Evidence map›Paper›PMID 24936656›Full record

SynthesisPloS one2014

Behavioural activation for depression; an update of meta-analysis of effectiveness and sub group analysis.

David Ekers, Lisa Webster, Annemieke Van Straten, Pim Cuijpers, David Richards, Simon Gilbody

3 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 228 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
228citing papers in PubMed, 13 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03207828 naunknown statusnot on this mapstarted 2017, after this paper: background citation

"Eficacia de la Terapia de activación Conductual Para Pacientes Con Dolor crónico: Ensayo clínico Randomizado"

TypeinterventionalSponsorPontificia Universidad Catolica de ChileRan2017 to 2019Enrolled90ConditionsFibromyalgia, DepressionArmsBehavioral activation, Usual care
NCT05299515 nacompletednot on this mapstarted 2022, after this paper: background citation

Peer-Delivered Behavioral Activation Intervention to Improve Adherence to MT Among Low-Income, Minority Individuals With OUD

TypeinterventionalSponsorUniversity of Maryland, College ParkRan2022 to 2025Enrolled200ConditionsSubstance-Related Disorders, Opioid Medication Assisted Treatment, Opioid Use Disorder, Opioid UseArmsPeer-Delivered Behavioral Activation ("Peer Activate")
NCT05443139 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Well-being Online: Internet-based Self-administered Intervention to Reduce Anxiety and Depression Symptomatology: Randomized Clinical Trial in 7 Countries

TypeinterventionalSponsorUniversidad Internacional de ValenciaRan2022 to 2024Enrolled200ConditionsAnxiety, Depression, Wellbeing, StressArmsWell-being online
3 · Its place in the literature

Who cites it

228 citing papers in PubMed, 13 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Behavioural activation therapy for depression in adults.The Cochrane database of systematic reviews · 2020
    Pooled it
  11. Pharmacy-based management for depression in adults.The Cochrane database of systematic reviews · 2019
    Pooled it
  12. Pooled it
  13. Pooled it
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

168 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

David EkersDurham University/Tees Esk and Wear Valleys NHS Foundation Trust, Department of Medicine, Pharmacy & Health, Durham University, Stockton on Tees, United Kingdom.
Lisa WebsterDepartment of Medicine, Pharmacy & Health, Durham University, Stockton on Tees, United Kingdom.
Annemieke Van StratenDepartment of Clinical Psychology, VU University Amsterdam, Amsterdam, The Netherlands.
Pim CuijpersDepartment of Clinical Psychology, VU University Amsterdam, Amsterdam, The Netherlands.
David RichardsSchool of Medicine, University of Exeter, Exeter, United Kingdom.
Simon GilbodyHull York Medical School and Department of Health Sciences, University of York, York, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepression is a common, disabling condition for which psychological treatments are recommended. Behavioural activation has attracted increased interest in recent years. It has been over 5 years since our meta-analyses summarised the evidence supporting and this systematic review updates those findings and examines moderators of treatment effect.

methodRandomised trials of behavioural activation for depression versus controls or anti-depressant medication were identified using electronic database searches, previous reviews and reference lists. Data on symptom level and study level moderators were extracted and analysed using meta-analysis, sub-group analysis and meta-regression respectively.

resultsTwenty six randomised controlled trials including 1524 subjects were included in this meta-analysis. A random effects meta-analysis of symptom level post treatment showed behavioural activation to be superior to controls (SMD -0.74 CI -0.91 to -0.56, k = 25, N = 1088) and medication (SMD -0.42 CI -0.83 to-0.00, k = 4, N = 283). Study quality was low in the majority of studies and follow- up time periods short. There was no indication of publication bias and subgroup analysis showed limited association between moderators and effect size.

conclusionsThe results in this meta-analysis support and strengthen the evidence base indicating Behavioural Activation is an effective treatment for depression. Further high quality research with longer term follow-up is needed to strengthen the evidence base.

Indexed as

PsychotherapyDepressionFemaleHumansMaleTreatment Outcome

Identifiers

PMID24936656
PMCPMC4061095

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.