Effect of behavioral activation therapy on depressive mood and behavioral characteristics among subliminal depressed students

QIN Tao; ZHONG Qingling

doi:10.16835/j.cnki.1000-9817.2022.02.014

Volume 43 Issue 2

Feb. 2022

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2022 > 43(2): 221-224

QIN Tao, ZHONG Qingling. Effect of behavioral activation therapy on depressive mood and behavioral characteristics among subliminal depressed students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(2): 221-224. doi: 10.16835/j.cnki.1000-9817.2022.02.014

Citation:

QIN Tao, ZHONG Qingling. Effect of behavioral activation therapy on depressive mood and behavioral characteristics among subliminal depressed students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(2): 221-224. doi: 10.16835/j.cnki.1000-9817.2022.02.014

Citation:

PDF( 369 KB)

Effect of behavioral activation therapy on depressive mood and behavioral characteristics among subliminal depressed students

doi: 10.16835/j.cnki.1000-9817.2022.02.014

QIN Tao^{1, 2},
ZHONG Qingling^{2
,
,}

1.
School of Nursing, Jiangxi Medical College, Shangrao (334000), Jiangxi Province, China

Received Date: 2021-06-28
Rev Recd Date: 2021-12-29

Available Online: 2022-02-24

Publish Date: 2022-02-25

Abstract

Abstract

Objective To explore the effect of behavioral activation (BA) therapy on depressive mood and behavioral characteristics among subliminal depressed nursing students, and to provide a reference for effective mental health education to nursing students. Methods A cluster sampling method was used to select 614 sophomore nursing students from a medical college in Jiangxi Province. Sixty subjects who met the inclusion criteria were enrolled in the study, and divided into a control group and an intervention group using a random number table method, with 30 participants in each group. The control group received general mental health education, and the intervention group participated in a BA intervention on the basis of general mental health education. The Center for Epidemiologic Studies Depression (CES-D), Beck Depression Inventory-II(BDI-II) and the Behavioral Activation For Depression Scale Short-Form (BADS-SF) were used to evaluate students' depression status before, immediately after, and 1 month after the intervention, respectively. Results The time effect, group effect, and time-group interaction of the CES-D, BDI-II and BADS-SF scores of the two groups of students were all statistically significant (F=82.78, 9.65, 69.92; 42.19, 10.52, 13.50; 15.59, 19.61, 8.49, P < 0.01). Immediately after the intervention and 1 month after the intervention, the CES-D and BDI-II scores of the intervention group were significantly lower than those of the control group, and the BADS-SF score of the intervention group (14.63±4.63, 14.80±4.85; 11.23±4.98, 11.13±5.53) was significantly lower than that of the control group (22.67±6.70, 22.13±5.66; 17.57±9.59, 18.37±7.91); the differences were all statistically significant (P < 0.05). Conclusion BA shows lasting effects on alleviating depressive symptoms among nursing students with subthreshold depression, improve their behavioral activation level, and have a lasting effect. Nursing educators can improve the depression of nursing students and improve their mental health through individual BA.
- Behavior,
- Depression,
- Emotions,
- Intervention studies,
- Mental health,
- Students

FullText(HTML)

References(23)

