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Behavioural activation for depression in older people: systematic review and meta-analysis

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. Green open access

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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.

Type: Article
Title: Behavioural activation for depression in older people: systematic review and meta-analysis
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1192/bjp.bp.117.205021
Publisher version: http://dx.doi.org/10.1192/bjp.bp.117.205021
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10025809
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