Behavioural activation therapies for depression in adults with non-communicable diseases

Uphoff, Eleonora; Pires, Malini; Barbui, Corrado; Barua, Deepa; Churchill, Rachel; Ekers, David; Fottrell, Edward; Mazumdar, Papiya; Purgato, Marianna; Rana, Rusham Zahra; Wright, Judy; Siddiqi, Najma

doi:10.1002/14651858.cd013461

Cited by 3 publications

(3 citation statements)

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“…The searches were developed iteratively, starting with previously used search strategies for behavioral activation and NCDs (Uphoff et al., 2020 ), psychological interventions (Kunzler et al., 2020 ), mental disorders (Mishu et al., 2021 ), and refining strategies iteratively to address the two search questions. Subject headings and free text words were used in each search concept; no limits were applied for language or publication date.…”

Section: Methodsmentioning

confidence: 99%

“…Depression is treatable with relatively low-cost psychological and/or pharmacological therapies (WHO, 2014 ), which are relatively simple and potentially culturally portable (Hendriks et al., 2018 ). Psychological interventions have been shown to be effective in treating depression in people with NCDs in HICs (Uphoff et al., 2020 ). However, there is scarce information on LMICs where limited resources, income constraints, and differing socio-cultural acceptability are additional barriers to delivering these interventions (Dawson et al., 2015 ).…”

Section: Introductionmentioning

confidence: 99%

“…To the best of our knowledge, there are no systematic reviews addressing the effectiveness and barriers, and facilitators of psychological interventions for depression in people with NCDs in LMICs. Such trial-based evidence is essential to inform practice and the development of tailored interventions for LMIC, where information from high-income countries may not necessarily be applicable (Uphoff et al., 2020 ).…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness and implementation of psychological interventions for depression in people with non-communicable diseases in South Asia: Systematic review and meta-analysis

Zavala

Jennings

Afaq

et al. 2023

International Journal of Mental Health

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We evaluate the effectiveness of psychological interventions for depression in people with NCDs in South Asia and explore the individual, organizational, and policy-level barriers and facilitators for the implementation and scaling up of these interventions. Eight databases (and local web pages) were searched in May 2022. We conducted random effects models to evaluate the pooled effect of psychological interventions on depression in people with NCDs. We extracted the individual, organizational, and policy level barriers and facilitators. We found five randomized control trials, nine qualitative studies, and 35 policy documents that fitted the inclusion criteria. The pooled standardized mean difference in depression comparing psychological interventions with usual care was −2.31 (95% CI, −4.16 to −0.45; p = .015, I 2 = 96.0%). We found barriers and facilitators to intervention delivery, mental health appears in the policy agenda in Bangladesh and Pakistan. However, there is a lack of policies relating to training in mental health for NCD health providers and a lack of integration of mental health care with NCD care. All of the psychological interventions reported to be effective in treating depression in this population. There are important delivery and policy barriers to the implementation and scaling up of psychological interventions for people with NCDs.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effectiveness and implementation of psychological interventions for depression in people with non-communicable diseases in South Asia: Systematic review and meta-analysis

Zavala

Jennings

Afaq

et al. 2023

International Journal of Mental Health

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Behavioural activation therapy for depression in adults

Uphoff

Ekers

Robertson

et al. 2020

Cochrane Database of Systematic Reviews

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Behavioural activation therapy for depression in adults with non-communicable diseases

Uphoff

Pires

Barbui

et al. 2020

Cochrane Database of Systematic Reviews

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BackgroundDepression is common in people with non-communicable diseases (NCDs) such as cardiovascular disease, diabetes, cancer, and chronic respiratory conditions. The co-existence of depression and NCDs may a ect health behaviours, compliance with treatment, physiological factors, and quality of life. This in turn is associated with worse outcomes for both conditions. Behavioural activation is not currently indicated for the treatment of depression in this population in the UK, but is increasingly being used to treat depression in adults. ObjectivesTo examine the e ects of behavioural activation compared with any control group for the treatment of depression in adults with NCDs.To examine the e ects of behavioural activation compared with each control group separately (no treatment, waiting list, other psychological therapy, pharmacological treatment, or any other type of treatment as usual) for the treatment of depression in adults with NCDs. Search methodsWe searched CCMD-CTR, CENTRAL, Ovid MEDLINE, Embase, four other databases, and two trial registers on 4 October 2019 to identify randomised controlled trials (RCTs) of behavioural activation for depression in participants with NCDs, together with grey literature and reference checking. We applied no restrictions on date, language, or publication status to the searches. Selection criteriaWe included RCTs of behavioural activation for the treatment of depression in adults with one of four NCDs: cardiovascular disease, diabetes, cancer, and chronic respiratory conditions. Only participants with a formal diagnosis of both depression and an NCD were eligible. Studies were included if behavioural activation was the main component of the intervention. We included studies with any comparator that was not behavioural activation, and regardless of reported outcomes. Behavioural activation therapy for depression in adults with non-communicable diseases (Review)

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Behavioural activation therapies for depression in adults with non-communicable diseases

Abstract: Comprehensive meta-analysis of excess mortality in depression in the general community versus patients with specific illnesses.

Cited by 3 publications

References 68 publications

Effectiveness and implementation of psychological interventions for depression in people with non-communicable diseases in South Asia: Systematic review and meta-analysis

Effectiveness and implementation of psychological interventions for depression in people with non-communicable diseases in South Asia: Systematic review and meta-analysis

Behavioural activation therapy for depression in adults

Behavioural activation therapy for depression in adults with non-communicable diseases

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