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behavioral activation
Indications:
- treatment of depression in adults [1]
- anhedonia & insomnia (preclinical depression)
Procedure:
- 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
General
behavioral therapy
References
- 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
PMID: 27461440 Free Article
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
PMID: 27461438 Free Article
http://thelancet.com/pdfs/journals/lancet/PIIS0140-6736(16)31131-X.pdf
- 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