behavioral activation
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Indications
- treatment of depression in adults[1]
- anhedonia & insomnia (preclinical depression)
Procedure
- suitable for use in a primary care setting
- behavioral activation may be provided by junior mental health workers without professional mental health degrees trained to guide patients in self-help interventions
- behavioral activation includes
- identifying & avoiding triggers of depression
- identifying & seeking positive situations
- goals
- reduce avoidance & rumination associated with counterproductive behaviors
- activate social networks
- increase physical activity[2]
- 20 sessions over 16 weeks
- simpler & less expensive than cognitive behavioral therapy
- 30% less expensive mostly due to less cost for professional health care
- non-inferior to cognitive behavioral therapy[1]
- can be delivered in a primary care office[2]
* cognitive behavioral therapy is provided by psychotherapists
More general terms
References
- ↑ Jump up to: 1.0 1.1 1.2 Richards DA, Ekers D, McMillan D et al Cost and Outcome of Behavioural Activation versus Cognitive Behavioural Therapy for Depression (COBRA): a randomised, controlled, non-inferiority trial. Lancet. July 22, 2016 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/27461440 Free Article <Internet> http://thelancet.com/pdfs/journals/lancet/PIIS0140-6736(16)31140-0.pdf
Kanter JW, Puspitasari AJ Global dissemination and implementation of behavioural activation. Lancet. July 22, 2016 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/27461438 Free Article <Internet> http://thelancet.com/pdfs/journals/lancet/PIIS0140-6736(16)31131-X.pdf - ↑ Jump up to: 2.0 2.1 2.2 Geriatric Review Syllabus, 10th edition (GRS10) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2019
Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022
Geriatric Review Syllabus, 12th edition (GRS12) Colburn JL, Wescott AM, Potter JF (eds) American Geriatrics Society, 2025 - ↑ Stein AT, Carl E, Cuijpers P, Karyotaki E, Smits JAJ. Looking beyond depression: a meta-analysis of the effect of behavioral activation on depression, anxiety, and activation. Psychol Med. 2021 Jul;51(9):1491-1504. PMID: https://www.ncbi.nlm.nih.gov/pubmed/32138802
- ↑ Wang X, Feng Z. A Narrative Review of Empirical Literature of Behavioral Activation Treatment for Depression. Front Psychiatry. 2022 Apr 25;13:845138. PMID: https://www.ncbi.nlm.nih.gov/pubmed/35546948 PMCID: PMC9082162 Free PMC article. Review. https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.845138/full