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

The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.

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

Open access
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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Research works printed but not linked: 4

  1. Beck, 1996, Manual for Beck Depression Inventory II (BDI–II)
  2. 1992, The ICD–10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines
  3. Attkisson, 2004, The Use of Psychological Testing for Treatment Planning and Outcome Assessment, 3rd edn, 799
  4. 2009, Management of Depression in Primary and Secondary Care

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Metadata

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
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
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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