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Abbreviated Cognitive Therapy for Depression: A Pilot Study in Primary Care

Published online by Cambridge University Press:  16 June 2009

Christine S. Scott ,
Jan L. Scott ,
Mary Jane Tacchi  and
Roger H. Jones
Christine S. Scott
Affiliation:
The Health Centre, Ponteland
Jan L. Scott
Affiliation:
University of Newcastle upon Tyne
Mary Jane Tacchi
Affiliation:
University of Newcastle upon Tyne
Roger H. Jones
Affiliation:
University of Newcastle upon Tyne
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Abstract

There is increasing interest in the use of psychological therapies for depressive disorder in primary care. This paper describes a pilot study using an abbreviated form of cognitive therapy as an adjunctive treatment for major depressive disorder in primary care. Seven primary care patients received an abbreviated cognitive intervention package in addition to their usual treatment. The patients were assessed before and after intervention using observer and self rating measures of depression and their subjective evaluation of the intervention was sought. Four of the subjects showed 50% change in depression ratings at the end of the intervention and only one of the group was taking antidepressant medication. The intervention was generally well accepted by patients and feasible within the time constraints. The initial results are encouraging and a randomized control trial of this brief intervention is now underway.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 22 , Issue 1 , January 1994 , pp. 57 - 64
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1994

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References

American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev). Washington DC: APA Press.Google Scholar
Andrews, G. (1991). The evaluation of psychotherapy. Current Opinions in Psychiatry 4, 379–383.CrossRefGoogle Scholar
Barkham, M., Moorey, J. and Davis, G. (1992). Cognitive-behavioural therapy in two-plusone sessions: a pilot field trial. Behavioural Psychotherapy 20, 147‐154.CrossRefGoogle Scholar
Beck, A.T., Rush, A.J., Shaw, B.F. and Emery, G. (1979). Cognitive Therapy of Depression. New York: Guilford Press.Google Scholar
Beck, A.T., Ward, C.H., Mendelson, M., Mock, J. and Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry 4, 561–571.CrossRefGoogle ScholarPubMed
Blackburn, I.M., Bishop, S., Glen, A.I.M., Whalley, L.J. and Christie, J. E. (1981). The efficacy of cognitive therapy in depression: a treatment trial using cognitive therapy and pharmacotherapy, each alone and in combination. British Journal of Psychiatry 139, 181–189.CrossRefGoogle ScholarPubMed
Blackburn, I.M., Eunson, K.M. and Bishop, S. (1986). A two year naturalistic follow up of depressed patients treated with cognitive therapy, pharmacotherapy and a combination of both. Journal of Affective Disorders 111, 659–674.Google Scholar
Blacker, C.V.R. and Clare, A.W. (1987). Depressive disorder in primary care. British Journal of Psychiatry 150, 737–751.CrossRefGoogle ScholarPubMed
Corney, R.H. (1984). The effectiveness of attached social workers in the management of depressed female patients in general practice. Psychological Medicine (supplement) 6.Google ScholarPubMed
Depression Guideline Panel (1993). Depression in Primary Care: Treatment of Major Depression. US Department of Health and Human Services.Google Scholar
Elkin, I., Shea, T.M., Watkins, J.T., Imber, S.D., Sotsky, S.M., Collins, J.F., Glass, D.R., Pilkous, P.A., Leber, W.R., Docherty, J.P., Fiester, S.J. and Parloff, M.B. (1989). National Institute of Mental Health Treatment of Depression Collaborative Research Programme. General effectiveness of treatment. Archives of General Psychiatry 46, 971–982.CrossRefGoogle Scholar
Freeling, P., Roa, B.M., Paykel, E.S., Sireling, L.I. and Burton, R.H. (1985). Unrecognized depression in general practice. British Medical Journal 290, 1880–1883.CrossRefGoogle Scholar
Hamilton, M.A. (1960). Rating scale for depression. British Journal of Psychiatry 23, 56–62.Google ScholarPubMed
Johnson, D.A.W. (1978). Depression: treatment compliance in general practice. Acta Psychiatrica Scandinavica (supplement) 63, 447–453.CrossRefGoogle Scholar
Macaskill, N.D. and Macaskill, A. (1991). Cognitive therapy for depression: the efficacy of minimal intervention programmes. Bulletin of the Association of Behavioural Clinicians 10, 13–20.Google Scholar
McClean, P.D. and Hakstian, M.J.V. (1978). Clinical depression: comparative efficacy of outpatient treatments. Journal of Consulting Clinical Psychology 47, 818–836.CrossRefGoogle Scholar
Ross, M. and Scott, M. (1985). An evaluation of the effectiveness of individual and group cognitive therapy in the treatment of depressed patients in an inner city health centre. Journal of the Royal College of General Practitioners 35, 239–242.Google Scholar
Scott, A.I.F and Freeman, C.P.L. (1992). Edinburgh primary care depression study: treatment outcome, patient satisfaction and cost after 16 weeks. British Medical Journal 304, 883–887.CrossRefGoogle Scholar
Scott, J. (1992a). Cognitive behaviour therapy in primary care. In Gray, D.P., Wright, A., Pullin, I and Wilkinson, G. (Eds). Psychiatry in General Practice. London: Gaskill, in press.Google Scholar
Scott, J. (1992b). Chronic depression: can cognitive therapy succeed when other treatments fail? Behavioural Psychotherapy 20, 25–36.CrossRefGoogle Scholar
Scott, J., Eccleston, D. and Boys, R. (1992). Can we predict the persistence of depression? British Journal of Psychiatry 161, 633–637.CrossRefGoogle ScholarPubMed
Selmi, P.M., Klein, M.H., Greist, J.H., Sorrell, S.P. and Erdman, H.P. (1990). Computer-administered cognitive behavioural therapy for depression. American Journal of Psychiatry 147, 51–56.Google ScholarPubMed
Shea, T.M., Elkin, I., Imber, S.D., Sotsky, S.M., Watkins, J.T., Collins, J.F., Pilkous, P.A., Beckham, E., Glass, D.R., Dolan, R.T. et al. (1992). Course of depressive symptoms over follow up: findings from the NIMH Treatment of Depression Collaborative Research Programme. Archives of General Psychiatry 49, 782–787.CrossRefGoogle Scholar
Teasdale, J.D., Fennell, M.J.V., Hibbert, G.A. and Amies, P.L. (1984). Cognitive therapy for major depressive disorder in primary care. British Journal of Psychiatry 144, 400–406.CrossRefGoogle ScholarPubMed
Thompson, C. and Thompson, C.M. (1989). The prescribing of antidepressants in general practice. II: a placebo-controlled trial of low-dose dothiepin. Human Psychopharmacology 4, 191–204.CrossRefGoogle Scholar
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