“Treatment-specific changes in decentering following mindfulness-based cognitive therapy versus antidepressant medication or placebo for prevention of depressive relapse": Correction to Bieling et al. (2012).

2012 ◽  
Vol 80 (3) ◽  
pp. 372-372 ◽  
Author(s):  
Peter J. Bieling ◽  
Lance L. Hawley ◽  
Richard T. Bloch ◽  
Kathleen M. Corcoran ◽  
Robert D. Levitan ◽  
...  
Keyword(s):  
Cognitive Therapy ◽  
Antidepressant Medication

scholarly journals Gains in employment status following antidepressant medication or cognitive therapy for depression

2015 ◽  
Vol 206 (4) ◽  
pp. 332-338 ◽  
Author(s):  
Jay C. Fournier ◽  
Robert J. DeRubeis ◽  
Jay Amsterdam ◽  
Richard C. Shelton ◽  
Steven D. Hollon
Keyword(s):  
Cognitive Therapy ◽  
Employment Status ◽  
Antidepressant Medication ◽  
Relative Advantage ◽  
Full Time ◽  
Treatment Interaction ◽  
Effect Of Treatment ◽  
Using Data ◽  
A Site ◽  
Full Time Employment

BackgroundDepression can adversely affect employment status.AimsTo examine whether there is a relative advantage of cognitive therapy or antidepressant medication in improving employment status following treatment, using data from a previously reported trial.MethodRandom assignment to cognitive therapy (n = 48) or the selective serotonin reuptake inhibitor paroxetine (n = 93) for 4 months; treatment responders were followed for up to 24 months. Differential effects of treatment on employment status were examined.ResultsAt the end of 28 months, cognitive therapy led to higher rates of full-time employment (88.9%) than did antidepressant medication among treatment responders (70.8%), χ21 = 5.78, P = 0.02, odds ratio (OR) = 5.66, 95% CI 1.16–27.69. In the shorter-term, the main effect of treatment on employment status was not significant following acute treatment (χ21 = 1.74, P = 0.19, OR = 1.77, 95% CI 0.75–4.17); however, we observed a site×treatment interaction (χ21 = 6.87, P = 0.009) whereby cognitive therapy led to a higher rate of full-time employment at one site but not at the other.ConclusionsCognitive therapy may produce greater improvements in employment v. medication, particularly over the longer term.

Cognitive Therapy for Major Depressive Disorder in Primary Care

1984 ◽  
Vol 144 (4) ◽  
pp. 400-406 ◽  
Author(s):  
John D. Teasdale ◽  
Melanie J. V. Fennell ◽  
George A. Hibbert ◽  
Peter L Amies
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Cognitive Therapy ◽  
Comparison Group ◽  
Psychological Treatment ◽  
Antidepressant Medication ◽  
Self Report ◽  
Major Depressive ◽  
Treatment As Usual ◽  
Severity Of Depression

SummaryCognitive therapy for depression is a psychological treatment designed to train patients to identify and correct the negative depressive thinking which, it has been hypothesised, contributes to the maintenance of depression. General practice patients meeting Research Diagnostic Criteria for primary major depressive disorder were randomly allocated either to continue with the treatment they would normally receive (which in the majority of cases included antidepressant medication) or to receive, in addition, sessions of cognitive therapy. At completion of treatment, patients receiving cognitive therapy were significantly less depressed than the comparison group, both on blind ratings of symptom severity made by psychiatric assessors and on a self-report measure of severity of depression. At three-month follow-up cognitive therapy patients no longer differed from patients receiving treatment-as-usual, but this was mainly as a result of continuing improvement in the comparison group.

scholarly journals Antidepressant medicationsv.cognitive therapy in people with depression with or without personality disorder

2008 ◽  
Vol 192 (2) ◽  
pp. 124-129 ◽  
Author(s):  
Jay C. Fournier ◽  
Robert J. DeRubeis ◽  
Richard C. Shelton ◽  
Robert Gallop ◽  
Jay D. Amsterdam ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Cognitive Therapy ◽  
Antidepressant Drugs ◽  
Antidepressant Medication ◽  
Poor Response ◽  
Initial Response ◽  
Response Rates ◽  
Sustained Response ◽  
Random Assignment ◽  
Sustained Response Rate

BackgroundThere is conflicting evidence about comorbid personality pathology in depression treatments.AimsTo test the effects of antidepressant drugs and cognitive therapy in people with depression distinguished by the presence or absence of personality disorder.MethodRandom assignment of 180 out-patients with depression to 16 weeks of antidepressant medication or cognitive therapy. Random assignment of medication responders to continued medication or placebo, and comparison with cognitive therapy responders over a 12-month period.ResultsPersonality disorder status led to differential response at 16 weeks; 66%v.44% (antidepressantsv.cognitive therapy respectively) for people with personality disorder, and 49%v.70% (antidepressantsv.cognitive therapy respectively) for people without personality disorder. For people with personality disorder, sustained response rates over the 12-month follow-up were nearly identical (38%) in the prior cognitive therapy and continuation-medication treatment arms. People with personality disorder withdrawn from medication evidenced the lowest sustained response rate (6%). Despite the poor response of people with personality disorder to cognitive therapy, nearly all those who did respond sustained their response.ConclusionsComorbid personality disorder was associated with differential initial response rates and sustained response rates for two well-validated treatments for depression.

scholarly journals Treatment-specific changes in decentering following mindfulness-based cognitive therapy versus antidepressant medication or placebo for prevention of depressive relapse.

2012 ◽  
Vol 80 (3) ◽  
pp. 365-372 ◽  
Author(s):  
Peter J. Bieling ◽  
Lance L. Hawley ◽  
Richard T. Bloch ◽  
Kathleen M. Corcoran ◽  
Robert D. Levitan ◽  
...  
Keyword(s):  
Cognitive Therapy ◽  
Antidepressant Medication

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

1994 ◽  
Vol 22 (1) ◽  
pp. 57-64 ◽  
Author(s):  
Christine S. Scott ◽  
Jan L. Scott ◽  
Mary Jane Tacchi ◽  
Roger H. Jones
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Depressive Disorder ◽  
Cognitive Therapy ◽  
Subjective Evaluation ◽  
Antidepressant Medication ◽  
Cognitive Intervention ◽  
Adjunctive Treatment ◽  
Intervention Package ◽  
Psychological Therapies

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.

Lithium Carbonate Versus Cognitive Therapy as Sequential Combination Treatment Strategies in Partial Responders to Antidepressant Medication

2003 ◽  
Vol 64 (4) ◽  
pp. 439-444 ◽  
Author(s):  
Sidney H. Kennedy ◽  
Zindel V. Segal ◽  
Nicole L. Cohen ◽  
Robert D. Levitan ◽  
Michael Gemar ◽  
...  
Keyword(s):  
Cognitive Therapy ◽  
Combination Treatment ◽  
Treatment Strategies ◽  
Antidepressant Medication ◽  
Lithium Carbonate ◽  
Sequential Combination
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