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Outcome of Psychotherapy for Unipolar Depression

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Handbook of Effective Psychotherapy

Part of the book series: The Plenum Behavior Therapy Series ((PBTS))

Abstract

Clinical depression is a significant mental health and social problem. One in eight individuals is expected to require treatment for depression during his or her lifetime (Secunda, Katz, Friedman, & Schuyler, 1973). Seventy-five percent of psychiatric hospitalizations are due to depression (Secunda et al., 1973). Depressed individuals have poorer health, poorer social functioning (Wells et al., 1989), and higher mortality (Murphy, Monson, Olivier, Sobol, & Leighton, 1987) than nondepressed individuals. Increased mortality is apparently due to higher rates of suicide and accidents for young people and higher rates of chronic medical illness for older ones (Murphy et al., 1987). Depression is a recurrent disorder; participants in a National Institute of Mental Health/National Institutes of Health (NIMH/NIH) conference estimated that 50% of depressed patients relapse within 2 years of recovery from their initial episode (NIMH/NIH, 1985).

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References

  • Basham, R.B. (1986). Scientific and practical advantages of comparative design in psychotherapy outcome research. Journal of Consulting and Clinical Psychology, 54, 88–94.

    Article  PubMed  Google Scholar 

  • Beck, A.T., Hollon, S.D., Young, J.E., Bedrosian, R.C., & Budenz, D. (1985). Treatment of depression with cognitive therapy and amitriptyline. Archives of General Psychiatry, 42, 142–148.

    Article  PubMed  Google Scholar 

  • Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.

    Google Scholar 

  • Bellack, L., & Small, L. (1965). Emergency psychotherapy and brief psychotherapy. New York: rune & Stratton.

    Google Scholar 

  • Blackburn, I.M., Bishop, S., Glen, A.I.M., Whalley, L.J., & 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.

    Article  PubMed  Google Scholar 

  • Blackburn, I.M., Eunson, K.M., & 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, 10, 67–75.

    Article  PubMed  Google Scholar 

  • Conte, H.R., Plutchik, R., Wild, K.V., & Karasu, T.B. (1986). Combined psychotherapy and pharmacotherapy for depression. Archives of General Psychiatry, 43, 471–479.

    Article  PubMed  Google Scholar 

  • Covi, L., & Lipman, R.S. (1987). Cognitive-behavioral group psychotherapy combined with imipramine in major depression. Psychopharmacological Bulletin, 23, 173–176.

    Google Scholar 

  • de Jong, R., Treiber, R., & Henrich, G. (1986). Effectiveness of two psychological treatments for inpatients with severe and chronic depression. Cognitive Therapy and Research, 10, 645–663.

    Article  Google Scholar 

  • DiMascio, A., Weissman, M.M., Prusoff, B.A., Neu, C., Zwilling, M., & Klerman, G.L. (1979). Differential symptom reduction by drugs and psychotherapy in acute depression. Archives of General Psychiatry, 36, 1450–1456.

    Article  PubMed  Google Scholar 

  • Dobson, K.S. (1989). A meta-analysis of the efficacy of cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 57, 414–419.

    Article  PubMed  Google Scholar 

  • D’Zurilla, T.J. (1986). Problem-solving therapy: A social competence approach to clinical intervention. New York: Springer.

    Google Scholar 

  • Elkin, I., Shea, M.T., Watkins, J.T., Imber, S.D., Sotsky, S.M., Collins, J.F., Glass, D.R., Pilkonis, P.A., Leber, W.R., Docherty, J.P., Fiester, S.J., & Parloff, M.B. (1989). National Institute of Mental Health Treatment of Depression Collaborative Research Program: General effectiveness of treatments. Archives of General Psychiatry, 46, 971–982.

    Article  PubMed  Google Scholar 

  • Evans, M.D., Hollon, S.D., De Rubeis, R.J., Piasecki, J.M., Grove, W.M., Garvey, M.J., & Tuason, M.D. (1992). Differential relapse following cognitive therapy and pharmacotherapy for depression. Archives of General Psychiatry, 49, 802–808.

    Article  PubMed  Google Scholar 

  • Fennell, M.J.V., & Teasdale, J.D. (1982). Cognitive therapy with chronic, drug-refractory depressed outpatients: A note of caution. Cognitive Therapy and Research, 6, 455–460.

    Article  Google Scholar 

  • Fleming, B.M., & Thornton, D.W. (1980). Coping skills training as a component in the short-term treatment of depression. Journal of Consulting and Clinical Psychology, 48, 652–654.

