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Treatments Associated with Mental Health Disorders and Functional Assessment

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Functional Assessment for Challenging Behaviors and Mental Health Disorders

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Abstract

Functional assessment strategies may be used to augment the treatment of mental health disorders. Several treatments have been developed through the study of behavioral analysis and behavioral theories of mental health disorders (e.g., anxiety disorders, depression). Due to the high prevalence and burden of mental health disorders, providing informed treatment strategies is paramount. An overview of behavioral theories of prominent mental health disorders and behaviorally based treatments is presented. Behavioral functions, functional assessment methods, and the use of functional assessment to inform treatments of anxiety disorders and depression are discussed.

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References

  • American Psychiatric Association, & American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). Arlington, VA: American Psychiatric Association.

    Book  Google Scholar 

  • A-Tjak, J. G. L., Davis, M. L., Morina, N., Powers, M. B., Smits, J. A. J., & Emmelkamp, P. M. G. (2015). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and Psychosomatics, 84(1), 30–36. https://doi.org/10.1159/000365764

    Article  Google Scholar 

  • Bados, A., Balaguer, G., & Saldaña, C. (2007). The efficacy of cognitive–behavioral therapy and the problem of drop-out. Journal of Clinical Psychology, 63(6), 585–592. https://doi.org/10.1002/jclp.20368

    Article  Google Scholar 

  • Bandura, A. (1969). Social learning of moral judgments. Journal of Personality and Social Psychology, 11(3), 275–279. https://doi.org/10.1037/h0026998

  • Baxter, A. J., Vos, T., Scott, K. M., Ferrari, A. J., & Whiteford, H. A. (2014). The global burden of anxiety disorders in 2010. Psychological Medicine, 44(11), 2363–2374. https://doi.org/10.1017/S0033291713003243

    Article  Google Scholar 

  • Beck, A. T. (1964). Thinking and depression: II. Theory and therapy. Archives of General Psychiatry, 10(6), 561–571.

    Article  Google Scholar 

  • Beck, A. T. (1970). Cognitive therapy: Nature and relation to behavior therapy. Behavior Therapy, 1(2), 184–200. https://doi.org/10.1016/S0005-7894(70)80030-2

    Article  Google Scholar 

  • Biglan, A., & Hayes, S. C. (1996). Should the behavioral sciences become more pragmatic? The case for functional contextualism in research on human behavior. Applied and Preventive Psychology, 5(1), 47–57. https://doi.org/10.1016/S0962-1849(96)80026-6

    Article  Google Scholar 

  • Carr, E. G. (1977). The motivation of self-injurious behavior: a review of some hypotheses. Psychological bulletin, 84(4), 800.

    Google Scholar 

  • Carr, E. G. (1994). Emerging themes in the functional analysis of problem behavior. Journal of Applied Behavior Analysis, 27(2), 393–399.

    Article  Google Scholar 

  • Cuijpers, P., van Straten, A., & Warmerdam, L. (2007). Behavioral activation treatments of depression: A meta-analysis. Clinical Psychology Review, 27(3), 318–326. https://doi.org/10.1016/j.cpr.2006.11.001

    Article  Google Scholar 

  • D’Zurilla, T. J., Nezu, A. M., & Maydeu-Olivares, A. (2004). Social problem solving: Theory and assessment. Washington, DC: American Psychological Association.

    Google Scholar 

  • Ferster, C. B. (1965). Classification of behavioral pathology. Research in behavior modification, 6–26.

    Google Scholar 

  • Ferster, C. B. (1966). Animal behavior and mental illness. The Psychological Record, 16(3), 345–356.

    Google Scholar 

  • Ferster, C. B. (1973). A functional analysis of depression. American Psychologist, 28(10), 857–870. https://doi.org/10.1037/h0035605

    Article  Google Scholar 

  • Friman, C. P. (2007). The fear factor: A functional perspective on anxiety. In P. Sturmey (Ed.), Functional analysis in clinical treatment (pp. 335–356). New York, NY: Academic Press.

    Chapter  Google Scholar 

  • Friman, P. C., & Lucas, C. P. (1996). Social phobia obscured by disruptive behavior disorder: A case study. Clinical Child Psychology and Psychiatry, 1(3), 399–407.

    Article  Google Scholar 

  • Gortner, E. T., Gollan, J. K., Dobson, K. S., & Jacobson, N. S. (1998). Cognitive–behavioral treatment for depression: Relapse prevention. Journal of Consulting and Clinical Psychology, 66(2), 377.

