Augmenting Behavioural Activation Treatment with the Behavioural Activation and Inhibition Scales

Background: Although behavioural activation therapy is effective for depression there is always room for improvement, and also the need to extend this treatment modality to anxiety disorders. Method: A search was conducted for an easy to apply and effective method of achieving these aims. Results: To both enhance the effectiveness of behavioural activation treatment for depression and facilitate its extension to anxiety disorders, it is proposed that the Behavioral Approach/Activation System (BAS) and Behavioral Inhibition System (BIS) be incorporated. BIS/BAS Scales are easy to administer and evaluate ensuring that there is minimal added complexity. Overall, BAS, BAS subscale (Drive, Reward Responsiveness, and Fun Seeking) and BIS scores provide valuable information pertaining to a person's approach and avoidance responses. This general information, plus that derived from specific scale items, can be used to guide more focused and effective behavioural activation strategies. Brief case examples are provided to demonstrate how the BIS/BAS Scales can be applied. Conclusion: BIS/BAS Scales offer an easy to apply and effective means of enhancing behavioural activation therapy for depression and extending this treatment modality to anxiety disorders.