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Adapting manualized Behavioural Activation treatment for older adults with depression

  • Madeline Pasterfield (a1), Della Bailey (a2), Deborah Hems (a2), Dean McMillan (a3), David Richards (a4) and Simon Gilbody (a3)...


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.


Corresponding author

*Author for correspondence: Dr D. McMillan, Department of Health Sciences, University of York, and the Hull York Medical School, York, UK (email:


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Adapting manualized Behavioural Activation treatment for older adults with depression

  • Madeline Pasterfield (a1), Della Bailey (a2), Deborah Hems (a2), Dean McMillan (a3), David Richards (a4) and Simon Gilbody (a3)...


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Adapting manualized Behavioural Activation treatment for older adults with depression

  • Madeline Pasterfield (a1), Della Bailey (a2), Deborah Hems (a2), Dean McMillan (a3), David Richards (a4) and Simon Gilbody (a3)...
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