME, Jacobson, NS (2001). Depression in Context: Strategies for Guided Action. New York: W. W. Norton.Google Scholar
Mazzucchelli, TG, Kane, RT, Rees, CS (2009). Behavioral activation treatments for depression in adults: a meta-analysis. Clinical Psychology: Science and Practice 16, 383–411.Google Scholar
Pressman, SD, Cohen, S (2005). Does positive affect influence health? Psychological Bulletin 131, 925–971.CrossRefGoogle ScholarPubMed

References

APA (1994). Diagnostic and Statistical Manual of Mental Disorders (4th edn). Washington, DC: American Psychiatric Asssociation.Google Scholar
Baer, RA (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice 10, 125–143.Google Scholar
Baer, RA, Smith, GT, Hopkins, J, Krietemeyer, J, Toney, L (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment 13, 27–45.CrossRefGoogle ScholarPubMed
Beck, AT, Rush, J, Shaw, B, Emery, G (1979). Cognitive Therapy of Depression. New York: Guilford.Google Scholar
Chambless, DL, Hollon, SD (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology 66, 7–18.CrossRefGoogle ScholarPubMed
Cohen, J (1988). Statistical Power Analysis for the Behavioral Sciences. Hillsdale, NJ: Erlbaum.Google Scholar
Diener, E, Emmons, RA, Larsen, RJ, Griffin, S (1985). The satisfaction with life scale. Journal of Personality Assessment 49, 71–75.CrossRefGoogle ScholarPubMed
Diener, E, Sandvik, E, Pavot, W (1991). Happiness is the frequency not the intensity of positive versus negative affect. In: Subjective Well-being: An Interdisciplinary Perspective (ed. Strack, F., Argyle, M., Michael, and Schwarz, N.), pp. 119–140. Oxford: Pergamon.Google Scholar
Diener, E, Suh, EM, Lucas, RE, Smith, HL (1999). Subjective well-being: three decades of progress. Psychological Bulletin 125, 276–302.CrossRefGoogle Scholar
Fava, GA, Ruini, C (2003). Development and characteristics of a well-being enhancing psychotherapeutic strategy: well-being therapy. Journal of Behavior Therapy and Experimental Psychiatry 34, 45–64.CrossRefGoogle ScholarPubMed
Ferster, CB (1973). A functional analysis of depression. American Psychologist 28, 857–870.CrossRefGoogle Scholar
Fordyce, MW (1988). A review of research on the Happiness Measures: a sixty second index of happiness and mental health. Social Indicators Research 20, 355–381.CrossRefGoogle Scholar
Fredrickson, B, Joiner, T (2002). Positive emotions trigger upward spirals toward emotional well-being. Psychological Science 13, 172–175.CrossRefGoogle ScholarPubMed
Fredrickson, BL (2008). Promoting positive affect. In: The Science of Subjective Well-being (ed. Eid, M. and Larsen, R. J.), pp. 449–468. New York, NY: The Guilford Press.Google Scholar
Fredrickson, BL, Levenson, RW (1998). Positive emotions speed recovery from the cardiovascular sequelae of negative emotions. Cognition and Emotion 12, 191–220.CrossRefGoogle ScholarPubMed
Grossman, P, Niemann, L, Schmidt, S, Walach, H (2004). Mindfulness-based stress reduction and health benefits. A meta-analysis. Journal of Psychosomatic Research 57, 35–43.CrossRefGoogle ScholarPubMed
Hollis, S, Campbell, F (1999). What is meant by intention to treat analysis? Survey of published randomized controlled trials. British Medical Journal 319, 670–674.CrossRefGoogle Scholar
Hopko, DR, Lejuez, CW, Ruggiero, KJ, Eifert, GH (2003). Contemporary behavioral activation treatments for depression: procedures, principles and progress. Clinical Psychology Review 23, 699–717.CrossRefGoogle Scholar
Jacobson, NS (1994). Contextualism is dead: long live contextualism. Family Process 33, 97–100.CrossRefGoogle Scholar
Jacobson, NS, Martell, CR, Dimidjian, S (2001). Behavioral activation treatment for depression: returning to contextual roots. Clinical Psychologist 8, 255–270.Google Scholar
Jacobson, NS, Truax, P (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology 59, 12–19.CrossRefGoogle ScholarPubMed
Kabat-Zinn, J (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice 10, 144–156.Google Scholar
Keyes, CLM (2002). The mental health continuum: from languishing to flourishing in life. Journal of Health and Social Behavior 43, 207–222.CrossRefGoogle ScholarPubMed
Lewinsohn, PM (1974). A behavioral approach to depression. In: The Psychology of Depression: Contemporary Theory and Research (ed. Friedman, R. J. and Katz, M. M.), pp. 157–185. Washington, DC: Winston-Wiley.Google Scholar
