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Adapting manualized Behavioural Activation treatment for older adults with depression

Published online by Cambridge University Press:  20 May 2014

Madeline Pasterfield ,
Della Bailey ,
Deborah Hems ,
Dean McMillan ,
David Richards  and
Simon Gilbody
Madeline Pasterfield
Affiliation:
Department of Psychology, University of Sheffield, Sheffield, UK
Della Bailey
Affiliation:
Department of Health Sciences, University of York, York, UK
Deborah Hems
Affiliation:
Department of Health Sciences, University of York, York, UK
Dean McMillan*
Affiliation:
Department of Health Sciences, University of York, and the Hull York Medical School, York, UK
David Richards
Affiliation:
University of Exeter Medical School, Exeter, UK
Simon Gilbody
Affiliation:
Department of Health Sciences, University of York, and the Hull York Medical School, York, UK
*
*Author for correspondence: Dr D. McMillan, Department of Health Sciences, University of York, and the Hull York Medical School, York, UK (email: dean.mcmillan@york.ac.uk)
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Abstract

There is growing evidence that Behavioural Activation is an effective treatment for older adults with depression. However, there is a lack of detail given in studies about any adaptations made to interventions or efforts made to remove treatment barriers. Factors such as co-morbid physical health problems, cognitive impairment and problems with social support suggest there may be specific treatment considerations when developing interventions for this group. This article aims to describe adaptations made to a general adult Behavioural Activation manual using literature on treatment factors for older adults as an organizational framework. This information may be of use to mental health workers delivering behavioural interventions to older adults with depression and documents the initial phase of developing a complex intervention.

Keywords

Adapting manualized treatmentsbehavioural activationdepressiondeveloping an interventionolder adults
Type
Service models and forms of delivery
Information
the Cognitive Behaviour Therapist , Volume 7 , December 2014 , e5
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

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References

Recommended follow-up reading

Casper Trial Protocol. (http://www.york.ac.uk/media/healthsciences/documents/trials/casper/CASPERTrialProtocolv2.7%2017April2013.pdf).Google Scholar
Kanter, JW, Manos, RC, Bowe, WM, Baruch, DE, Busch, AM, Rusch, LC (2010). What is behavioral activation? A review of the empirical literature. Clinical Psychology Review 30, 608–620.Google Scholar