    Article  PubMed  Google Scholar 

  • Frank, E., Kupfer, D.J., Perel, J.M., Comes, C., Jarrett, D.B., Mallinger, A.G., Thase, M.E., McEachran, A. B., Grochocinski, V.J. (1990). Three-year outcomes for maintenance therapies in recurrent depression. Archives of General Psychiatry, 47, 1093–1099.

    Article  PubMed  Google Scholar 

  • Gallagher, D.E., & Thompson, L.W. (1982). Treatment of major depressive disorder in older adult outpatients with brief psychotherapies. Psychotherapy, 19, 482–490.

    Article  Google Scholar 

  • Gallagher-Thompson, D., Hanley-Peterson, P., & Thompson, L.W. (1990). Maintenance of gains versus relapse following brief psychotherapy for depression. Journal of Consulting and Clinical Psychology, 58, 371–374.

    Article  PubMed  Google Scholar 

  • Graff, R.W., Whitehead, G.I., III, & Le Compte, M. (1986). Group treatment with divorced women using cognitive-behavioral and supportive-insight methods. Journal of Counseling Psychology, 33, 276–281.

    Article  Google Scholar 

  • Hersen, M., Bellack, A.S., Himmelhoch, J.M., & Thase, M.E. (1984). Effects of social skill training, amitriptyline, and psychotherapy in unipolar depressed women. Behavior Therapy, 15, 21–40.

    Article  Google Scholar 

  • Hollon, S.D., De Rubeis, R.J., Evans, M.D., Wiemer, M.J., Garvey, M.J., Grove, W.M., & Tuason, V.B. (1992). Cognitive-therapy and pharmacotherapy for depression: Singly and in combination. Archives of General Psychiatry, 46, 774–781.

    Article  Google Scholar 

  • Hollon, S.D., Shelton, R.C., & Loosen, P.T. (1991). Cognitive therapy and pharmacotherapy for depression. Journal of Consulting and Clinical Psychology, 59, 88–99.

    Article  PubMed  Google Scholar 

  • Horowitz, M., Marmar, C., Krupnick, J., Wilner, N., Kaltreider, N., & Wallerstein, R. (1984). Personality styles and brief psychotherapy. New York: Basic Books.

    Google Scholar 

  • Klein, D.F., & Davis, J.M. (1969). Diagnosis and drug treatment of psychiatric disorders. Baltimore: Williams & Wilkins.

    Google Scholar 

  • Klerman, G.L., Weissman, M.M., Rounsaville, B.J., & Chevron, E.S. (1984). Interpersonal psychotherapy for depression. New York: Basic Books.

    Google Scholar 

  • Kornblith, S.J., Rehm, L.P., O’Hara, M.W., & Lamparski, D.M. (1983). The contribution of selfreinforcement training and behavioral assignments to the efficacy of self-control therapy for depression. Cognitive Therapy and Research, 7, 499–528.

    Article  Google Scholar 

  • Kovacs, M., Rush, A.J., Beck, A.T., & Hollon, S.D. (1981). Depressed outpatients treated with cognitive therapy or pharmacotherapy. Archives of General Psychiatry, 38, 33–41.

    Article  PubMed  Google Scholar 

  • Lerner, M.S., & Clum, G.A. (1990). Treatment of suicide ideators: A problem-solving approach. Behavior Therapy, 21, 403–411.

    Article  Google Scholar 

  • Lewinsohn, P.M., Hoberman, T., & Hautzinger, M. (1985). An integrative theory of depression. In S. Reiss & R. Bootzin (Eds.), Theoretical issues in behavior therapy. New York: Academic Press.

    Google Scholar 

  • Liberman, R.P., & Eckman, T. (1981). Behavior therapy vs. insight-oriented therapy for repeated suicide attempters. Archives of General Psychiatry, 38, 1126–1130.

    Article  PubMed  Google Scholar 

  • Luborsky, L. (1984). Principles of psychoanalytic psychotherapy: A manual for supportive-expressive treatment. New York: Basic Books.

    Google Scholar 

  • McLean, P.D., & Hakstian, A.R. (1979). Clinical depression: Comparative efficacy of outpatient treatments. Journal of Consulting and Clinical Psychology, 47, 818–836.

    Article  PubMed  Google Scholar 

  • McLean, P.D., & Hakstian, A.R. (1990). Relative endurance of unipolar depression treatment effects: Longitudinal follow-up. Journal of Consulting and Clinical Psychology, 58, 482–488.

    Article  PubMed  Google Scholar 

  • McLean, P.D., Ogston, K., & Grauer, L. (1973). A behavioral approach to the treatment of depression. Journal of Behavior Therapy and Experimental Psychiatry, 4, 323–330.