Lewinsohn, PM (1976). Activity schedules in the treatment of depression. In: Counseling Methods (ed. Thorensen, C. E. and Krumboltz, J.), pp. 74–83. New York: Holt, Rinehart & Winston.Google Scholar
Lewinsohn, PM, Sullivan, JM, Grosscup, SJ (1980). Changing reinforcing events: an approach to the treatment of depression. Psychotherapy: Theory, Research and Practice 17, 322–334.CrossRefGoogle Scholar
Lovibond, SH, Lovibond, PF (1995). Manual for the Depression Anxiety Stress Scales. Sydney, NSW: The Psychology Foundation of Australia Inc.Google Scholar
Lyubomirsky, S, King, L, Diener, E (2005 a). The benefits of frequent positive affect: does it lead to success? Psychological Bulletin 131, 803–855.CrossRefGoogle ScholarPubMed
Lyubomirsky, S, Sheldon, KM, Schkade, D (2005 b). Pursuing happiness: the architecture of sustainable change. Review of General Psychology 9, 111–131.CrossRefGoogle Scholar
Martell, CR, Addis, ME, Jacobson, NS (2001). Depression in Context: Strategies for Guided Action. New York: W. W. Norton.Google Scholar
Mazzucchelli, TG, Kane, RT, Rees, CS in press. Behavioral activation interventions for well-being: a meta-analysis. Journal of Positive Psychology.Google Scholar
Mazzucchelli, TG, Kane, RT, Rees, CS (2009). Behavioral activation treatments for depression in adults: a meta-analysis. Clinical Psychology: Science and Practice 16, 383–411.Google Scholar
McKimmie, M (2007). Happy hunters: the pursuit of happiness is universal, but if you are not happy now, can you make yourself happier? The West Australian: Health+Medicine, 1 August 2007, pp. 4–5.Google Scholar
Nietzel, MT, Russell, RL, Hemmings, KA, Gretter, ML (1987). Clinical significance of psychotherapy for unipolar depression: a meta-analytic approach to social comparison. Journal of Consulting and Clinical Psychology 55, 156–161.CrossRefGoogle ScholarPubMed
Pressman, SD, Cohen, S (2005). Does positive affect influence health? Psychological Bulletin 131, 925–971.CrossRefGoogle ScholarPubMed
Segal, ZV, Williams, JMG, Teasdale, JD (2002). Mindfulness-based Cognitive Therapy for Depression: A New Approach for Preventing Relapse. New York: Guilford Press.Google Scholar
Seligman, MEP, Rashid, T, Parks, AC (2006). Positive psychotherapy. American Psychologist 61, 774–788.CrossRefGoogle ScholarPubMed
Seligman, MEP, Steen, TA, Park, N, Peterson, C (2005). Positive psychology progress: empirical validation of interventions. American Psychologist 60, 410–421.CrossRefGoogle ScholarPubMed
Sheehan, DV, Lecrubier, Y, Sheehan, KH, Amorim, P, Janavs, J, Weiller, E, Hergueta, T, Baker, R, Dunbar, GC (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry 59, 22–33.Google ScholarPubMed
Sheldon, KM, Lyubomirsky, S (2006). Achieving sustainable gains in happiness: change your actions, not your circumstances. Journal of Happiness Studies 7, 55–86.CrossRefGoogle Scholar
Sheldrick, RC, Kendall, PC, Heimberg, RG (2001). The clinical significance of treatments: a comparison of three treatments for conduct disordered children. Clinical Psychology: Science and Practice 8, 418–430.Google Scholar
Simons, AD, Levine, JL, Lustman, PJ, Murphy, GE (1984). Patient attrition in a comparative outcome study of depression. Journal of Affective Disorders 6, 163–173.CrossRefGoogle Scholar
Sin, NL, Lyubomirsky, S (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: a practice-friendly meta-analysis. Journal of Clinical Psychology: In Session 65, 467–487.CrossRefGoogle Scholar
Teasdale, JD, Segal, ZV, Williams, JMG, Ridgeway, V, Lau, M, Soulsby, J (2000). Reducing the risk of recurrence of major depression using mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology 68, 615–623.CrossRefGoogle ScholarPubMed
Tugade, MM, Fredrickson, BL (2004). Resilient individuals use positive emotions to bounce back from negative emotional experiences. Journal of Personality and Social Psychology 86, 320–333.CrossRefGoogle ScholarPubMed
Watson, D, Clark, LA, Tellegen, A (1988). Development and validation of a brief measure of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology 54, 1063–1070.CrossRefGoogle ScholarPubMed
Wise, EA (2004). Methods for analyzing psychotherapy outcomes: a review of clinical significance, reliable change, and recommendations for future directions. Journal of Personality Assessment 82, 50–59.CrossRefGoogle ScholarPubMed
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