References

Adams, KB, Moon, H (2009). Subthreshold depression: characteristics and risk factors among vulnerable elders. Aging & Mental Health 13, 682–692.Google Scholar
Alexopoulos, GS, Bruce, ML, Hull, J, Sirey, JA, Kakuma, T (1999). Clinical determinants of suicidal ideation and behavior in geriatric depression. Archives of General Psychiatry 56, 1048–1053.Google Scholar
Anashensel, CS, Pearlin, LI, Mullan, JT, Zarit, SH, Whitach, CJ (1995). Profiles in Care-giving: The Unexpected Career. San Diego: Academic Press.Google Scholar
Arean, PA, Ayalon, L (2005). Assessment and treatment of depressed older adults in primary care. Clinical Psychology: Science and Practice 12, 321–335.Google Scholar
Arfken, CL, Lach, HW, Birge, SJ, Miller, JP (1994). The prevalence and correlates of fear of falling in elderly persons living in the community. American Journal of Public Health 84, 565–570.Google Scholar
Blazer, DG (2002). Self-efficacy and depression in late life: a primary prevention proposal. Aging & Mental Health 6, 315–324.CrossRefGoogle ScholarPubMed
Blazer, DG (2009). Depression in late life: review and commentary. Focus 7, 118–136.CrossRefGoogle Scholar
Caine, ED, Conwell, Y (2001). Suicide in the elderly. International Clinical Psychopharmacology 16 (Suppl. 2), S25–30.CrossRefGoogle ScholarPubMed
Carney, RM, Freeland, KE (2003). Depression, mortality and medical morbidity in patients with coronary heart disease. Biological Psychiatry 54, 241–247.Google Scholar
Cernin, PA, Lichtenberg, PA (2009). Behavioral treatment for depressed mood: a pleasant events intervention for seniors residing in assisted living. Clinical Gerontologist 32, 324–331.Google Scholar
Chang-Quan, H, Bi-Rong, D, Zhen-Chan, L, Yuan, S, Yu-Sheng, P, Qing-Xiu, L (2009). Collaborative care interventions for depression in the elderly: a systematic reivew of randomized controlled trials. Journal of Investigative Medicine 57, 446–455.CrossRefGoogle Scholar
Clare, L (2003). Managing threats to self: awareness in early stage Alzheimer's disease. Social Science and Medicine 57, 1017–1029.CrossRefGoogle ScholarPubMed
Conwell, Y, Duberstein, PR, Caine, ED (2002). Risk factors for suicide in later life. Biological Psychiatry 52, 193–204.Google Scholar
Craig, P, Dieppe, P, Macintyre, S, Michie, S, Nazareth, I, Petticrew, M (2008). Developing and evaluating complex interventions: the new Medical Research Council guidance. British Medical Journal 337, a1655.CrossRefGoogle ScholarPubMed
Cuijpers, P, van Straten, A, Smit, F (2006). Psychological treatment of late-life depression: a meta-analysis of randomized controlled trials. International Journal of Geriatric Psychiatry 21, 1139–1149.Google Scholar
Cuijpers, P, van Straten, A, Warmerdam, L (2007). Behavioural activation treatments of depression: a meta analysis. Clinical Psychology Review 27, 318–326.Google Scholar
Djernes, JK (2006). Prevalence and predictors of depression in populations of elderly: a review. Acta Psychiatrica Scandinavica 113, 372–387.CrossRefGoogle ScholarPubMed
Ekers, D, Curran, J, McMillan, D, Houghton, S (2012). Behavioural activation. In: Cognitive Behaviour Therapies (ed. Dryden, W.), pp. 236–260. London: Sage Publications Ltd.Google Scholar
Ekers, D, Godfrey, C, Gilbody, S, Parrott, S, Richards, D, Hammond, D, Hayes A (2011 a). Cost utility of behavioural activation delivered by the non-specialist. British Journal of Psychiatry 199, 510–511.Google Scholar
Ekers, D, Richards, D, Gilbody, S (2008). A meta-analysis of randomized trials of behavioural treatment of depression. Psychological Medicine 38, 611–623.Google Scholar
Ekers, D, Richards, D, McMillan, D, Bland, JM, Gilbody, S (2011 b). Behavioural activation delivered by the nonspecialist:phase II randomised controlled trial. British Journal of Psychiatry 198, 66–72.CrossRefGoogle ScholarPubMed
Fiske, A, Loeback-Wetherell, J, Gatz, M (2009). Depression in older adults. Annual Reviews in Clinical Psychology 5, 363–389.Google Scholar
Graham, JE, Rockwood, K, Beattie, BL, Eastwood, R, Gauthier, S, Tuokko, H, McDowell, I (1997). Prevalence and severity of cognitive impairment with and without dementia in an elderly population. Lancet 349, 1793–1796.Google Scholar
Illiffe, S, Haines, A, Gallivan, S, Booroff, AEG, Morgan, P (1991). Assessment of elderly people in general practice: Social circumstances and mental state. British Journal of General Practice 41, 9–12.Google Scholar
Jacobson, NS, Martell, CR, Dimidjian, S (2001). Behavioral activation treatment for depression: returning to contextual roots. Clinical Psychology: Science and Practice 8, 255–270.Google Scholar
Joiner, TE, Conwell, Y, Fitzpatrick, KK, Witte, TK, Schmidt, NB, Berlim, MT, Fleck, M, Rudd, MD (2005). Four studies on how past and current suicidality relate even when ‘everything but the kitchen sink’ is covaried. Journal of Abnormal Psychology 114, 291–303.Google Scholar
