Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression.
@article{Dimidjian2006RandomizedTO,
title={Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression.},
author={Sona Dimidjian and Steven D. Hollon and Keith S. Dobson and Karen B. Schmaling and Robert J. Kohlenberg and Michael E. Addis and Robert Gallop and Joseph B. McGlinchey and David K Markley and Jackie K. Gollan and David C. Atkins and David L. Dunner and Neil S. Jacobson},
journal={Journal of consulting and clinical psychology},
year={2006},
volume={74 4},
pages={
658-70
}
}Antidepressant medication is considered the current standard for severe depression, and cognitive therapy is the most widely investigated psychosocial treatment for depression. However, not all patients want to take medication, and cognitive therapy has not demonstrated consistent efficacy across trials. Moreover, dismantling designs have suggested that behavioral components may account for the efficacy of cognitive therapy. The present study tested the efficacy of behavioral activation by…
1,394 Citations
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There is sufficient evidence to conclude that behavioral activation is an evidence-based therapy for depression, which identified three meta-analyses, one recent randomized controlled trial and one recent follow-up of an earlier randomized control trial.
Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the prevention of relapse and recurrence in major depression.
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It is suggested that behavioral activation may be nearly as enduring as cognitive therapy and that both psychotherapies are less expensive and longer lasting alternatives to medication in the treatment of depression.
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The results provide support for concurrent relationships between cognitive and symptom change, but not the longitudinal relationships hypothesized by the cognitive mediation model.
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The findings of this thesis show that those participants who preferred psychological treatment for treatment of depression, might be benefitting more from behavioral activation than antidepressant medication.
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An open trial of a new behavioral intervention that combines elements of behavioral activation and acceptance and commitment therapy for depression and psychosis that shows clinically significant and sustained improvements through posttreatment follow-up in depressive and psychotic symptoms, as well as psychosocial functioning.
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- PsychologyJournal of clinical psychology
- 2008
A larger effect of REBT and CT over pharmacotherapy at 6 months follow-up was noted on the Hamilton Rating Scale for Depression only, and no differences among treatment conditions at posttest were observed.
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- 2013
The findings extend the evidence base of psychodynamic therapy for depression but also indicate that time-limited treatment is insufficient for a substantial number of patients encountered in psychiatric outpatient clinics.
Efficacy of trial-based cognitive therapy, behavioral activation and treatment as usual in the treatment of major depressive disorder: preliminary findings from a randomized clinical trial
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- 2019
Evidence is provided that TBCT and BA combined with antidepressants were more efficacious than the TAU (drug alone) in reducing the severity of depressive symptoms and disability, showing that this combination can be useful for clinical practice.
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The study has demonstrated the potential feasibility to perform a larger scale trial upon modifications to the control group to avoid the low rate of study completion in this group of adults with depression.
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