From: Effects of behavioural activation on substance use and depression: a systematic review
Author year | Study type | Setting and Country | Substance | Aim | Inclusion criteria | Sample characteristics |
---|---|---|---|---|---|---|
Daughters et al. (2018) [49] | RCT | Substance use residential treatment setting, USA | Alcohol/other drugs | To compare outcomes for a BA group treatment for substance use (LETS ACT) versus a time and group size-matched control condition delivered in a residential treatment setting. | Patients at the residential substance use treatment facility: (1) court-mandated to attend the program by the criminal justice system or (2) entered treatment voluntarily and received public funding. | N = 263 (female 29.5%, mean age 42.7; SD = 11.8) African American 95.4% |
Gonzalez-Roz et al. (2018) [50] | RCT | Clinical Unit of Addictive Behaviours of the University of Oviedo, Spain | Tobacco | To analyze if adding a CM component to CBT and BA would increase smoking cessation treatment adherence and decrease depressive symptoms | (1) Age ≥ 18; (2) smoking ≥10 cigarettes per day within the last year; (3) meeting criteria for current unipolar major depression disorder (meeting DSM-IV-TR criteria or BDI score ≥ 14); and (4) meeting DSM-IV-TR criteria for nicotine dependence. | N = 74 (females 82.4%) |
Busch et al. (2017) [43] | RCT | Inpatient cardiac units at The Miriam and Rhode Island Hospitals. Providence, RI, USA | Tobacco | To compare BAT-CS to a Standard-of-Care control on smoking abstinence, mood, and stress related variables. | (1) ACS diagnosis documented in medical record; (2) smoking ≥3 cigarettes/day prior to hospitalization; (3) age 18–75; (4) English fluency; (5) telephone access; (6) living within 1-h drive of admitting hospital; and (7) willingness to attempt to quit smoking at discharge. | N = 59 (female 27.1%; mean age 55.6; SD = 10.2) Non-Hispanic Caucasian 89.8%; Non-Hispanic African American 5.1%; Hispanic Caucasian 3.4%; Multiracial 1.7% |
Delgadillo et al. (2015) [46] | RCT | CDAT services Leeds, UK | Alcohol/other drugs | To examine the feasibility of a 12-session face-to-face BA intervention compared to a CBT-based guided self-help intervention for depression. | (1) ≥1 month registered with CDAT; (2) clinically significant depression symptoms as defined by the PHQ-9; (3) mild-to-moderate symptoms of alcohol/drug dependence as defined by SDS. | N = 50 (female 32.0%; mean age 37.2; SD = 6.6) White British 72.0%, other 28.0% |
Mimiaga et al. (2012) [48] | Before-and-after | The Fenway Institute, Fenway Health. Boston, MA, USA | Crystal methamphetamine | To evaluate BA with integrated HIV RR counseling for crystal methamphetamine abuse | (1) Age ≥ 18; (2) self-reported ≥1 episodes of unprotected anal sex with a nonmonogamous male sexual partner with concurrent use of crystal methamphetamine in the past 3 months; (3) HIV uninfected. | N = 19 (male 100%; mean age 40.0; SD = 9.5) Caucasian 62.5%; racial/ethnic minorities 37.5% |
MacPherson et al. (2010) [47] | RCT | Not reported | Tobacco | To examine BA as a treatment for smoking cessation and depression vs. ST. | (1) Age18–65; (2) current regular smoker (≥1 year); (3) smoking ≥10 cigarettes/day; (4) BDI-II ≥10; (5) no current DSM-IV disorder assessed by the SCID-NP. | N = 68 (female 48.5%) BATS: mean age 45.0 (SD = 12.20); African-American 69.7% ST: mean age 42.6 (SD = 11.5); African-American 75.8% |
Carpenter et al. (2008) [45] | RCT | Community-based treatment programs. New York City, NY, USA | Opiate | To test the efficacy of BTDD vs. REL for DSM-IV depressive disorders and substance abuse. | (1) Current DSM-IV major depression or dysthymic disorder; (2) stable methadone dose (no changes in prior two weeks) of ≥60 mg. | N = 38 (female 42.1%) BTDD: mean age 38.8 (SD = 10.40; Caucasian 88.9% REL: mean age 41.2 (SD = 10.9); Caucasian 75.0% |
Carpenter et al. (2006) [44] | Before-and-after | 2 community-based methadone maintenance programs. New York City, NY, USA | Opiate | To develop and pilot test a behavioural therapy for depression in drug dependence. | DSM-IV criteria for major depression or dysthymic disorders that: (1) antedated the earliest lifetime substance abuse; (2) persisted during 6 months of abstinence in the past, or at least 1 month during methadone treatment; (3) had a stable methadone dose of ≥60 mg; and (4) consented to participate. | N = 29 (female 41.3%; mean age 41.0; SD = 7.9) Caucasian 58.6%; Hispanic 27.6%; African-American 10.3%; and Asian 3.4% |