This is a repository copy of Behavioural activation therapy for depression in adults. White Rose Research Online URL for this paper: https://eprints.whiterose.ac.uk/165234/ Version: Published Version Article: Uphoff, Eleonora orcid.org/0000-0002-9759-2502, Ekers, David, Robertson, Lindsay et al. (7 more authors) (2020) Behavioural activation therapy for depression in adults. Cochrane Database of Systematic Reviews. CD013305. ISSN 1469-493X https://doi.org/10.1002/14651858.CD013305.pub2 Reuse Items deposited in White Rose Research Online are protected by copyright, with all rights reserved unless indicated otherwise. They may be downloaded and/or printed for private study, or other acts as permitted by national copyright laws. The publisher or other rights holders may allow further reproduction and re-use of the full text version. This is indicated by the licence information on the White Rose Research Online record for the item. Takedown If you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing [email protected] including the URL of the record and the reason for the withdrawal request. [email protected] https://eprints.whiterose.ac.uk/ Cochrane Library Cochrane Database of Systematic Reviews Behavioural activation therapy for depression in adults (Review) Uphoff E, Ekers D, Robertson L, Dawson S, Sanger E, South E, Samaan Z, Richards D, Meader N, Churchill R Uphoff E, Ekers D, Robertson L, Dawson S, Sanger E, South E, Samaan Z, Richards D, Meader N, Churchill R. Behavioural activation therapy for depression in adults. Cochrane Database of Systematic Reviews 2020, Issue 7. Art. No.: CD013305. DOI: 10.1002/14651858.CD013305.pub2. www.cochranelibrary.com Behavioural activation therapy for depression in adults (Review) Copyright © 2020 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. Cochrane Trusted evidence. Informed decisions. Library Better health. Cochrane Database of Systematic Reviews T A B L E O F C O N T E N T S HEADER......................................................................................................................................................................................................... 1 ABSTRACT..................................................................................................................................................................................................... 1 PLAIN LANGUAGE SUMMARY....................................................................................................................................................................... 2 SUMMARY OF FINDINGS.............................................................................................................................................................................. 4 BACKGROUND.............................................................................................................................................................................................. 18 OBJECTIVES.................................................................................................................................................................................................. 19 METHODS..................................................................................................................................................................................................... 19 RESULTS........................................................................................................................................................................................................ 26 Figure 1.................................................................................................................................................................................................. 27 Figure 2.................................................................................................................................................................................................. 31 Figure 3.................................................................................................................................................................................................. 32 Figure 4.................................................................................................................................................................................................. 36 DISCUSSION.................................................................................................................................................................................................. 40 AUTHORS' CONCLUSIONS........................................................................................................................................................................... 43 ACKNOWLEDGEMENTS................................................................................................................................................................................ 44 REFERENCES................................................................................................................................................................................................ 45 CHARACTERISTICS OF STUDIES.................................................................................................................................................................. 57 DATA AND ANALYSES.................................................................................................................................................................................... 234 Analysis 1.1. Comparison 1: behavioural activation vs CBT, Outcome 1: treatment efficacy........................................................... 236 Analysis 1.2. Comparison 1: behavioural activation vs CBT, Outcome 2: treatment acceptability (dropouts)................................. 237 Analysis 1.3. Comparison 1: behavioural activation vs CBT, Outcome 3: depression symptoms..................................................... 238 Analysis 1.4. Comparison 1: behavioural activation vs CBT, Outcome 4: quality of life.................................................................... 238 Analysis 1.5. Comparison 1: behavioural activation vs CBT, Outcome 5: social adjustment and functioning................................. 239 Analysis 1.6. Comparison 1: behavioural activation vs CBT, Outcome 6: anxiety symptoms........................................................... 239 Analysis 2.1. Comparison 2: behavioural activation vs third-wave CBT, Outcome 1: treatment efficacy......................................... 240 Analysis 2.2. Comparison 2: behavioural activation vs third-wave CBT, Outcome 2: treatment acceptability (dropouts).............. 240 Analysis 2.3. Comparison 2: behavioural activation vs third-wave CBT, Outcome 3: depression symptoms.................................. 241 Analysis 2.4. Comparison 2: behavioural activation vs third-wave CBT, Outcome 4: quality of life................................................. 241 Analysis 2.5. Comparison 2: behavioural activation vs third-wave CBT, Outcome 5: anxiety symptoms......................................... 241 Analysis 3.1. Comparison 3: behavioural activation vs humanistic therapy, Outcome 1: treatment efficacy.................................. 242 Analysis 3.2. Comparison 3: behavioural activation vs humanistic therapy, Outcome 2: treatment acceptability (dropouts)....... 243 Analysis 3.3. Comparison 3: behavioural activation vs humanistic therapy, Outcome 3: depression symptoms........................... 243 Analysis 3.4. Comparison 3: behavioural activation vs humanistic therapy, Outcome 4: quality of life.......................................... 243 Analysis 3.5. Comparison 3: behavioural activation vs humanistic therapy, Outcome 5: anxiety symptoms.................................. 244 Analysis 4.1. Comparison 4: behavioural activation vs psychodynamic, Outcome 1: treatment efficacy....................................... 244 Analysis 4.2. Comparison 4: behavioural activation vs psychodynamic, Outcome 2: depression symptoms................................. 245 Analysis 4.3. Comparison 4: behavioural activation vs psychodynamic, Outcome 3: social adjustment and functioning............. 245 Analysis 5.1. Comparison 5: behavioural activation vs interpersonal, cognitive analytic, integrative, Outcome 1: treatment 246 acceptability (dropouts)........................................................................................................................................................................ Analysis 5.2. Comparison 5: behavioural activation vs interpersonal, cognitive analytic, integrative, Outcome 2: depression 246 symptoms.............................................................................................................................................................................................. Analysis 5.3. Comparison 5: behavioural activation vs interpersonal, cognitive analytic, integrative, Outcome 3: social 246 adjustment and functioning................................................................................................................................................................. Analysis 5.4. Comparison 5: behavioural activation vs interpersonal, cognitive analytic, integrative, Outcome 4: anxiety 247 symptoms.............................................................................................................................................................................................