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2. Theory-Driven Intervention for Changing Personality: Expectancy Value Theory, Behavioral Activation, and Conscientiousness

Author

Magidson, Jessica F., Roberts, Brent W., and Collado-Rodriguez, Anahi

Abstract

Considerable evidence suggests that personality traits may be changeable, raising the possibility that personality traits most linked to health problems can be modified with intervention. A growing body of research suggests that problematic personality traits may be altered with behavioral intervention using a bottom-up approach. That is, by targeting core behaviors that underlie personality traits with the goal of engendering new, healthier patterns of behavior that, over time, become automatized and manifest in changes in personality traits. Nevertheless, a bottom-up model for changing personality traits is somewhat diffuse and requires clearer integration of theory and relevant interventions to enable real clinical application. As such, this article proposes a set of guiding principles for theory-driven modification of targeted personality traits using a bottom-up approach, focusing specifically on targeting the trait of conscientiousness using a relevant behavioral intervention, Behavioral Activation (BA), considered within the motivational framework of expectancy value theory (EVT). We conclude with a real case example of the application of BA to alter behaviors counter to conscientiousness in a substance-dependent patient, highlighting the EVT principles most relevant to the approach and the importance and viability of a theoretically driven, bottom-up approach to changing personality traits.

Published
2014
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4. List of Contributors

Author

Adams, Jeremy, primary, Aivadyan, Christina, additional, Andrade, Jackie, additional, Andreassen, Cecilie Schou, additional, Attwood, Angela, additional, Aveyard, Paul, additional, Baker, Amanda, additional, Balsam, Kimberly F., additional, Bancroft, John, additional, Barth, Kelly S., additional, Bauld, Linda, additional, Beranuy, Marta, additional, Blume, Arthur W., additional, Bolton, James M., additional, Bonn-Miller, Marcel O., additional, Borsari, Brian, additional, Brady, Kathleen T., additional, Braun, Ashley R., additional, Britton, John, additional, Brown, Brian P., additional, Campbell, Justine, additional, Carbonell, Xavier, additional, Carvalho, Félix, additional, Caselli, Gabriele, additional, Castellanos-Ryan, Natalie, additional, Chan, Grace, additional, Chartier, Karen Grube, additional, Chen, Chuan-Yu, additional, Chen, Wei J., additional, Chung, Tammy, additional, Clemens, Kelly J., additional, Collado-Rodriguez, Anahi, additional, Conrad, Megan, additional, Conrod, Patricia J., additional, Copeland, Jan, additional, Correia, Christopher J., additional, Craft, Baine B., additional, Crosland, Ann, additional, Cunha-Oliveira, Teresa, additional, Davis, Kelly C., additional, Deady, Mark, additional, Degenhardt, Louisa, additional, Delfabbro, Paul H., additional, Dennhardt, Ashley A., additional, Dillon, Paul, additional, Drobes, David J., additional, Eaddy, Jessica L., additional, Echeburúa, Enrique, additional, Faden, Vivian B., additional, Fenton, Miriam C., additional, Ferguson, Stuart G., additional, Fernandez-Serrano, M.J., additional, Field, Matt, additional, Fossos, Nicole, additional, Foster, Dawn W., additional, Franken, Ingmar H.A., additional, Geisner, Irene M., additional, George, William H., additional, Ghandour, Lilian A., additional, Gil-Rivas, Virginia, additional, Gilmore, Amanda K., additional, Glantz, Meyer D., additional, Gold, Mark S., additional, Gonzalez, Vivian M., additional, Griffiths, Mark D., additional, Grov, Christian, additional, Grover, Kristin W., additional, Haighton, Catherine A., additional, Hajek, Peter, additional, Hall, Wayne, additional, Hanson, David J., additional, Harrell, Paul, additional, Hasin, Deborah, additional, Hasking, Penelope Anne, additional, Hastings, Gerard, additional, Heaton, Jennifer A., additional, Heinz, Adrienne J., additional, Hendricks, Shai, additional, Hermens, Daniel, additional, Hesselbrock, Michie N., additional, Hesselbrock, Victor M., additional, Hill, Elizabeth M., additional, Hingson, Ralph W., additional, Hogan, Julianna, additional, Horvath, Keith J., additional, Hsu, Sharon Hsin, additional, Huang, Xiuqin, additional, Hunter-Reel, Dorian, additional, Jiang, Qiaolei, additional, Johnson, Thomas J., additional, Kanayama, Gen, additional, Kaner, Eileen F.S., additional, Kassel, Jon D., additional, Kay-Lambkin, Frances, additional, Kaye, Sharlene S., additional, Kaysen, Debra, additional, Kemps, Eva, additional, Kilmer, Jason R., additional, King, Daniel L., additional, Klein, Axel, additional, Kosiba, Jesse, additional, Kristeller, Jean L., additional, Lee, Grace P., additional, Lehavot, Keren, additional, Lejoyeux, Michel, additional, Lejuez, Carl, additional, Leonard, Kenneth E., additional, Lewis, Melissa A., additional, Lindgren, Kristen P., additional, Ling, Jonathan, additional, Litt, Dana, additional, Littlefield, Andrew K., additional, Lustyk, M. Kathleen B., additional, MacPherson, Laura, additional, MacQueen, David A., additional, Maggs, Jennifer L., additional, Malcolm, Robert, additional, Marel, Christina, additional, Marlatt, G. Alan, additional, Martens, Matthew P., additional, Martins, Silvia S., additional, May, Jon, additional, Maziak, Wasim, additional, McKetin, Rebecca, additional, McNeill, Ann, additional, McWhorter, Linda, additional, Mills, Katherine L., additional, Mishra, Manish K., additional, Molina, Yamile, additional, Moselhy, Hamdy Fouad, additional, Mueser, Kim T., additional, Munafò, Marcus, additional, Murphy, James G., additional, Murray, Rachael, additional, Neighbors, Clayton, additional, Noel, Nora E., additional, Nolen-Hoeksema, Susan, additional, Noordsy, Douglas L., additional, O'Farrell, Timothy J., additional, Oberst, Ursula, additional, Odenwald, Michael, additional, Oliveira, Catarina R., additional, Oliver, Jason A., additional, Oei, Tian P.S., additional, Parsons, Jeffrey T., additional, Patrick, Megan E., additional, Paulus, Martin P., additional, Pope, Harrison G., additional, Powell, Patricia A., additional, Proctor, Dawn, additional, Quigley, Brian M., additional, Ramo, Danielle E., additional, Rego, Ana Cristina, additional, Rehm, Jürgen, additional, Reynolds, Elizabeth K., additional, Robinson, Jennifer A., additional, Rodriguez, Lindsey, additional, Roll, John M., additional, Rose, Abigail K., additional, Rosenberg, Harold, additional, Rudisill, Desiree M., additional, Samokhvalov, Andriy V., additional, Sanchez, Zila M., additional, Santoya, Natalia, additional, Schacht, Rebecca L., additional, Schraufnagel, Trevor J., additional, Schulenberg, John E., additional, Schumm, Jeremiah A., additional, Shahab, Lion, additional, Shiffman, Saul, additional, Shriner, Richard L., additional, Sinha, Rajita, additional, Skewes, Monica C., additional, Smith, Andrew Paul, additional, Smith, Karen E., additional, Spada, Marcantonio, additional, Stacy, Alan W., additional, Steckler, Gillian, additional, Stewart, Jennifer L., additional, Storr, Carla L., additional, Strodl, Esben, additional, Oei, Tian Po Sumantri, additional, Tao, Ran, additional, Teesson, Maree, additional, Thakker, Jo, additional, Tidwell, Judy, additional, Tiggemann, Marika, additional, Tirapu-Ustarroz, J., additional, Toneatto, Tony, additional, Veatch, Lynn M., additional, Veilleux, Jennifer C., additional, Verdejo-García, A., additional, Warfa, Nasir, additional, Weinstein, Aviv, additional, West, Robert, additional, Westermeyer, Joseph, additional, White, Aaron M., additional, Wiers, Reinout W., additional, Wilson, Graeme B., additional, Winograd, Rachel P., additional, Winstock, Adam R., additional, Witkiewitz, Katie, additional, Woody, George E., additional, Wray-Lake, Laura, additional, Wu, Li-Tzy, additional, Young, Ross Mc.D., additional, Zvolensky, Michael J., additional, and Zvorsky, Ivori, additional