    Article  Google Scholar 

  • Gresham, F. M. (2003). Establishing the technical adequacy of functional behavioral assessment: Conceptual and measurement challenges. Behavioral Disorders, 28(3), 282–298. https://doi.org/10.1177/019874290302800305

    Article  Google Scholar 

  • Harvard Medical School, 2007. National Comorbidity Survey (NCS). (2017, August 21). Retrieved from https://www.hcp.med.harvard.edu/ncs/index.php. Data Table 1: Lifetime prevalence DSM-IV/WMH-CIDI disorders by sex and cohort.

  • Hasin, D. S., Sarvet, A. L., Meyers, J. L., Saha, T. D., Ruan, W. J., Stohl, M., & Grant, B. F. (2018). Epidemiology of adult DSM-5 major depressive disorder and its specifiers in the United States. JAMA Psychiatry, 75(4), 336. https://doi.org/10.1001/jamapsychiatry.2017.4602

    Article  Google Scholar 

  • Hayes, S. C., Blackledge, J., & Barnes-Holmes, T. (2001). Language and cognition: Constructing an alternative approach within the behavioral tradition. In Relational frame theory. A post-Skinnerian account of human language and cognition (pp. 3–20). New York, NY: Plenum.

    Chapter  Google Scholar 

  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. https://doi.org/10.1016/j.brat.2005.06.006

    Article  Google Scholar 

  • Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: Understanding and treating human suffering. New York, NY: Guilford.

    Google Scholar 

  • Hazlett-Stevens, H., & Craske, M. G. (2002). Brief cognitive-behavioral therapy: Definition and scientific foundations. In F. W. Bond & W. Dryden (Eds.), Handbook of brief cognitive behaviour therapy (pp. 1–20). Chichester, UK: John Wiley & Sons Ltd. https://doi.org/10.1002/9780470713020.ch1

  • Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427–440. https://doi.org/10.1007/s10608-012-9476-1

    Article  Google Scholar 

  • Hopko, D. R., Hopko, S. D., & Lejuez, C. W. (2007). Mood disorders. In P. Sturmey (Ed.), Functional analysis in clinical treatment (pp. 307–334). New York, NY: Academic Press.

    Chapter  Google Scholar 

  • Horner, R. H. (1994). Functional assessment: Contributions and future directions. Journal of Applied Behavior Analysis, 27(2), 401–404.

    Article  Google Scholar 

  • Ingram, K., Lewis-Palmer, T., & Sugai, G. (2005). Function-based intervention planning: Comparing the effectiveness of FBA function-based and non—function-based intervention plans. Journal of Positive Behavior Interventions, 7(4), 224–236. https://doi.org/10.1177/10983007050070040401

    Article  Google Scholar 

  • Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E., & Richman, G. S. (1982). Toward a functional analysis of self-injury. Analysis and intervention in developmental disabilities, 2(1), 3-20.

    Google Scholar 

  • Jacobson, N. S., Martell, C. R., & Dimidjian, S. (2001). Behavioral activation treatment for depression: Returning to contextual roots. Clinical Psychology: Science and Practice, 8(3), 255–270. https://doi.org/10.1093/clipsy.8.3.255

  • Jolivette, K., Scott, T. M., & Nelson, C. M. (2000). The link between functional behavioral assessments (FBAs) and behavioral intervention plans (BIPs). ERIC Digest E592.

    Google Scholar 

  • Kaplan, G. B., Heinrichs, S. C., & Carey, R. J. (2011). Treatment of addiction and anxiety using extinction approaches: Neural mechanisms and their treatment implications. Pharmacology Biochemistry and Behavior, 97(3), 619–625. https://doi.org/10.1016/j.pbb.2010.08.004

    Article  Google Scholar 

  • Kearney, C. A., & Silverman, W. K. (1993). Measuring the function of school refusal behavior: The School Refusal Assessment Scale. Journal of Clinical Child Psychology, 22(1), 85–96.

