TY  - JOUR
PY  - 2019//
TI  - Behavioural activation treatment for depression in individuals with neurological conditions: a systematic review
JO  - Clinical rehabilitation
A1  - Oates, Lloyd L.
A1  - Moghaddam, Nima
A1  - Evangelou, Nikos
A1  - das Nair, Roshan
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0269-2155
UR  - http://dx.doi.org/10.1177/0269215519896404
ID  - ref1
ER  -