Lloyd L. Oates
Behavioural activation treatment for depression in individuals with neurological conditions: a systematic review
Oates, Lloyd L.; Moghaddam, Nima; Evangelou, Nikos; das Nair, Roshan
Authors
Nima Moghaddam
NIKOS EVANGELOU Nikos.Evangelou@nottingham.ac.uk
Clinical Professor
ROSHAN NAIR Roshan.dasnair@nottingham.ac.uk
Professor of Clinical Psychology and Neuropsychology
Abstract
© The Author(s) 2019. Objective: To evaluate the effectiveness of behavioural activation interventions for people with neurological conditions with comorbid depression, and explore content and adaptations. Data sources: PsycINFO, MEDLINE, CINAHL, AMED, and EMBASE databases were searched on the 19 November 2019. Reference lists of selected full-texts were screened by title. Review methods: We included peer-reviewed studies published in English that used behavioural activation for treatment of depression in adults with a neurological condition. Single-case reports, reviews, and grey literature were excluded. Methodological quality was assessed by two authors independently, and quality was appraised using Critical Appraisal Skills Programme checklists. Results: From 2714 citations, 10 articles were included comprising 590 participants. Behavioural activation was used to treat depression in people with dementia (n = 4), stroke (n = 3), epilepsy (n = 1), Parkinson’s disease (n = 1), and brain injury (n = 1). Sample size ranged from 4 to 105 participants. There were seven randomized controlled studies; however, no studies compared behavioural activation to an alternative psychological therapy. The effect sizes varied between small and large in the studies where effect size could be calculated (d = 0.24–1.7). Methodological quality of the included studies was variable. Intervention components were identifying and engaging in pleasurable activities, psychoeducation, and problem-solving. Adaptations included delivering sessions via telephone, delivering interventions via primary caregivers, and giving psychoeducation to caregivers. Conclusion: The effectiveness of behavioural activation in randomized controlled trials varied from small to large (d = 0.24–1.7) in reducing depression. The content of behavioural activation was comparable to established treatment manuals. Adaptations appeared to support individuals to engage in therapy. Review registration: PROSPERO 2018, CRD42018102604.
Citation
Oates, L. L., Moghaddam, N., Evangelou, N., & das Nair, R. (2020). Behavioural activation treatment for depression in individuals with neurological conditions: a systematic review. Clinical Rehabilitation, 34(3), 310-319. https://doi.org/10.1177/0269215519896404
Journal Article Type | Article |
---|---|
Acceptance Date | Dec 1, 2019 |
Online Publication Date | Dec 26, 2019 |
Publication Date | Mar 1, 2020 |
Deposit Date | Dec 10, 2019 |
Publicly Available Date | Jan 3, 2020 |
Journal | Clinical Rehabilitation |
Print ISSN | 0269-2155 |
Electronic ISSN | 1477-0873 |
Publisher | SAGE Publications |
Peer Reviewed | Peer Reviewed |
Volume | 34 |
Issue | 3 |
Pages | 310-319 |
DOI | https://doi.org/10.1177/0269215519896404 |
Keywords | Neurological conditions, Depression, Behavioural activation, Behavioural therapy, Activity scheduling |
Public URL | https://nottingham-repository.worktribe.com/output/3523852 |
Publisher URL | https://journals.sagepub.com/doi/full/10.1177/0269215519896404 |
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