References

[1]	秦永亭, 孟辉辉, 王晓君, 等. 运动处方对护生抑郁的干预研究[J]. 全科护理, 2019, 17(30): 3372-3374. https://www.cnki.com.cn/Article/CJFDTOTAL-JTHS201930016.htm QIN Y T, MENG H H, WANG X J, et al. Intervention study of exercise prescription on depression of nursing students[J]. Chin Gene Pract Nurs, 2019, 17(30): 3372-3374. https://www.cnki.com.cn/Article/CJFDTOTAL-JTHS201930016.htm
[2]	韩慧. 家庭背景因素对某高职在校护生焦虑和抑郁的影响研究[D]. 济南: 山东大学, 2016. HAN H. Research on the effects of family background factors on anxiety and depression of nursing students in a vocational college[D]. Jinan: Shandong University, 2016.
[3]	BALAZS J, MIKLOSI M, KERESZTENY A, et al. Adolescent subthrehold depression and anxiety: psychopathology, functional impairment and increase suicide risk[J]. J Child Psychol Psychiatry, 2013, 54(6): 670-677. doi: 10.1111/jcpp.12016
[4]	FOGEL J, EATON W W, FORD D E. Minor depression as a predictor of the first onset of major depressive disorder over a 15-year follow-up[J]. Acta Psychiatr Scand, 2006, 113(1): 36-43. doi: 10.1111/j.1600-0447.2005.00654.x
[5]	ZEMESTANI M, DAVOODI I, HONARMAND M M, et al. Comparative effects of group metacognitive therapy versus behavioural activation in moderately depressed students[J]. J Ment Health, 2016, 25(6): 479-485. doi: 10.3109/09638237.2015.1057326
[6]	RICHARDS D A, EKERS D, MCMILLAN D, et al. Cost and outcome of behavioural activation versus Cognitive Behavioural Therapy for Depression(COBRA): a randomised, controlled, noninferiority trial[J]. Lancet, 2016, 388(10047): 871-880. doi: 10.1016/S0140-6736(16)31140-0
[7]	TAKAGAKI K, OKAMOTO Y, JINNIN R, et al. Enduring effects of a 5-week behavioral activation program for subthreshold depression among late adolescents: an exploratory randomized controlled trial[J]. Neuropsychiatr Dis Treatment, 2018, 24(14): 2633-2641.
[8]	MORI A, OKAMOTO Y, OKADA G, et al. Behavioral activation can normalize neural hypoactivation in subthreshold depression during a monetary incentive delay task[J]. J Affect Disord, 2016, 36(9): 254-262.
[9]	许海莲, 吕雨梅, 何宇迪, 等. 脑卒中后阈下抑郁患者行为激活疗法干预方案的设计与验证: 预实验[J]. 中国全科医学, 2019, 22(14): 1672-1677. doi: 10.12114/j.issn.1007-9572.2018.00.427 XU H L, LYU Y M, HE Y D, et al. Design and verification of behavioral activation intervention program for post-stroke subthreshold depression: a pilot trial[J]. Chin Gene Pract, 2019, 22(14): 1672-1677. doi: 10.12114/j.issn.1007-9572.2018.00.427
[10]	夏云丹. 行为激活疗法干预在COPD合并焦虑抑郁患者中的应用[J]. 中华现代护理杂志, 2019, 25(33): 4341-4344. doi: 10.3760/cma.j.issn.1674-2907.2019.33.018 XIA Y D. Application of behavioral activation therapy intervention in COPD patients with anxiety and depression[J]. Chin J Mod Nurs, 2019, 25(33): 4341-4344. doi: 10.3760/cma.j.issn.1674-2907.2019.33.018
[11]	张佳媛, 周郁秋, 樊伊楠. 大庆市初高中青少年阈下抑郁情况及影响因素[J]. 中国健康心理学杂志, 2019, 27(11): 1617-1620. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201911005.htm ZHANG J Y, ZHOU Y Q, FAN Y N, et al. Prevalence rate and influencing factors of sub threshold depression among Daqing youngsters[J]. Chin J Health Psychol, 2019, 27(11): 1617-1620. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201911005.htm
[12]	LEJUEZ C W, HOPKO D R, DAUGHTERS S B, et al. Ten year revision of the brief behavioral activation treatment for depression: revised treatment manual[J]. Behav Modific, 2011, 35(2): 111-161. doi: 10.1177/0145445510390929
[13]	王晓霞, 冯正直. 抑郁症的行为激活疗法: 临床医生手册[M]. 重庆: 西南师范大学出版社, 2017. WANG X X, FENG Z Z. Behavioral activation therapy for depression: a clinician's manual[M]. Chongqing: Southwest Normal University Press, 2017.
[14]	RADLOFF L S. The CES-D Scale: a self-report depression scale for research in the general population[J]. Appl Psychol Measur, 1977, 1: 385-401. doi: 10.1177/014662167700100306
[15]	章婕, 吴振云, 方格, 等. 流调中心抑郁量表全国城市常模的建立[J]. 中国心理卫生杂志, 2010, 24(2): 139-143. doi: 10.3969/j.issn.1000-6729.2010.02.015 ZHANG J, WU Z Y, FANG G, et al. Development of the Chinese age norms of CESD in urban area[J]. Chin Ment Health J, 2010, 24(2): 139-143. doi: 10.3969/j.issn.1000-6729.2010.02.015
[16]	BECK A T, STEER R A. Manual for the beck depression inventory[M]. San Antonio, TX: Psychological Corporation, 1996.
[17]	王振, 苑成梅, 黄佳, 等. 贝克抑郁量表第2版中文版在抑郁症患者中的信效度[J]. 中国心理卫生杂志, 2011, 25(6): 476-480. doi: 10.3969/j.issn.1000-6729.2011.06.014 WANG Z, YUAN C M, HUANG J, et al. Reliability and validity of the Chinese version of Beck Depression Inventory-Ⅱ among depression patients[J]. Chin Ment Health J, 2011, 25(6): 476-480. doi: 10.3969/j.issn.1000-6729.2011.06.014
[18]	SHUDO Y, YAMAMOTO T. Assessing the relationship between quality of life and behavioral activation using the Japanese behavioral activation for depression scale-short form[J]. PLoS One, 2017, 12(9): 185-221.
[19]	陶晓丹. 行为活化改善抑郁的效果及可能心理机制[D]. 杭州: 浙江大学, 2018. TAO X D. The effectiveness and latent psychological mechanism of behavioral activation for depression[D]. Hangzhou: Zhejiang University, 2018.
[20]	张明园. 精神科评定量表手册[M]. 2版. 长沙: 湖南科学技术出版社, 1998: 81. ZHANG M Y. Manual of Psychiatric Rating Scale[M]. 2 ed. Changsha: Hunan Science and Technology Press, 1998: 81.
[21]	汪向东, 王希林, 马弘. 心理卫生评定量表手册(增订版)[M]. 北京: 中国心理卫生杂志社, 1999: 235-237. WANG X D, WANG X L, MA H. Mental Health Rating Scale Manual (Updated Edition)[M]. Beijing: Chinese Journal of Mental Health, 1999: 235-237.
[22]	代硕. 行为激活疗法在抑郁症防治中的研究进展[D]. 重庆: 重庆医科大学, 2019. DAI S. Research progress of behavioral activation therapy in prevention and treatment of depression[D]. Chongqing: Chongqing Medical University, 2019.
[23]	HOPKO D R, LEJUEZ C, RUGGIERO K J, et al. Contemporary behavioral activation treatments for depression: procedures, principles, and progress[J]. Clin Psychol Rev, 2003, 23(5): 699-717. doi: 10.1016/S0272-7358(03)00070-9