    Google Scholar 

  • Kearney, C. A., & Silverman, W. K. (1999). Functionally based prescriptive and nonprescriptive treatment for children and adolescents with school refusal behavior. Behavior Therapy, 30(4), 673–695. https://doi.org/10.1016/S0005-7894(99)80032-X

    Article  Google Scholar 

  • Kohlenberg, R. J., & Tsai, M. (1991). Functional analytic psychotherapy: Creating intense and curative therapeutic relationships. New York, NY: Plenum Press. https://doi.org/10.1007/978-0-387-70855-3

    Book  Google Scholar 

  • Lang, P. J., & Lazovik, A. D. (1963). Experimental desensitization of phobia. The Journal of Abnormal and Social Psychology, 66(6), 519.

    Article  Google Scholar 

  • Lazarus, A. A., & Rachman, S. (1957). The use of systematic desensitization in psychotherapy. South African Medical Journal, 31(11), 934-937.

    Google Scholar 

  • Lazarus, A. A. (1968). Learning theory and the treatment of depression. Behaviour Research and Therapy, 6(1), 83–89.

    Article  Google Scholar 

  • Lejuez, C. W., Hopko, D. R., & Hopko, S. D. (2001). A brief behavioral activation treatment for depression: Treatment manual. Behavior Modification, 25, 255–286.

    Article  Google Scholar 

  • Lewinsohn, P. M. (1975). The behavioral study and treatment of depression. In Progress in behavior modification (Vol. 1, pp. 19–64). Elsevier. https://doi.org/10.1016/B978-0-12-535601-5.50009-3.

  • Lewinsohn, P. M., & Atwood, G. E. (1969). Depression: A clinical-research approach. Psychotherapy: Theory, Research & Practice, 6(3), 166.

    Article  Google Scholar 

  • Martell, C. R., Addis, M. E., & Jacobson, N. S. (2001). Depression in context: Strategies for guided action. New York, NY: WW Norton & Co..

    Google Scholar 

  • Mazzucchelli, T., Kane, R., & Rees, C. (2009). Behavioral activation treatments for depression in adults: A meta-analysis and review. Clinical Psychology: Science and Practice, 16(4), 383–411. https://doi.org/10.1111/j.1468-2850.2009.01178.x

    Article  Google Scholar 

  • McGrath, T., Tsui, E., Humphries, S., & Yule, W. (1990). Successful treatment of a noise phobia in a nine-year-old girl with systematic desensitisation in vivo. Educational Psychology, 10(1), 79–83. https://doi.org/10.1080/0144341900100107

    Article  Google Scholar 

  • Merikangas, K. R., He, J., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., … Swendsen, J. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the National Comorbidity Survey Replication– Adolescent Supplement (NCS-A). Adolescent Psychiatry, 49(10), 10.

    Google Scholar 

  • Mineka, S., & Zinbarg, R. (2006). A contemporary learning theory perspective on the etiology of anxiety disorders: It’s not what you thought it was. American Psychologist, 61(1), 10–26. https://doi.org/10.1037/0003-066X.61.1.10

    Article  Google Scholar 

  • Mowrer, O. H. (1939). A stimulus-response analysis of anxiety and its role as a reinforcing agent. Psychological Review, 46(6), 553.

    Article  Google Scholar 

  • Newcomer, L. L., & Lewis, T. J. (2004). Functional behavioral assessment: An investigation of assessment reliability and effectiveness of function-based interventions. Journal of Emotional and Behavioral Disorders, 12(3), 168-181.

    Google Scholar 

  • Nezu, A. M. (1987). A problem-solving formulation of depression: A literature review and proposal of a pluralistic model. Clinical Psychology Review, 7(2), 121–144.

    Article  Google Scholar 

  • Nezu, A. M. (2004). Problem solving and behavior therapy revisited. Behavior Therapy, 35(1), 1–33.

    Article  Google Scholar 

  • Niles, A. N., Dour, H. J., Stanton, A. L., Roy-Byrne, P. P., Stein, M. B., Sullivan, G., … Craske, M. G. (2015). Anxiety and depressive symptoms and medical illness among adults with anxiety disorders. Journal of Psychosomatic Research, 78(2), 109–115. https://doi.org/10.1016/j.jpsychores.2014.11.018

    Article  Google Scholar 

  • Olatunji, B. O., Cisler, J. M., & Deacon, B. J. (2010). Efficacy of cognitive behavioral therapy for anxiety disorders: A review of meta-analytic findings. Psychiatric Clinics of North America, 33(3), 557–577. https://doi.org/10.1016/j.psc.2010.04.002

    Article  Google Scholar 

  • Öst, L.-G. (2014). The efficacy of acceptance and commitment therapy: An updated systematic review and meta-analysis. Behaviour Research and Therapy, 61, 105–121. https://doi.org/10.1016/j.brat.2014.07.018

    Article  Google Scholar 

  • Otte, C., Gold, S. M., Penninx, B. W., Pariante, C. M., Etkin, A., Fava, M., … Schatzberg, A. F. (2016). Major depressive disorder. Nature Reviews. Disease Primers, 2(1), 16065. https://doi.org/10.1038/nrdp.2016.65

    Article  Google Scholar 

  • Pavlov, I. P. (1927). Conditioned reflexes: an investigation of the physiological activity of the cerebral cortex. Oxford Univ. Press.

