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Behavioral activation interventions for well-being: A meta-analysis
Open accessAbstract
One of the most promising ways to increase well-being is to engage in valued and enjoyable activities. Behavioral activation (BA), an intervention approach most commonly associated with the treatment of depression, is consistent with this recommendation and can easily be adapted for non-clinical populations. This study reports on a meta-analysis of randomized controlled studies to examine the effect of BA on well-being. Twenty studies with a total of 1353 participants were included. The pooled effect size (Hedges's g) indicated that the difference in well-being between BA and control conditions at posttest was 0.52. This significant effect, which is comparable to the pooled effect achieved by positive psychology interventions, was found for non-clinical participants and participants with elevated symptoms of depression. Behavioral activation would seem to provide a ready and attractive intervention for promoting the well-being of a range of populations in both clinical and non-clinical settings.
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“Consistent with this proposal, prevailing intervention approaches for anxiety and depression display modest effects on the positive affect system and associated outcomes (e.g., psychological well-being)6, 59–62”
From Upregulating the positive affect system in anxiety and depression: Outcomes of a positive activity intervention: Taylor et al. (2017) · cites this paper as [59]
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“A meta-analysis of behavioural activation (BA) interventions for wellbeing by Mazzucchelli et al. (2010) found comparable results.”
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“Workplace positive psychology interventions are relatively few in number and many previous studies have not focused much on what individuals can do to enhance their own well-being themselves (Sin and Lyubomirsky 2009; Wood et al. 2010; Mazzucchelli et al. 2010).”
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“The efficacy of these interventions suggests that they can be effective for increasing feelings of happiness and decreasing depressive symptoms, and their effect can last longer than the intervention period.(60,61)”
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“Behavioural activation has proven highly effective 180 to treat depressive symptoms 181 , but efficacy for improving positive affect or anhedonia 18,182,183 , or the broader construct of wellbeing 184 , is limited.”
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“Behavioral activation is, for instance, originally developed for depression [12], but is often utilized in situations where a high degree of avoidance is causing great distress and decreased well being [13].”
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“Meta-analytic findings showed that behavioral activation successfully increased well-being for both non-clinical and depressed populations and reduced depressive symptoms (Mazzucchelli et al. 2010).”
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Moreno‐Agostino, D., de la Torre‐Luque, A., de la Fuente, J., Lara, E., Martín‐María, N., Moneta, M. V., Bayes‐Marin, I., Olaya, B., Haro, J. M., Miret, M., et al. (2020) · Journal of Happiness Studies · doi:10.1007/s10902-020-00248-2 · Cited by 23
Watson, R., Harvey, K., Pass, L., McCabe, C., & Reynolds, S. A. (2020) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12307 · Cited by 22
“Furthermore, a meta-analysis of RCTs found a significant effect of BA on subjective wellbeing (which incorporates positive affect), although studies were of mixed quality (Mazzucchelli et al., 2010).”
BackgroundWagener, A., der Linden, M. V., & Blairy, S. (2014) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2014.10.008 · Cited by 21
Massey-Abernathy, A. R., & Robinson, D. N. (2019) · Current Psychology · doi:10.1007/s12144-019-00530-4 · Cited by 20
Targeted Parents Surviving Parental Alienation: Consequences of the Alienation and Coping Strategies
Lee-Maturana, S., Matthewson, M. L., & Dwan, C. A. (2020) · Journal of Child and Family Studies · doi:10.1007/s10826-020-01725-1 · Cited by 20
Losiewicz, O. M., Metts, A. V., Zinbarg, R. E., Hammen, C. L., & Craske, M. G. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.02.125 · Cited by 22
Mazzucchelli, T. G., Rees, C. S., & Kane, R. T. (2009) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x09990201 · Cited by 20
Self-citationMediation analyses of Internet-facilitated cognitive behavioral intervention for maternal depression
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Behavioural activation for family dementia caregivers: A systematic review and meta-analysis
Xu, X., Kwan, R. Y. C., & Leung, A. Y. M. (2020) · Geriatric Nursing · doi:10.1016/j.gerinurse.2020.02.003 · Cited by 19
Improving the Capacity to Treat Depression using Talking Therapies
Dunn, B. D., & Roberts, H. (2016) · Wiley eBooks · doi:10.1002/9781118468197.ch13 · Cited by 19
Psychological and Environmental Correlates of Well-being Among Undergraduate University Students
Mazzucchelli, T. G., & Purcell, E. (2015) · Psychology of Well-Being Theory Research and Practice · doi:10.1186/s13612-015-0033-z · Cited by 26
Self-citationLA PSICOLOGÍA POSITIVA Y SUS ENEMIGOS: UNA RÉPLICA EN BASE A LA EVIDENCIA CIENTÍFICA
Vázquez, C. (2013) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 23
Aikido: A martial art with mindfulness, somatic, relational, and spiritual benefits for veterans.
