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Behavioural activation for depression
Open accessAbstract
A formal therapy for depression, behavioural activation focuses on activity scheduling to encourage patients to approach activities that they are avoiding and on analysing the function of cognitive processes (e.g. rumination) that serve as a form of avoidance. Patients are thus refocused on their goals and valued directions in life. The main advantage of behavioural activation over traditional cognitive–behavioural therapy for depression is that it may be easier to train staff in it and it can be used in both in-patient and out-patient settings. This article describes the theory and rationale of behavioural activation, its evidence base and how to develop a formulation that guides the strategy.
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“As aversive conditions tend to motivate negatively by avoidance or escape, passivity is a likely effect (Veale, 2008).”
From How Study Environments Foster Academic Procrastination: Overview and Recommendations (2020) · cites this paper as Veale, 2008
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“Behavioural Activation (BA) is a short-term cognitive-behavioural therapy (CBT) based intervention, known to be effective in the management of depression and which can be delivered by non-mental health trained practitioners [34, 35].”
From Can support workers from AgeUK deliver an intervention to support older people with anxiety and depression? A qualitative evaluation (2019) · cites this paper as [35]
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“Conversely, decreased involvement in these activities exacerbates depressive symptoms.”
From CBT-Informed Interventions for Essential Workers During the COVID-19 Pandemic (2020) · cites this paper as Veale 2008
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“The literature on depression suggests that individuals who are depressed often decrease or cease their involvement in pleasurable activities and activities that give the individual a sense of pride and/or mastery (Veale 2008).”
From CBT-Informed Interventions for Essential Workers During the COVID-19 Pandemic (2020) · cites this paper as Veale 2008
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“Values clarification can provide the motivation necessary for behavior change, including strategies that can improve mood and agency, such as behavioral activation (Veale 2008) and interpersonal effectiveness (Linehan and Wilks 2015).”
From CBT-Informed Interventions for Essential Workers During the COVID-19 Pandemic (2020) · cites this paper as Veale 2008
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“Compassionate mind training (CMT; Gilbert, 2005) is a newer development that can be integrated into behavioural activation with individuals who have chronic problems associated with shame, selfcriticism or selfattacking.”
National Collaborating Centre for Mental Health
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- Addis, 2004, Overcoming Depression One Step at a Time
- 2004, Depression: Management of Depression in Primary and Secondary Care
- Veale D. (2008) In debate: Layard's proposals for 10 000 more therapists in new psychological treatment centres trades on a naively mechanistic concept of ‘mental illness’ and would be counterproductive across society. British Journal of Psychiatry, in press.
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Metadata
- Authors
- Veale, D.
- Affiliations
- King's College London (GB)
- Corresponding author
- Veale, David
- ORCID
- Veale, David
- Venue
- Advances in Psychiatric Treatment
- Publisher
- Cambridge University Press (CUP)
- Published
- 2008-01
- Volume
- 14
- Issue
- 1
- Pages
- 29-36
- ISSN
- 1355-5146 (ISSN-L)
- 1472-1481
- OpenAlex
- W2126250087
- Cited by
- 282
- References
- 29
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 9 · 2023: 12 · 2022: 13 · 2021: 29 · 2020: 45 · 2019: 46 · 2018: 35 · 2017: 28 · 2016: 21 · 2015: 6 · 2014: 13 · 2013: 3 · 2012: 4
- FWCI
- 3.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Advances in Psychiatric Treatment (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- 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, activity scheduling, rumination, avoidance, cognitive processes, treatment formulation, cognitive behavioral therapy, employee training
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