Judd, LL, Akiskal, HS (2002). The clinical and public health relevance of current research on subthreshold depressive symptoms to elderly patients. American Journal of Geriatric Psychiatry 10, 233–238.CrossRefGoogle Scholar
Kanter, JW, Manos, RC, Bowe, WM, Baruch, DE, Busch, AM, Rusch, LC (2010). What is Behavioral Activation? A review of the empirical literature. Clinical Psychology Review 30, 608–620.CrossRefGoogle ScholarPubMed
Knight, BG, Poon, CY (2008). Contextual adult life span theory for adapting psychotherapy with older adults. Journal of Rational-Emotive & Cognitive-Behavior Therapy 26, 232–249.Google Scholar
Laidlaw, K, Thompson, LW, Gallagher-Thompson, D (2004). Comprehensive conceptualization of cognitive behaviour therapy for late life depression. Behavioural and Cognitive Psychotherapy 32, 389–399.Google Scholar
Li, C, Ford, ES, Strine, TW, Mokdad, AH (2008). Prevalence of depression amongst U.S. adults with diabetes: findings from the 2006 Behavioral Risk Factor Surveillance System. Diabetes Care 31, 105–107.CrossRefGoogle Scholar
Luoma, JB, Martin, CE, Pearson, JL (2002). Contact with mental health and primary care providers before suicide: a review of the evidence. Americal Journal of Psychiatry 159, 909–916.Google Scholar
Martell, CR, Addis, ME, Jacobson, NS (2001). Depression in Context: Strategies for Guided Action. New York: W. W. Norton.Google Scholar
Mazzucchelli, T, Kane, R, Rees, C (2009). Behavioral activation treatments for depression in adults: a meta-analysis and review. Clinical Psychology: Science and Practice 16, 383–411.Google Scholar
Pinquart, M, Duberstein, PR, Lyness, JM (2007). Effects of psychotherapy and other behavioral interventions on clinically depressed older adults: a meta-analysis. Aging & Mental Health 11, 645–657.Google Scholar
Porter, J, Spates, R, Smitham, S (2004). Behavioural activation group therapy in public mental health settings: a pilot investigation Professional Psychology: Research and Practice 35, 297–301.Google Scholar
Quijano, LM, Stanley, MA, Petersen, NJ, Casado, BL, Steinberg, EH, Cully, JA, Wilson NL (2007). Healthy IDEAS: a depression intervention delivered by community-based case managers serving older adults. Journal of Applied Gerontology 26, 139–156.CrossRefGoogle Scholar
Rhodes, S, Richards, DA, Ekers, D, McMillan, D, Byford, S, Farrand, PA, Gilbody, S, Hollon, SD, Kuyken, W, Martell, C, O’Mahen, HA, O’Neill, E, Reed, N, Taylor, RS, Watkins, ER, Wright, KA (2014). Cost and outcome of behavioural activation versus cognitive behaviour therapy for depression (COBRA): study protocol for a randomised controlled trial. Trials 15, 29.Google Scholar
Richards, DA, Hughes-Morley, A, Hayes, RA, Araya, R, Barkham, M, Bland, JM, Bower, P, Cape, J, Chew-Graham, CA, Gask, L, Gilbody, S, Green, C, Kessler, D, Lewis, G, Lovell, K, Manning, C, Pilling, S (2009). Collaborative Depression Trial (CADET): multi-centre randomised controlled trial of collaborative care for depression – study protocol. BMC Health Services Research 9, 188–196.CrossRefGoogle ScholarPubMed
Samad, Z, Brealey, S, Gilbody, S (2011). The effectiveness of behavioural therapy for the treatment of depression in older adults: a meta-analysis International Journal of Geriatric Psychiatry 26, 1211–1220.Google Scholar
Satre, DD, Knight, BG, David, S (2006). Cognitive-behavioral interventions with older adults: Integrating clinical and gerontological research. Professional Psychology: Research and Practice 37, 489.Google Scholar
Unutzer, J (2007). Late-life depression. New England Journal of Medicine 357, 2269–2276.Google Scholar
Unutzer, J, Katon, W, Callahan, CM, Williams, JW, Hunkeler, E, Harpole, L, Hoffing, M, Della, Penna RD, Hitchcock, Noël P, Lin, EHB, Areán, PA, Hegel, MT, Tang, L, Belin, TR, Oishi, S, Langston, C (2002). Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. Journal of the American Medical Association 288, 2836–2845.Google Scholar
Vinkers, DJ, Gussekloo, J, Stek, ML, Westendorp, RGJ, van der Mast, RC (2004). Temporal relation between depression and cognitive impairment in old age: prospective population based study. British Medical Journal 329, 881–885.Google Scholar
Wilson, KC, Mottram, PG, Vassilas, CA (2008). Psychotherapeutic treatments for older depressed people. Cochrane Database of Systematic Reviews. Issue 1, Art. no. 1.Google Scholar
Yon, A, Scogin, F (2009). Behavioral activation as a treatment for geriatric depression. Clinical Gerontologist 32, 91–103.Google Scholar
Zeiss, AM, Lewinsohn, PM, Rohde, P (1996). Functional impairment, physical disease, and depression in older adults. In: Handbook of Diversity Issues in Health Psychology (ed. Kato, P. and Mann, T.), pp. 161–184. New York: Plenum Press.Google Scholar
Zeiss, AM, Steffen, A (1996). Treatment issues with elderly clients. Cognitive and Behavioral Practice 3, 371–389.Google Scholar
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