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  1. Behavioural activation is a type of talking therapy used to treat depression in adults and it could be an alternative to other psychological therapies or medication. This review assesses the effects of behavioural activation on depression for people with long-term physical conditions.

  2. The review found that behavioural activation may treat depression better than receiving usual care or humanistic therapy. It was uncertain whether behavioural activation worked better than medication, being on a waiting list, or receiving a range of other psychological therapies. There was no evidence available comparing behavioural activation ...

    • Inclusion and Exclusion Criteria
    • Search Strategy
    • Study Selection
    • Quality Assessment
    • Data Extraction
    • Data Synthesis and Analysis

    Population

    Studies will be eligible for inclusion in this review if they include adults (aged ≥16 years) with: (1) a diagnosis of depression/a depressive disorder (according to a diagnostic interview) or an elevated level of depressive symptomatology (scoring above a cutoff on a validated self-report scale); and (2) a chronic physical health condition. A chronic physical health condition is identified as a long term condition that cannot be cured, but is controlled by medication and/or other therapies/t...

    Intervention

    To be considered a BA intervention, the intervention should be based upon a behavioural model of depression, with the main aim of the intervention being to increase positive reinforcement from the environment using strategies to encourage individuals to increase pleasant/rewarding activities, and/or reduce escape and avoidance behaviours by increasing a range of activities. The intervention should not target cognitions as a main mechanism of change.

    Comparators

    As all study designs are included in this review, a range of comparators will be included to form the selection criteria. For experimental studies, control groups in controlled studies may receive treatment as usual or other psychological or pharmacological interventions. For quasi-experimental, observational or qualitative studies no comparator may have been adopted.

    The following electronic databases will be searched with the predefined search strategy attached (Additional file 1): PsycINFO (Ovid); Medline (Ovid); EMBASE (Ovid SP); The Cochrane Library; CINAHL Plus (EBSCO); and AMED (EBSCO). Alterations to the MeSH terms included in the search strategy will be undertaken to ensure consistency with the database...

    The initial electronic search will be conducted by one researcher (SH). The electronic searches for different databases will be combined using EndNote X6 and duplicates will be identified and deleted (SH). The titles and abstracts of studies identified through electronic searching will be screened to identify studies that are potentially eligible f...

    The quality of all eligible studies will be assessed by the main reviewer (SH) and checked by a second reviewer. RCTs will be assessed using the Cochrane Collaboration’s Risk of Bias tool . Non-randomised studies will be assessed using the Downs and Black checklist for measuring study quality. Qualitative studies will be assessed using the Critica...

    All data will be extracted by two researchers using standardised electronic data extraction forms (Additional file 2, adapted from ), which were developed for this systematic review and based on guidance from the CRD . Data extracted will include characteristics of the study methodology, participants, statistical approaches and results. Details of ...

    Aim (1) will be addressed with a narrative synthesis involving tables and text of the different forms of BA for depression in individuals with a range of chronic physical health conditions. As all chronic physical illnesses will be included in this review, the specific physical health conditions of patients in the studies will also be recorded. For...

    • Sarah Harris, Paul Farrand, Chris Dickens
    • 2013
  3. Sep 14, 2021 · A treatment called behavioral activation (BA) aims to stop the downward spiral and help you feel better. BA is a type of talk therapy for depression and other mood disorders. A therapist helps you ...

    • Evan Starkman
  4. Nov 16, 2013 · Discussion: The findings will inform the design, development and subsequent evaluation of a behavioural activation intervention for depression in people with a chronic physical illness. PROSPERO ...

  5. Feb 26, 2023 · What is Behavioral Activation (BA) And How Is It Used To Treat Depression? Behavioral activation (BA) is “a structured, brief psychotherapeutic approach that aims to (a) increase engagement in adaptive activities (which often are those associated with the experience of pleasure or mastery), (b) decrease engagement in activities that maintain depression or increase risk for depression, and (c ...

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  7. Apr 17, 2023 · Objective. Behavioral activation (BA) is an extensively examined treatment for depression which is relatively simple to apply in comparison to other psychotherapies. BA aims to increase positive interactions between a person and the environment. All previous meta-analyses focused on BA in groups and guided self-help, but none focused on BA in ...

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