(a slightly abbreviated version of this blog post is downloadable as both a Word doc & a PDF file)  

In yesterday's post "Targeting behavioural activation better both for decreasing depression and increasing wellbeing (first post)", I suggested that there are at least three (and probably many more) interesting ways that could make behavioural activation (BA) both more targeted and potentially more effective.  I wrote about aiming BA particularly to "problem solve" triggering factors (especially interpersonal ones) that seemed to have contributed to deterioration in a subject's psychological state.  I also mentioned the recent Mazzuchelli et al paper "Behavioral activation interventions for well-being: a meta-analysis"  showing how helpful BA can also be at building wellbeing as well as treating depression.

There are a series of meta-analyses showing that "behavioural activation" (BA) is a good treatment for depression and that it is as effective as best-established approaches like full cognitive behavioural therapy - see, for example, last year's paper by Trevor and colleagues "Behavioral activation treatments for depression in adults: a meta-analysis and review".  BA involves encouraging increased engagement in enjoyable activities.  Subjects may be asked to keep a record of their daily activities and associated feelings - for example, feelings of achievement and enjoyment.  The downloadable charts and handouts further down this website's "Problem solving and behavioural activation" page illustrate this well-known approach.

I read a lot of research.  When I find an article of particular interest I download it to my bibliographic database - EndNote - which currently contains over 14,300 abstracts. 

Here are mixed bag of psychotherapy-relevant studies.  Foy & colleagues' meta-analysis highlights the value to patients/clients of having good communication between their primary care physician and their mental health professional.  The second paper I mention - free full text - by Mollen et al is a bit of a wake-up call for me.  The authors write " ... we will discuss why people conform to social norms and then extend this knowledge to the field of health communication and behaviour change. We will elaborate on the advantages and disadvantages of using social norm messages, and then offer alternatives for the use of social norms in health communication messages ... Clearly, there is a substantial evidence suggesting that, when unhealthy behaviour is highly prevalent, descriptive norms should not be conveyed in health promotion campaigns.