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One behavioral activation approach to depression had participants create a hierarchy of reinforcing activities, rank-ordered by difficulty. Participants then tracked goals along with clinicians who used a token economy to reinforce success in moving through the hierarchy of activities, being measured before and after by the Beck Depression Inventory.
The behavioral activation system and behavioral inhibition system differ in their physiological pathways in the brain. The inhibition system has been shown to be linked to the septo-hippocampal system which appears to have a close correlation to a serotonergic pathway, with similarities in their innervations and stress responses.
Behavioral activation therapy emphasizes the role of the individual in creating treatment goals and engaging with their environment in a way that facilitates positive reinforcement. Treatment is typically intended to be brief, intense, and specific to the goals of the individual. [ 47 ]
Behavioural activation is based on a matching model of reinforcement. [105] A recent review of the research, supports the notion that the use of behavioural activation is clinically important for the treatment of depression. [106] Integrative behavioural couples therapy developed from dissatisfaction with traditional behavioural couples therapy.
Similarly, the Behavioral Activation System (BAS) was expanded to include all appetitive/reward stimuli. [26] The Behavioral Inhibition System (BIS) was defined as a conflict system activated whenever both BAS and FFFS are activated together or multiple inputs compete within the systems, thereby producing anxiety. [3]
There are also times when these measures are grouped together; in many cases the Behavioral Inhibition System scale and Behavioral Activation System scale are used together. These two measure are the most widely used and together they consist of behavioral inhibition and behavioral activation scales that deal with reward response and fun seeking.