Cited by 217Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and ApplicationsDigital Mental Health Interventions

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Behavioural activation delivered by the non-specialist: phase II randomised controlled trial

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Ekers, David, Richards, David, McMillan, Dean, Bland, J. Martin, Gilbody, Simon·2011·British Journal of Psychiatry

DOI 10.1192/bjp.bp.110.079111

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Abstract

Background: Behavioural activation appears as effective as cognitive– behaviour therapy (CBT) in the treatment of depression. If equally effective, then behavioural activation may be the preferred treatment option because it may be suitable for delivery by therapists with less training. This is the first randomised controlled trial to look at this possibility. Aims: To examine whether generic mental health workers can deliver effective behavioural activation as a step-three high-intensity intervention. Method: A randomised controlled trial (ISRCTN27045243) comparing behavioural activation (n = 24) with treatment as usual (n = 23) in primary care. Results: Intention-to-treat analyses indicated a difference in favour of behavioural activation of –15.79 (95% CI –24.55 to –7.02) on the Beck Depression Inventory–II and Work and Social Adjustment Scale (mean difference –11.12, 95% CI –17.53 to –4.70). Conclusions: Effective behavioural activation appears suitable for delivery by generic mental health professionals without previous experience as therapists. Large-scale trial comparisons with an active comparator (CBT) are needed.

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Authors: Ekers, D., Richards, D., McMillan, D., Bland, J. M., & Gilbody, S.
Affiliations: Durham University (GB)
University of Exeter (GB)
University of York (GB)
Corresponding author: Ekers, David
ORCID: Ekers, David
Richards, David
McMillan, Dean
Gilbody, Simon
Venue: British Journal of Psychiatry
Publisher: Royal College of Psychiatrists
Published: 2011-01
Volume: 198
Issue: 1
Pages: 66-72
ISSN: 0007-1250 (ISSN-L)
1472-1465
DOI: 10.1192/bjp.bp.110.079111
OpenAlex: W2146200755
Cited by: 217
References: 33
Citations by year: 2026: 7 · 2025: 8 · 2024: 11 · 2023: 20 · 2022: 7 · 2021: 14 · 2020: 23 · 2019: 16 · 2018: 11 · 2017: 13 · 2016: 21 · 2015: 13 · 2014: 13 · 2013: 22 · 2012: 12
FWCI: 21.91
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified, 2558 d)
Locations: The British Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Durham Research Online (Durham University) (acceptedVersion)
Durham Research Online (Durham University) (submittedVersion)
Durham Research Online (Durham University) (submittedVersion, cc-by)
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 › Applied Psychology › Digital Mental Health Interventions
Keywords: behavioral activation, depression, primary care, usual care
MeSH terms: Adult, Aged, Behavior Therapy, Clinical Competence, Community Mental Health Services, Depression, Depressive Disorder, Education, Continuing, Family Practice, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Treatment Outcome, Young Adult, Intention to Treat Analysis

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Behavioural activation delivered by the non-specialist: phase II randomised controlled trial

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