@article{ref1,
title="Behavioural activation treatment for depression in individuals with neurological conditions: a systematic review",
journal="Clinical rehabilitation",
year="2019",
author="Oates, Lloyd L. and Moghaddam, Nima and Evangelou, Nikos and das Nair, Roshan",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="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. <br><br>METHODological quality was assessed by two authors independently, and quality was appraised using Critical Appraisal Skills Programme checklists. <br><br>RESULTS: From 2714 citations, 10 articles were included comprising 590 participants. Behavioural activation was used to treat depression in people with dementia (<i>n</i> = 4), stroke (<i>n</i> = 3), epilepsy (<i>n</i> = 1), Parkinson's disease (<i>n</i> = 1), and brain injury (<i>n</i> = 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 (<i>d</i> <i>=</i> 0.24-1.7). <br><br>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. <br><br>CONCLUSION: The effectiveness of behavioural activation in randomized controlled trials varied from small to large (<i>d</i> <i>=</i> 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.<p /> <p>Language: en</p>",
language="en",
issn="0269-2155",
doi="10.1177/0269215519896404",
url="http://dx.doi.org/10.1177/0269215519896404"
}