Contemporary behavioral activation treatments for depression: Procedures, principles, and progress

Hopko, Derek R.; Lejuez, C.W.; Ruggiero, Kenneth J.; Eifert, Georg H.

doi:10.1016/s0272-7358(03)00070-9

Cited by 634Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and ApplicationsPsychological Treatments and Assessments

Contemporary behavioral activation treatments for depression: Procedures, principles, and progress

Hopko, Derek R., Lejuez, C.W., Ruggiero, Kenneth J., Eifert, Georg H.·2003·Clinical Psychology Review

DOI 10.1016/s0272-7358(03)00070-9

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Abstract

In the past decade, there has been renewed interest in the feasibility and efficacy of purely behavioral treatments for clinical depression. Emphasizing the functional aspects of depressive and nondepressive behavior, these treatments focus on the concept of behavioral activation, which guides implementation of procedures aimed at increasing patient activity and access to reinforcement. Although researchers have provided positive preliminary support for behavioral activation-based interventions, many fundamental issues concerning strategies, principles, and change processes involved in behavioral activation have yet to be addressed. In this paper, we compare and contrast contemporary behavioral activation interventions, explore strategies and process of change issues, clarify the basic behavioral principles underlying activation strategies, and outline questions that need to be addressed to improve outcomes and better understand the potential significance of behavioral activation as it pertains to the future of behavior therapy for depression.

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Behavioral activation principles are empirically grounded.
“Even though behavioral activation principles are empirically grounded, it might be complicated to implement those principles in the context of a sanitary crisis.”
From At the Peak of the Second Wave of COVID-19, Did Millennials Show Different Emotional Responses from Older Adults? (2022) · cites this paper as [72]
Behavioural activation allows individuals to gain a sense of mastery and control over their condition by planning and implementing necessary tasks (e.g. dialysis attendance) and pleasurable tasks (e.g. going to the cinema).
“Behavioural activation allows individuals to gain a sense of mastery and control over their condition by planning and implementing necessary (e.g. dialysis attendance) and pleasurable tasks (e.g. going to the cinema) (Hopko et al . 2003).”
From Improving Distress in Dialysis (iDiD): A tailored CBT self-management treatment for patients undergoing dialysis. (2016) · cites this paper as Hopko et al . 2003

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Authors: Hopko, D. R., Lejuez, C. W., Ruggiero, K. J., & Eifert, G. H.
Affiliations: University of Tennessee at Knoxville (US)
University of Maryland, College Park (US)
Medical University of South Carolina (US)
Chapman University (US)
Corresponding author: Hopko, Derek R.
ORCID: Lejuez, C.W.
Ruggiero, Kenneth J.
Eifert, Georg H.
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2003-10
Volume: 23
Issue: 5
Pages: 699-717
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/s0272-7358(03)00070-9
OpenAlex: W2100661708
Cited by: 634
References: 108
Citations by year: 2026: 19 · 2025: 14 · 2024: 39 · 2023: 23 · 2022: 26 · 2021: 28 · 2020: 33 · 2019: 22 · 2018: 28 · 2017: 32 · 2016: 28 · 2015: 38 · 2014: 40 · 2013: 38 · 2012: 29
FWCI: 12.92
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords: behavioral activation, depression, behavioral activation therapy, change processes, reinforcement, activity-based intervention, treatment efficacy
MeSH terms: Behavior Therapy, Depressive Disorder, Major, Major Depressive Disorder, Extinction, Psychological, Humans

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Contemporary behavioral activation treatments for depression: Procedures, principles, and progress

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