eprintid: 10025809
rev_number: 36
eprint_status: archive
userid: 608
dir: disk0/10/02/58/09
datestamp: 2017-10-24 11:02:14
lastmod: 2021-09-26 22:26:40
status_changed: 2017-10-24 11:02:14
type: article
metadata_visibility: show
creators_name: Orgeta, V
creators_name: Brede, J
creators_name: Livingston, G
title: Behavioural activation for depression in older people: systematic review and meta-analysis
ispublished: pub
divisions: UCL
divisions: B02
divisions: C07
divisions: D05
divisions: D79
note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
abstract: BACKGROUND: Behavioural activation is an effective treatment for depression in the general adult population but it is unclear whether it is effective for older people. AIMS: To systematically review randomised controlled trials (RCTs) of behavioural activation for depression in older people. METHOD: We searched Medline, EMBASE, PsycINFO, CINAHL and online trial registers for RCTs of behavioural activation for depression in older people. RESULTS: Eighteen trials were included in the meta-analyses. Behavioural activation reduced mean depression scores for older people living in the community as a stand-alone treatment: standardised mean difference (SMD) -0.72, 95% CI -1.04 to -0.41. It was also effective as part of a multicomponent intervention (SMD -0.44, 95% CI -0.56 to -0.32). CONCLUSIONS: Behavioural activation significantly reduces depressive symptoms in older people in the community; however, given that most studies are small and with significant bias results should be interpreted with caution. Further high-quality trials of behavioural activation for this age group are needed.
date: 2017-11
date_type: published
official_url: http://dx.doi.org/10.1192/bjp.bp.117.205021
oa_status: green
full_text_type: other
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 1452326
doi: 10.1192/bjp.bp.117.205021
pii: bjp.bp.117.205021
lyricists_name: Brede, Janina
lyricists_name: Livingston, Gillian
lyricists_name: Orgeta, Vasiliki
lyricists_id: JLBRE55
lyricists_id: GALIV58
lyricists_id: VORGE52
actors_name: Dewerpe, Marie
actors_id: MDDEW97
actors_role: owner
full_text_status: public
publication: The British Journal of Psychiatry
volume: 211
number: 5
pagerange: 274-279
event_location: England
issn: 1472-1465
citation:        Orgeta, V;    Brede, J;    Livingston, G;      (2017)    Behavioural activation for depression in older people: systematic review and meta-analysis.                   The British Journal of Psychiatry , 211  (5)   pp. 274-279.    10.1192/bjp.bp.117.205021 <https://doi.org/10.1192/bjp.bp.117.205021>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10025809/1/Livingston_Behavioral%20Activation%20for%20Depression%20in%20Older%20People%20A%20Systematic%20Review%2031st%20of%20May%202017%20Final%20Version%20UCL%20Deposit%20Upload.pdf