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An evaluation of behavioural activation treatment for anxiety (BATA) when delivered In-person and via videoconferencing

Lee, Yong Heng (2015) An evaluation of behavioural activation treatment for anxiety (BATA) when delivered In-person and via videoconferencing. Professional Doctorate thesis, Murdoch University.

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Cognitive Behavioural Therapy (CBT), a form of psychotherapy, is the most empirically supported treatment for anxiety, but new research into psychological treatments for anxiety is warranted because clinical improvement is not achieved by between 20% and 80% of the clinical population receiving CBT or other empirically supported psychological treatments. One recently developed approach is Behavioural Activation Therapy for Anxiety (BATA), first reported in 2009 by Turner and Leach who identified that Behavioural Activation (BA), though recognised as an effective treatment for depression, had rarely been applied to anxiety despite functional similarities. BATA has been written as a structured protocol, based on setting goals and scheduling activities, that brings clients into contact with naturally occurring sources of positive reinforcement for “clinically healthier”, socially-valid behaviours. This study included nine single case recipients of BATA ranging in age from 19 to 52 years old who met DSM-IV criteria for a non-trauma anxiety condition, assigned to one of three groups according to residence and type of delivery: Metropolitan In-Person, Metropolitan Videoconferencing, and Regional/Remote Videoconferencing. In each case, following a baseline period, BATA was applied in 12 weekly, 60-minute individual therapy sessions. Treatment outcomes were evaluated using A-B-C phase change analysis with repeated measures. Eight out of nine participants showed significant reduction in self-reported anxiety symptoms. A corresponding significant decrease in anxiety symptoms overall across all the participant groups was shown by an omnibus/global analysis, replicating the original Turner and Leach findings that featured an older group of participants. No differences were found between the Metropolitan and Regional/Remote groups or between the Metropolitan and Videoconferencing groups which provided evidence that BATA can be delivered as effectively by videoconferencing as when delivered face-to-face in-person.

Item Type: Thesis (Professional Doctorate)
Murdoch Affiliation(s): School of Psychology and Exercise Science
Supervisor(s): Correia, Helen and Leach, David
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