Lukoff, D. G., & Strozzi-Heckler, R. (2017) · Spirituality in Clinical Practice · doi:10.1037/scp0000134 · Cited by 18
User experience predicts the effectiveness of a gamified recovery app
Smyth, A., Syrek, C. J., Reins, J. A., Domin, M., Janneck, M., & Lehr, D. (2018) · Prävention und Gesundheitsförderung · doi:10.1007/s11553-018-0664-z · Cited by 18
“Based on research on behavioral activation, specific activities that positively influence mental health were used to create the suggested recreational activities [21].”
BackgroundAdjunctive Behavioral Activation for the Treatment of Bipolar Depression
Weinstock, L. M., Melvin, C., MUNROE, M. K., & Miller, I. W. (2016) · Journal of Psychiatric Practice · doi:10.1097/pra.0000000000000142 · Cited by 18
Art‐of‐Living Training: Developing an Intervention for Students to Increase Art‐of‐Living
Lang, J., & Schmitz, B. (2016) · Applied Psychology Health and Well-Being · doi:10.1111/aphw.12072 · Cited by 18
Imamura, K., Sekiya, Y., Asai, Y., Umeda, M., Horikoshi, N., Yasumura, S., Yabe, H., Akiyama, T., & Kawakami, N. (2016) · BMC Public Health · doi:10.1186/s12889-016-3819-x · Cited by 17
Young, K. C., Machell, K. A., Kashdan, T. B., & Westwater, M. L. (2017) · Personality and Individual Differences · doi:10.1016/j.paid.2017.03.032 · Cited by 16
Empowering Well-Being: Validation of a Locus of Control Scale Specific to Well-Being
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Doi, S. K., Yokomitsu, K., & SAKANO, Y. (2016) · Psychological Reports · doi:10.1177/0033294115625272 · Cited by 15
“On the other hand, as described above, some researchers (Mazzucchelli et al., 2010; Hale & Spates, 2015) have noted that behavioral activation might be useful and appropriate for non-depressed individuals.”
BackgroundSmyth, A., de Bloom, J., Syrek, C. J., Domin, M., Janneck, M., Reins, J. A., & Lehr, D. (2020) · BMC Public Health · doi:10.1186/s12889-020-09354-5 · Cited by 15
Weiner, L. S., Crowley, R. N., Sheeber, L., Koegler, F. H., Davis, J. F., Wells, M., Funkhouser, C. J., Auerbach, R. P., & Allen, N. B. (2024) · JMIR Mental Health · doi:10.2196/51366 · Cited by 20
“It has also been shown to improve a range of other depression-related phenomena, such as anxiety [19], sleep [20], emotional and social support [21,22], obesity [23], and general well-being, among those without clinical diagnoses [24].”
BackgroundBlakeman, P., & FORD, L. (2011) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2011.01818.x · Cited by 15
Metadata
- Authors
- Mazzucchelli, T. G., Kane, R. T., & Rees, C. S.
- Affiliations
- Curtin University (AU)
- Corresponding author
- Mazzucchelli, Trevor G.
- Venue
- The Journal of Positive Psychology
- Publisher
- Informa UK Limited
- Published
- 2010-03
- Volume
- 5
- Issue
- 2
- Pages
- 105-121
- ISSN
- 1743-9760 (ISSN-L)
- 1743-9779
- PMC
- PMC2882847
- OpenAlex
- W1970182819
- Cited by
- 319
- References
- 83
- Citations by year
- 2026: 29 · 2025: 23 · 2024: 19 · 2023: 27 · 2022: 23 · 2021: 21 · 2020: 14 · 2019: 18 · 2018: 45 · 2017: 20 · 2016: 19 · 2015: 14 · 2014: 15 · 2013: 22 · 2012: 4
- FWCI
- 1.22
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Positive Psychology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eSpace (Curtin University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- behavioral activation, well-being, positive psychology interventions, depression, non-clinical population, valued activities
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