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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, vol. 90, no. 4, pp. 770-796, 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
Volume number 90
Issue number 4
Start page 770
End page 796
Total pages 27
Publisher Wiley-Blackwell
Place of publication Chichester, Eng.
Publication date 2017-12
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 young people. Evidence suggests that behavioural activation (BA) is an effective treatment for depression in adults but less research focuses on its application with young people. This review therefore examined whether BA is effective in the treatment of depression in young people.

Methods
A systematic review (International Prospective Register of Systematic Reviews reference: CRD42015020453), following Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines, was conducted to examine studies that had explored behavioural interventions for young people with depression. The electronic databases searched included the Cochrane Library, EMBASE, MEDLINE, CINAHL Plus, PsychINFO, and Scopus. A meta‐analysis employing a generic inverse variance, random‐effects model was conducted on the included randomized controlled trials (RCTs) to examine whether there were overall effects of BA on the Children's Depression Rating Scale – Revised.

Results
Ten studies met inclusion criteria: three RCTs and seven within‐participant designs (total n = 170). The review showed that BA may be effective in the treatment of depression in young people. The Cochrane risk of bias tool and the Moncrieff scale used to 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 of depression in young people, the review indicated a number of methodological problems in the included studies meaning that the results and conclusions should be treated with caution. Furthermore, the paucity of studies in this area highlights the need for further research.
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
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30092144

Document type: Journal Article
Collections: School of Psychology
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.