Published
2013
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9. BRIEF BEHAVIORAL ACTIVATION TREATMENT FOR DEPRESSION IN SPANISH-SPEAKING LATINOS: ACCEPTABILITY AND PRELIMINARY EVALUATION

Author

Collado-Rodriguez, Anahi D. and Collado-Rodriguez, Anahi D.

Abstract

Although depression is highly treatable, disparities in mental health treatment in the US have prevented Latinos who lack English language proficiency from accessing efficacious interventions. Reasons cited for these disparities include language barriers, high cost of services, lack of culturally sensitive treatments, and stigma toward mental health treatment. A direct Spanish translation of the Brief Behavioral Activation Treatment for Depression (BATD) may be well-equipped to address the existing barriers through its focus on individual and cultural values, its efficiency and straight-forward nature, itsfocus on developing existing and new strengths, and conceptualization of depression as a consequence of clients' environments and not of cognitive processes, which may serve to decrease stigma associated with care. Using this translation, the current study sought to establish preliminary efficacy and acceptability of BATD in a group of depressed Spanish-speaking Latinos (N=10) . Results showed that over time there was a significant decrease in self-reported depression and a significant increase in activation as indicated by multiple self-report measures. Further, increases in activation corresponded to decreases in depression. Sustained clinical gains through a one-month follow-up were observed. Taken together, these results provide preliminary support for BATD as an efficacious treatment for depression. Consideration of the results combined with interview-based feedback obtained from participants provide several domains for modification of this treatment for future studies, and suggest that the next logical step is to include a treatment control group and a larger sample size in future investigations.

Published
2012

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