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Open Access 01-02-2010

Telephone-administered psychotherapy for depression in MS patients: moderating role of social support

Authors: Victoria Beckner, Isa Howard, Lea Vella, David C. Mohr

Published in: Journal of Behavioral Medicine | Issue 1/2010

Abstract

Depression is common in individuals with multiple sclerosis (MS). While psychotherapy is an effective treatment for depression, not all individuals benefit. We examined whether baseline social support might differentially affect treatment outcome in 127 participants with MS and depression randomized to either Telephone-administered Cognitive-Behavioral Therapy (T-CBT) or Telephone-administered Emotion-Focused Therapy (T-EFT). We predicted that those with low social support would improve more in T-EFT, since this approach emphasizes the therapeutic relationship, while participants with strong social networks and presumably more emotional resources might fare better in the more structured and demanding T-CBT. We found that both level of received support and satisfaction with that support at baseline did moderate treatment outcome. Individuals with high social support showed a greater reduction in depressive symptoms in the T-CBT as predicted, but participants with low social support showed a similar reduction in both treatments. This suggests that for participants with high social support, CBT may be a more beneficial treatment for depression compared with EFT.

In our exploratory analyses, we also looked at items on our social support measure that tap instrumental versus emotional support, to determine whether type of support might moderate outcome differently. We obtained the same moderating and within-treatment group findings using these support variables: participants with higher instrumental or higher emotional support at baseline improved more in the T-CBT group, while level of instrumental or emotional support did not affect depression outcome in the T-EFT group.

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Title: Telephone-administered psychotherapy for depression in MS patients: moderating role of social support
Authors: Victoria Beckner
Isa Howard
Lea Vella
David C. Mohr
Publication date: 01-02-2010
Publisher: Springer US
Published in: Journal of Behavioral Medicine / Issue 1/2010
Print ISSN: 0160-7715
Electronic ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-009-9235-2

At a glance: The STEP trials

Springer Medicine

Telephone-administered psychotherapy for depression in MS patients: moderating role of social support

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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