    Article  Google Scholar 

  • McKnight, D.L., Nelson, R.O., Hayes, S.C., & Jarrett, R.B. (1984). Importance of treating individually assessed response classes in the amelioration of depression. Behavior Therapy, 15, 315–335.

    Article  Google Scholar 

  • Miller, I.W., Norman, W.H., & Keitner, G.I. (1989). Cognitive-behavioral treatment of depressed inpatients: Six-and twelve-month followup. American Journal of Psychiatry, 146, 1274–1279.

    PubMed  Google Scholar 

  • Miller, I.W., Norman, W.H., Keitner, G.I., Bishop, S.B., & Dow, M.G. (1989). Cognitive-behavioral treatment of depressed inpatients. Behavior Therapy, 20, 25–47.

    Article  Google Scholar 

  • Miller, R.C., & Berman, J.S. (1983). The efficacy of cognitive behavior therapies: A quantitative review of the research evidence. Psychological Bulletin, 94, 39–53.

    Article  PubMed  Google Scholar 

  • Miranda, J. (1992, June). Treatment of depression in disadvantaged medical patients. Paper presented at meetings of Society for Psychotherapy Research, Berkeley, CA.

    Google Scholar 

  • Morris, J.B., & Beck, A.T. (1974). The efficacy of antidepressant drugs: A review of research (1958-1972). Archives of General Psychiatry, 30, 667–674.

    Article  PubMed  Google Scholar 

  • Murphy, G.E., Simons, A.D., Wetzel, R.D., & Lustman, P.J. (1984). Cognitive therapy and pharmacotherapy. Archives of General Psychiatry, 41, 33–41.

    Article  PubMed  Google Scholar 

  • Murphy, J.M., Monson, R.R. Olivier, D.C., Sobol, A.M., & Leighton, A.H. (1987). Affective disorders and mortality. Archives of General Psychiatry, 44, 473–480.

    Article  PubMed  Google Scholar 

  • National Institute of Mental Health/National Institutes of Health (NIMH/NIH). (1985). Mood disorders: Pharmacological prevention of recurrences. American Journal of Psychiatry, 142, 469–476.

    PubMed  Google Scholar 

  • Nezu, A.M. (1986). Efficacy of a social problem-solving therapy approach for unipolar depression. Journal of Consulting and Clinical Psychology, 54, 196–202.

    Article  PubMed  Google Scholar 

  • Nezu, A.M., & Perri, M.G. (1989). Social problem-solving therapy for unipolar depression: An initial dismantling investigation. Journal of Consulting and Clinical Psychology, 57, 408–413.

    Article  PubMed  Google Scholar 

  • Organista, K.C., Munoz, R., & Gonzalez, G. (in press). Cognitive-behavioral therapy for depression in low-income and minority medical patients: Description of a program and exploratory analysis. Cognitive Therapy and Research.

    Google Scholar 

  • Persons, J.B. (1991). Psychotherapy outcome studies do not accurately represent current models of psychotherapy: A proposed remedy. American Psychologist, 46, 99–106.

    Article  PubMed  Google Scholar 

  • Persons, J.B., Burns, D.D., & Perloff, J.M. (1988). Predictors of dropout and outcome in cognitive therapy for depression in a private practice setting. Cognitive Therapy and Research, 12, 557–575.

    Article  Google Scholar 

  • Rehm, L.P. (1977). A self-control model of depression. Behavior Therapy, 8, 787–804.

    Article  Google Scholar 

  • Rehm, L.P., Kaslow, N.J., & Rabin, A.S. (1987). Cognitive and behavioral targets in a self-control therapy program for depression. Journal of Consulting and Clinical Psychology, 55, 60–67.

    Article  PubMed  Google Scholar 

  • Rehm, L.P., & Kornblith, S.J. (1979). Behavior therapy for depression: A review of recent developments. In M. Hersen, R.M. Eisler, & P.M. Miller (Eds.), Progress in behavior modification (Vol. 7). New York: Academic Press.

    Google Scholar 

  • Rehm, L.P., Kornblith, S.J., O’Hara, M.W., Lamparski, D.M., Romano, J.M., & Volkin, J. (1981). An evaluation of major components in a self-control behavior therapy program for depression. Behavior Modification, 5, 459–489.

    Article  Google Scholar 

  • Reynolds, W.M., & Coats, K.I. (1986). A comparison of cognitive-behavioral therapy and relaxation training for the treatment of depression in adolescents. Journal of Consulting and Clinical Psychology, 54, 653–660.

    Article  PubMed  Google Scholar 

  • Roth, D., Bielski, R., Jones, M., Parker, W., & Osborn, G. (1982). A comparison of self-control therapy and combined self-control therapy and antidepressant medication in the treatment of depression. Behavior Therapy, 13, 133–144.

