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Is behavioural activation effective in the treatment of depression in young people? A systematic review and meta-analysis

Tindall, Lucy, Mikocka-Walus, Antonina, McMillan, Dean, Wright, Barry, Hewitt, Catherine and Gascoyne, Samantha 2017, Is behavioural activation effective in the treatment of depression in young people? A systematic review and meta-analysis, Psychology and psychotherapy: theory, research and practice, pp. 1-27, doi: 10.1111/papt.12121.

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Title Is behavioural activation effective in the treatment of depression in young people? A systematic review and meta-analysis
Author(s) Tindall, Lucy
Mikocka-Walus, AntoninaORCID iD for Mikocka-Walus, Antonina orcid.org/0000-0003-4864-3956
McMillan, Dean
Wright, Barry
Hewitt, Catherine
Gascoyne, Samantha
Journal name Psychology and psychotherapy: theory, research and practice
Start page 1
End page 27
Total pages 27
Publisher Wiley-Blackwell
Place of publication Chichester, Eng.
Publication date 2017-03-16
ISSN 1476-0835
Keyword(s) Adolescents
behavioural interventions
depression
meta-analysis
systematic review
Summary Purpose. Depression is currently the leading cause of illness and disability in youngpeople. Evidence suggests that behavioural activation (BA) is an effective treatment fordepression in adults but less research focuses on its application with young people. Thisreview therefore examined whether BA is effective in the treatment of depression inyoung people.Methods. A systematic review (International Prospective Register of SystematicReviews reference: CRD42015020453), following Preferred Reporting Items forSystematic Reviews and Meta-Analyses guidelines, was conducted to examine studiesthat had explored behavioural interventions for young people with depression. Theelectronic databases searched included the Cochrane Library, EMBASE, MEDLINE,CINAHL Plus, PsychINFO, and Scopus. A meta-analysis employing a generic inversevariance, random-effects model was conducted on the included randomized controlledtrials (RCTs) to examine whether there were overall effects of BA on the Children’sDepression Rating Scale – Revised.Results. Ten studies met inclusion criteria: three RCTs and seven within-participantdesigns (total n = 170). The review showed that BA may be effective in the treatment ofdepression in young people. The Cochrane risk of bias tool and the Moncrieff scale usedto assess the quality of the included studies revealed a variety of limitations within each.Conclusions. Despite demonstrating that BA may be effective in the treatment ofdepression in young people, the review indicated a number of methodological problems inthe included studies meaning that the results and conclusions should be treated withcaution. Furthermore, the paucity of studies in this area highlights the need for furtherresearch.
Notes In Press
Language eng
DOI 10.1111/papt.12121
Field of Research 170199 Psychology not elsewhere classified
1701 Psychology
1702 Cognitive Science
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30092144

Document type: Journal Article
Collection: School of Psychology
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