Activación conductual para depresión
LowConditionalin favorRecommendation: Se sugiere la activación conductual en personas con depresión.
Rationale
Behavioral activation reduces depressive symptoms in people with depression, with an efficacy comparable to that of antidepressant medication and with the advantage of being a simple, scalable intervention in primary care. The certainty of the evidence in the critical outcomes is low. That is why the recommendation is conditional in favor, because the balance between benefits and risks is favorable, although with less certainty.
Cautions and contraindications
Before intervening on mental health, assess the patient's emotional state, context, and treatments, and individualize the approach without replacing the treatment indicated by their health team. Carry out a screening of suicide risk and crisis situations. Advise seeking mental-health care on a priority basis in the face of warning signs such as thoughts of self-harm, marked functional decline, and worsening symptoms, and refer to specialized care when appropriate. Reassess the progression periodically.
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