    Google Scholar 

  • Payne, L. D., Scott, T. M., & Conroy, M. (2007). A school-based examination of the efficacy of function-based intervention. Behavioral Disorders, 32(3), 158–174. https://doi.org/10.1177/019874290703200302

    Article  Google Scholar 

  • Powers, M. B., Zum Vörde Sive Vörding, M. B., & Emmelkamp, P. M. G. (2009). Acceptance and commitment therapy: A meta-analytic review. Psychotherapy and Psychosomatics, 78(2), 73–80. https://doi.org/10.1159/000190790

    Article  Google Scholar 

  • Rachman, S. (1976). The passing of the two-stage theory of fear and avoidance: Fresh possibilities. Behaviour Research and Therapy, 14(2), 125–131. https://doi.org/10.1016/0005-7967(76)90066-8

    Article  Google Scholar 

  • Rachman, S. (1977). The conditioning theory of fear acquisition: A critical examination. Behaviour Research and Therapy, 15(5), 375–387. https://doi.org/10.1016/0005-7967(77)90041-9

    Article  Google Scholar 

  • Reisinger, J. J. (1972). The treatment of “anxiety-depression” via positive reinforcement and response cost. Journal of Applied Behavior Analysis, 5(2), 125–130.

    Article  Google Scholar 

  • Sareen, J., et al. (2005). Anxiety disorders and risk for suicidal ideation and suicide attempts: a population-based longitudinal study of adults. Archives of General Psychiatry, 62, 9.

    Article  Google Scholar 

  • Skinner, B. F. (1953). Science and human behavior. New York: Macmillan.

    Google Scholar 

  • Smith, M. L., & Glass, G. V. (1977). Meta-analysis of psychotherapy outcome studies. American Psychologist, 32(9), 752.

    Article  Google Scholar 

  • Swearer, S. M., Jones, K. M., & Friman, P. C. (1997). Relax and try this instead: Abbreviated habit reversal for oral self-biting. Journal of Applied Behavior Analysis, 30, 697–700.

    Article  Google Scholar 

  • Veale, D. (2008). Behavioural activation for depression. Advances in Psychiatric Treatment, 14(1), 29–36. https://doi.org/10.1192/apt.bp.107.004051

    Article  Google Scholar 

  • Watson, J. B., & Rayner, R. (1920). Conditioned emotional reactions. Journal of Experimental Psychology, 3(1), 1.

    Article  Google Scholar 

  • Willis, R. W., & Edwards, J. A. (1969). A study of the comparative effectiveness of systematic desensitization and implosive therapy. Behaviour Research and Therapy, 7(4), 387–395

    Google Scholar 

  • Wolpe, J. (1950). The genesis of neurosis, an objective account. South African Medical Journal/Suid-Afrikaanse Tydskrif Vir Geneeskunde, 24(30), 613–616.

    Google Scholar 

  • Wolpe, J. (1954). Reciprocal inhibition as the main basis of psychotherapeutic effects. AMA Archives of Neurology & Psychiatry, 72(2), 205–226.

    Article  Google Scholar 

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  1. Department of Psychology, Louisiana State University, Baton Rouge, LA, USA

    Joshua J. Montrenes & Johnny L. Matson

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  1. Joshua J. Montrenes
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Correspondence to Joshua J. Montrenes .

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  1. Department of Psychology, Louisiana State University, Baton Rouge, LA, USA

    Johnny L. Matson

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Montrenes, J.J., Matson, J.L. (2021). Treatments Associated with Mental Health Disorders and Functional Assessment. In: Matson, J.L. (eds) Functional Assessment for Challenging Behaviors and Mental Health Disorders. Autism and Child Psychopathology Series. Springer, Cham. https://doi.org/10.1007/978-3-030-66270-7_14

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