A component analysis of cognitive-behavioral treatment for depression.

Dobson, Keith S.; Truax, Paula; Addis, Michael E.; Koerner, Kelly; Gollan, Jackie K.; Gortner, Eric; Prince, Stacey E.

doi:10.1037//1522-3736.3.0003

Cited by 74 publications

(118 citation statements)

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“…An additional feature that may also be useful in preventing skill fade and dealing with any common problems was bi-annual follow up training 44. As all the training packages were less than 1 week, it is clear that the approach can be quickly disseminated to clinicians, supporting prior claims to this effect 52. Of those studies that included people not trained in behavioural and cognitive psychotherapies, the outcomes were similar to other studies implying that efficacy can be maintained 44 46.…”

Section: Resultssupporting

confidence: 58%

Behavioural activation for the treatment of depression in military personnel

Whybrow

2013

J R Army Med Corps

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INTRODUCTION: Depression is a common mental health problem in both civilian and military populations. Access to evidence based psychological therapies for treating common mental health problems such as depression may not be adequate at present. Behavioural Activation (BA) represents a National Institute for Clinical Excellence recommended, evidence-based treatment for depression. The aim of this review was to review the literature to determine how BA could work as a therapeutic approach for military personnel with depression. METHOD: Five specialty-specific electronic databases were searched using the key words 'behavioural activation', 'activity scheduling' and 'depression'. Emerging themes were drawn out of the literature using a long table approach to thematic analysis. RESULTS: Seven themes were identified: Clinical Effectiveness, Cultural Competence, Co-morbidity, Cost Effectiveness, Alternatives to Face-to-Face Therapy, Training and Patient Experience. CONCLUSIONS: Group based BA is a cost effective option that may build upon service personnel's cultural affinity to teamwork and peer support. Brief training workshops and supervision could be provided to military mental health nurses to deliver group based BA. However service delivery may also be enhanced by enabling some nurses to specialise as Cognitive Behavioural Psychotherapists. More research is needed to understand whether this pragmatic, two pronged approach to training would result in the sustained dissemination of evidence based practice.

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Section: Resultssupporting

confidence: 58%

Behavioural activation for the treatment of depression in military personnel

Whybrow

2013

J R Army Med Corps

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“…First, the specific cognitive components of CBT often fail to outperform “stripped-down” versions of the treatment that contain only the more basic behavioural strategies. For example, Jacobson and colleagues13 showed that patients with major depression improved just as much following a treatment that contained only the behavioural strategies and explicitly excluded techniques designed to directly modify distorted cognitions, when compared to the full CBT package containing both the cognitive and behavioural elements.…”

Section: Criticisms Of Traditional Cbtmentioning

confidence: 99%

Cognitive-behavioural therapies: achievements and challenges

Gaudiano

2008

Evid Based Mental Health

129

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“…The efficacy of BA for treating MDD has been established in a number of studies over the past four decades 5. Moreover, a dismantling study showed that BA could be as effective as the full cognitive behaviour therapy (CBT) treatment package 6. Moreover, in a later randomised controlled trial, BA was found to be as effective as antidepressant medication 7…”

Section: Introductionmentioning

confidence: 99%

Behavioural activation versus mindfulness-based guided self-help treatment administered through a smartphone application: a randomised controlled trial

et al. 2014

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ObjectivesEvaluating and comparing the effectiveness of two smartphone-delivered treatments: one based on behavioural activation (BA) and other on mindfulness.DesignParallel randomised controlled, open, trial. Participants were allocated using an online randomisation tool, handled by an independent person who was separate from the staff conducting the study.SettingGeneral community, with recruitment nationally through mass media and advertisements.Participants40 participants diagnosed with major depressive disorder received a BA treatment, and 41 participants received a mindfulness treatment. 9 participants were lost at the post-treatment.InterventionBA: An 8-week long behaviour programme administered via a smartphone application. Mindfulness: An 8-week long mindfulness programme, administered via a smartphone application.Main outcome measuresThe Beck Depression Inventory-II (BDI-II) and the nine-item Patient Health Questionnaire Depression Scale (PHQ-9).Results81 participants were randomised (mean age 36.0 years (SD=10.8)) and analysed. Results showed no significant interaction effects of group and time on any of the outcome measures either from pretreatment to post-treatment or from pretreatment to the 6-month follow-up. Subgroup analyses showed that the BA treatment was more effective than the mindfulness treatment among participants with higher initial severity of depression from pretreatment to the 6-month follow-up (PHQ-9: F (1, 362.1)=5.2, p<0.05). In contrast, the mindfulness treatment worked better than the BA treatment among participants with lower initial severity from pretreatment to the 6-month follow-up (PHQ-9: F (1, 69.3)=7.7, p<0.01); BDI-II: (F(1, 53.60)=6.25, p<0.05).ConclusionsThe two interventions did not differ significantly from one another. For participants with higher severity of depression, the treatment based on BA was superior to the treatment based on mindfulness. For participants with lower initial severity, the treatment based on mindfulness worked significantly better than the treatment based on BA.Trial registrationClinical Trials NCT01463020.

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A component analysis of cognitive-behavioral treatment for depression.

Cited by 74 publications

References 0 publications

Behavioural activation for the treatment of depression in military personnel

Behavioural activation for the treatment of depression in military personnel

Cognitive-behavioural therapies: achievements and challenges

Behavioural activation versus mindfulness-based guided self-help treatment administered through a smartphone application: a randomised controlled trial

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