Teachers College, Columbia University, New York, NY, USA.
Health Educ Behav. 2024 Apr;51(2):321-331. doi: 10.1177/10901981221090157. Epub 2022 Apr 29.
Diverse approaches to the treatment of depressive disorders are necessary to improve evidence-based practice and maximize treatment outcomes. As a result, a range of behaviors and other factors associated with the onset and course of depressive disorders should be examined more comprehensively. Behavioral activation (BA) is a treatment approach to these disorders that can be tailored to address certain health behaviors within the context of depression in an attempt to promote health behaviors whose adoption and maintenance can prove complementary in the treatment of depression. We conducted a scoping review of published studies in which BA-based interventions were used to promote certain health behaviors in individuals with depression. Our search of Medline and the Web of Science identified 336 potential candidate studies. Following screening and with the application of inclusion and exclusion criteria to isolate potentially eligible full-text records, we ultimately identified and evaluated 20 papers that report the nature and efficacy of these modified interventions. Across various domains, including substance use, exercise, medication adherence, and occupational and social success, we found evidence that many-but not all-of the studies we reviewed demonstrated that BA-based interventions were efficacious in promoting the health behavior of interest as well as reducing depressive symptomatology in participants. Implications for more widespread dissemination of such interventions, especially via mobile and web-based platforms due to their accessibility and affordability, are discussed. More research on the feasibility and efficacy of BA-based interventions tailored toward various determinants of health behavior and comorbidities of depressive disorders is warranted.
需要采用多种方法治疗抑郁障碍，以改善基于证据的实践并最大限度地提高治疗效果。因此，应该更全面地检查与抑郁障碍的发生和病程相关的一系列行为和其他因素。行为激活（BA）是一种针对这些障碍的治疗方法，可以根据抑郁症的具体情况进行调整，以促进健康行为的采用和维持，这些行为的采用和维持在治疗抑郁症方面可以起到互补作用。我们对使用基于 BA 的干预措施来促进抑郁患者某些健康行为的已发表研究进行了范围综述。我们在 Medline 和 Web of Science 上进行了搜索，确定了 336 项潜在的候选研究。经过筛选，并应用纳入和排除标准来分离可能符合条件的全文记录，我们最终确定并评估了 20 篇报告这些改良干预措施的性质和效果的论文。在包括药物使用、运动、药物依从性、职业和社会成功等各个领域，我们发现有证据表明，我们回顾的许多（但不是全部）研究表明，基于 BA 的干预措施在促进感兴趣的健康行为以及减轻参与者的抑郁症状方面是有效的。由于其可及性和可负担性，讨论了更广泛地传播这些干预措施的意义，特别是通过移动和基于网络的平台进行传播。需要进一步研究针对健康行为决定因素和抑郁障碍共病的基于 BA 的干预措施的可行性和效果。
