Behavioural activation and other low-intensity mental health treatments

Block 3

Evaluating efficacy and areas of clinical application


Learning to evaluate:

  • Efficacy and cost-effectiveness of BA for different severities of depression, bipolar disorder, anxiety disorders, substance abuse, neurological conditions and other physical health problems, different age groups
  • Efficacy of other low intensity interventions
  • Competencies necessary for lay-administration by non-specialists
  • Long term effects and levels of relapse

Recommended reading:

Coffman, S. J., Martell, C. R., Dimidjian, S., Gallop, R., & Hollon, S. D. (2007). Extreme nonresponse in cognitive therapy: Can behavioral activation succeed where cognitive therapy fails? Journal of Consulting and Clinical Psychology, 75(4), 531–541. https://doi.org/10.1037/0022-006X.75.4.531

Ekers, D., Webster, L., Van Straten, A., Cuijpers, P., Richards, D., & Gilbody, S. (2014). Behavioural activation for depression; an update of meta-analysis of effectiveness and sub group analysis. PloS one, 9(6), e100100

Richards, D. A., Ekers, D., McMillan, D., Taylor, R. S., Byford, S., Warren, F. C., ... & Finning, K. (2016). Cost and Outcome of Behavioural Activation versus Cognitive Behavioural Therapy for Depression (COBRA): a randomised, controlled, non-inferiority trial. The Lancet, 388(10047), 871-880.

Ali, S., Rhodes, L., Moreea, O., McMillan, D., Gilbody, S., Leach, C., ... & Delgadillo, J. (2017). How durable is the effect of low intensity CBT for depression and anxiety? Remission and relapse in a longitudinal cohort study. Behaviour research and therapy, 94, 1-8.

Webb, C. A., Stanton, C. H., Bondy, E., Singleton, P., Pizzagalli, D. A., & Auerbach, R. P. (2019). Cognitive versus behavioral skills in CBT for depressed adolescents: Disaggregating within-patient versus between-patient effects on symptom change. Journal of consulting and clinical psychology, 87(5), 484.

Satinsky, E. N., Doran, K., Felton, J. W., Kleinman, M., Dean, D., & Magidson, J. F. (2020). Adapting a peer recovery coach-delivered behavioral activation intervention for problematic substance use in a medically underserved community in Baltimore City. PloS one, 15(1), e0228084

Hoyer, J., Hoefler, M., & Wuellhorst, V. (2020). Activity and subsequent depression levels: a causal analysis of behavioural activation group treatment with weekly assessments over 8 weeks. Clinical psychology & psychotherapy, 27(3), 330-336.


Slides:

3 Evaluating efficacy and areas of clinical application
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