Efecto del Tratamiento Breve de Activación Conductual para la Depresión (BATD-R) sobre sintomatología depresiva en una muestra con Esclerosis Lateral Amiotrófica
Bianchi-Salguero, Javier Mauricio | 2020
Amyotrophic Lateral Sclerosis (ALS) is an orphan neurodegenerative disease that has no cure and symptoms of depression have been described within its clinical manifestations. The Brief Behavioral Activation Treatment for Depression (BATD-R) has empirical support as an effective non-pharmacological treatment. The main objective was to estimate the effect of BATD-R on depressive symptoms in a non-probability sample of four participants diagnosed with ALS, attending a reference hospital in Bogotá. A single-case A-B design with follow-up was used. The main instruments implemented were the Daily Monitoring Formats, the Zung Scale for depression (EZ-D), the Behavioral Activation Scale for depression (BADS) and the Observation Scale of Reward from the Environment (EROS). A visual and statistical analysis showed an increase in healthy behaviors (Tau-U = [.4; 1]; NAP = [.78; 1]) and a decrease in depressive behaviors (Tau-U = [-.4; 1]; NAP = [.01; .15]). There were no significant changes in the report on mood. The results were maintained in the follow-up after the treatment had been withdrawn. It was concluded that the intervention was effective in a sample with neurodegenerative disease. Its idiographic and flexible character stands out, according to the functional possibilities of the consultants, as well as its impact on the absence of depressive symptoms after the intervention. It is suggested to broaden the approach to subjective measures of mood as opposed to the verbalizations of the participants and their clinical implications.