Christen Mullane - Academia.edu (original) (raw)
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Behaviour Research and Therapy, 2008
This article appeared in a journal published by Elsevier. The attached copy is furnished to the a... more This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues. Other uses, including reproduction and distribution, or selling or licensing copies, or posting to personal, institutional or third party websites are prohibited. In most cases authors are permitted to post their version of the article (e.g. in Word or Tex form) to their personal website or institutional repository. Authors requiring further information regarding Elsevier's archiving and manuscript policies are encouraged to visit: http://www.elsevier.com/copyright
Thank you to Drs. Hollie Raynor and Paula Fite, who have served as great mentors and examples to ... more Thank you to Drs. Hollie Raynor and Paula Fite, who have served as great mentors and examples to me, and whom I am honored to have on my committee. Thanks to my family and friends, who have been so supportive of my efforts, and who have given me much needed guidance along the way. Finally, special thanks to Dr. Derek Hopko, instructor, scholar, mentor, and friend, for his patience and leadership, and for giving me time and space to grow. BMI, ACTIVITY, AND REWARD iv The incidence of obesity, defined as a BMI [body mass index] of over 30, has increased by 50% in the past 20 years (Carlson, 2004). Some notable behavioral differences as a function of weight have been identified, including the findings that individuals with obesity participate less often in physical activities, and spend more time engaging in sedentary behaviors. Using a daily-dairy assessment method as completed by undergraduate college students (n=99), the current study examined the impact of BMI on the duration of ti...
Major depression is the most common psychiatric disorder among breast cancer patients and is asso... more Major depression is the most common psychiatric disorder among breast cancer patients and is associated with substantial behavioral impairment and decreased quality of life. Although some research has explored the utility of psychotherapy with breast cancer patients, only two small trials have explored the potential benefits of behavior therapy among patients with well-diagnosed depression. This study was a randomized trial that evaluated the relative efficacy of behavioral activation (BATD) and problem-solving therapy (PST) among breast cancer patients diagnosed with major depression (n = 80). Across both treatments, results revealed strong treatment integrity, excellent patient satisfaction with treatment protocols, and low patient attrition (19%). Intent-to-treat analyses yielded significant pre-post treatment gains across a breadth of outcome measures assessing depression, environmental reward, anxiety, quality of life, social support, and medical outcomes. Both BATD and problem-solving therapy were effective and no significant differences were found between interventions at post-treatment. Treatment gains were associated with strong effect sizes, and based on response and remission criteria, a reliable change index, and numbers needed to treat analyses, approximately two-thirds of patients exhibited clinically significant improvement. Treatment gains were maintained at 12-month followup, with some support for stronger maintenance of gains in the BATD group. BATD and problem-solving interventions represent practical interventions that may improve psychological outcomes and quality of life among depressed breast cancer patients. Study limitations and future research directions are discussed.
Behaviour Research and Therapy, 2008
This article appeared in a journal published by Elsevier. The attached copy is furnished to the a... more This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues. Other uses, including reproduction and distribution, or selling or licensing copies, or posting to personal, institutional or third party websites are prohibited. In most cases authors are permitted to post their version of the article (e.g. in Word or Tex form) to their personal website or institutional repository. Authors requiring further information regarding Elsevier's archiving and manuscript policies are encouraged to visit: http://www.elsevier.com/copyright
Thank you to Drs. Hollie Raynor and Paula Fite, who have served as great mentors and examples to ... more Thank you to Drs. Hollie Raynor and Paula Fite, who have served as great mentors and examples to me, and whom I am honored to have on my committee. Thanks to my family and friends, who have been so supportive of my efforts, and who have given me much needed guidance along the way. Finally, special thanks to Dr. Derek Hopko, instructor, scholar, mentor, and friend, for his patience and leadership, and for giving me time and space to grow. BMI, ACTIVITY, AND REWARD iv The incidence of obesity, defined as a BMI [body mass index] of over 30, has increased by 50% in the past 20 years (Carlson, 2004). Some notable behavioral differences as a function of weight have been identified, including the findings that individuals with obesity participate less often in physical activities, and spend more time engaging in sedentary behaviors. Using a daily-dairy assessment method as completed by undergraduate college students (n=99), the current study examined the impact of BMI on the duration of ti...
Major depression is the most common psychiatric disorder among breast cancer patients and is asso... more Major depression is the most common psychiatric disorder among breast cancer patients and is associated with substantial behavioral impairment and decreased quality of life. Although some research has explored the utility of psychotherapy with breast cancer patients, only two small trials have explored the potential benefits of behavior therapy among patients with well-diagnosed depression. This study was a randomized trial that evaluated the relative efficacy of behavioral activation (BATD) and problem-solving therapy (PST) among breast cancer patients diagnosed with major depression (n = 80). Across both treatments, results revealed strong treatment integrity, excellent patient satisfaction with treatment protocols, and low patient attrition (19%). Intent-to-treat analyses yielded significant pre-post treatment gains across a breadth of outcome measures assessing depression, environmental reward, anxiety, quality of life, social support, and medical outcomes. Both BATD and problem-solving therapy were effective and no significant differences were found between interventions at post-treatment. Treatment gains were associated with strong effect sizes, and based on response and remission criteria, a reliable change index, and numbers needed to treat analyses, approximately two-thirds of patients exhibited clinically significant improvement. Treatment gains were maintained at 12-month followup, with some support for stronger maintenance of gains in the BATD group. BATD and problem-solving interventions represent practical interventions that may improve psychological outcomes and quality of life among depressed breast cancer patients. Study limitations and future research directions are discussed.