    Article  Google Scholar 

  • Rude, S.S. (1986). Relative benefits of assertion or cognitive self-control treatment for depression as a function of proficiency in each domain. Journal of Consulting and Clinical Psychology, 54, 390–394.

    Article  PubMed  Google Scholar 

  • Rush, A.J., Beck, A.T., Kovacs, M., & Hollon, S. (1977). Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients. Cognitive Therapy and Research, 1, 17–38.

    Article  Google Scholar 

  • Secunda, S.K., Katz, M., Friedman, R., & Schuler, D. (1973). Special report: The depressive disorders (National Institute of Mental Health). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Shaw, B.F. (1977). Comparison of cognitive therapy and behavior therapy in the treatment of depression. Journal of Consulting and Clinical Psychology, 45, 543–551.

    Article  PubMed  Google Scholar 

  • Shea, M.T. (1990, June). NIMH Treatment of Depression Collaborative Research Program: Followup findings. Paper presented at the meeting of the Society for Psychotherapy Research, Wintergreen, VA.

    Google Scholar 

  • Simons, A.D., Levine, J.L., Lustman, P.J., & Murphy, G.E. (1984). Patient attrition in a comparative outcome study of depression. Journal of Affective Disorders, 6, 163–173.

    Article  PubMed  Google Scholar 

  • Simons, A.D., Murphy, G.E., Levine, J.L., & Wetzel, R.D. (1986). Cognitive therapy and pharmacotherapy for depression. Archives of General Psychiatry, 43, 43–48.

    Article  PubMed  Google Scholar 

  • Steuer, J.L., Mintz, J., Hammen, C.L., Hill, M.A., Jarvik, L.F., McCarley, T., Motoike, P., & Rosen, R. (1984). Cognitive-behavioral and psychodynamic group psychotherapy in treatment of geriatric depression. Journal of Consulting and Clinical Psychology, 52, 180–189.

    Article  PubMed  Google Scholar 

  • Strupp, H.H., & Binder, J.L. (1984). Psychotherapy in a new key: A guide to time-limited dynamic psychotherapy. New York: Basic Books.

    Google Scholar 

  • Taylor, F.G., & Marshall, W.L. (1977). Experimental analysis of a cognitive-behavioral therapy for depression. Cognitive Therapy and Research, 1, 59–72.

    Article  Google Scholar 

  • Teasdale, J.D., Fennell, M.J.V., Hibbert, G.A., & Amies, P.L. (1984). Cognitive therapy for major depressive disorder in primary care. British Journal of Psychiatry, 144, 400–406.

    Article  PubMed  Google Scholar 

  • Thompson, L.W., Gallagher, D., & Breckenridge, J.S. (1987). Comparative effectiveness of psychotherapies for depressed elders. Journal of Consulting and Clinical Psychology, 55, 385–390.

    Article  PubMed  Google Scholar 

  • Weiss, J., Sampson, H., & the Mount Zion Psychotherapy Research Group. (1986). The psychoanalytic process: Theory, clinical observation and empirical research. New York: Guilford.

    Google Scholar 

  • Weissman, M.M., Klerman, G.L., Prusoff, B.A., Sholomskas, D., & Padian, N. (1981). Depressed outpatients: Results one year after treatment with drugs and/or interpersonal psychotherapy. Archives of General Psychiatry, 38, 51–55.

    Article  PubMed  Google Scholar 

  • Wells, K.B., Stewart, A., Hays, R.D., Burnam, M.A., Rogers, W., Daniels, M., Berry, S., Greenfield, S., & Ware, J. (1989). The functioning and well-being of depressed patients: Results from the Medical Outcomes Study. Journal of the American Medical Association, 262, 914–919.

    Article  PubMed  Google Scholar 

  • Wilson, P.H. (1982). Combined pharmacological and behavioural treatment of depression. Behaviour Research and Therapy, 20, 173–184.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Psychiatry, University of California, San Francisco, California, 94143, USA

    Jacqueline B. Persons

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  1. Jacqueline B. Persons
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  1. Associates in Managed Care, 10200 East Girard Avenue, Suite C-356, Denver, Colorado, 80231, USA

    Thomas R. Giles

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Persons, J.B. (1993). Outcome of Psychotherapy for Unipolar Depression. In: Giles, T.R. (eds) Handbook of Effective Psychotherapy. The Plenum Behavior Therapy Series. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2914-9_13

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  • DOI: https://doi.org/10.1007/978-1-4615-2914-9_13

  • Publisher Name: Springer, Boston, MA

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