A client-level session-by-session evaluation of behavioral activation’s mechanism of action
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Activation is theorized to lead to changes in depression in BA treatment.

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BA’s mechanism was examined using data from a randomized trial of BA for Latinos.

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Activation change led or co-occurred with depression change for 79% of BA clients.

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Clients in the comparison group did not show BA-positive/consistent change patterns.

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Activation may be a plausible mechanism of change in BA treatment for depression.

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