Efficacy of online behavioral activation and cognitive-behavioral therapies for the treatment of depression in Mexican women victims of violence
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Keywords

depression
violence against women
behavioral activation
cognitive behavioral therapy
telehealth
online psychotherapy depresión
violencia contra la mujer
activación conductual
terapia cognitivo conductual
telesalud
psicoterapia online

How to Cite

Ramírez-Cruz, J. C., Bianchi, J. M., Santana-Cárdenas, S., Javier-Juárez, S. P., & Franco-Paredes, K. (2023). Efficacy of online behavioral activation and cognitive-behavioral therapies for the treatment of depression in Mexican women victims of violence. Terapia Psicológica, 41(1), 87-109. Retrieved from https://teps.cl/index.php/teps/article/view/594

Abstract

Background: Violence against women (VAW) and the COVID-19 pandemic are issues that have affected women's mental health, with sequela such as depression. Objective: To compare the efficacy of brief behavioral activation therapy (BATD) and cognitive behavioral therapy (CBT) with cultural adaptations administered online by telehealth for depression in victims of VAW during COVID-19 in Mexico. Method: A randomized clinical trial was conducted with 20 Mexican women aged 18–60 years with depression who experienced VAW in the last six months during COVID-19. Participants were randomized 1:1 to the BATD and CBT groups. For data analysis, Friedman and Mann-Whitney U tests were applied, and the Reliable Change Index was estimated. Results: A decrease in depressive symptoms (p < .001) and an increase in activation levels (p < .001) were found in favor of the BATD group at the end of the intervention and at follow-up, in contrast to CBT. Conclusions: BATD was shown to be effective in health emergency crises in VAW contexts. Gathering evidence of efficient interventions for this population contributes to mitigating mental health conditions.

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