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Cognitive/Behavioural Therapy and Pharmacotherapy with Chronic, Drug-Refractory Depressed Inpatients: A Note of Optimism

Published online by Cambridge University Press:  16 June 2009

Ivan W. Miller
Affiliation:
Department of Psychiatry and Human Behaviour, Butler Hospital/BrownUniversity Medical School
Stephen B. Bishop
Affiliation:
Department of Psychiatry and Human Behaviour, Butler Hospital/BrownUniversity Medical School
William H. Norman
Affiliation:
Department of Psychiatry and Human Behaviour, Butler Hospital/BrownUniversity Medical School
Gabor I. Keitner
Affiliation:
Department of Psychiatry and Human Behaviour, Butler Hospital/BrownUniversity Medical School

Extract

Several previous studies have reported that cognitive/behavioural treatments have been relatively ineffective for chronic, drug-resistant depressed patients. In the present report, six chronic, drug-resistant depressed patients were treated with an integrated program consisting of cognitive/behavioural treatment, pharmacotherapy, and short term hospitalization. The obtained improvement rates were substantially better than previous studies. Potential explanations for these findings are discussed.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1985

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References

Beck, A. T., Rush, A. J., Shaw, B. F. and Emery, G. (1979). Cognitive Therapy of Depression. New York: The Guildford Press.Google Scholar
Bellack, A. S., Hersen, M. and Himmelhoch, J. M. (1981a). Social skills training for depression: A treatment manual. JSAS Catalog of Selected Documents in Psychology.Google Scholar
Bellack, A. S., Hersen, M. and Himmelhoch, J. (1981b). Social skills training compared with pharmacotherapy and psychotherapy in the treatment of unipolar depression. American Journal of Psychiatry 138, 15621566.Google ScholarPubMed
Blackburn, I. M., Bishop, S., Glen, A., Whalley, L. and Christie, J. (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, 181189.CrossRefGoogle ScholarPubMed
Endicott, J., Spitzer, R. I., Fleiss, J. L. and Cohen, J. (1976). The global assessment scale: A procedure for measuring overall severity of psychiatric disturbance. Archives of General Psychiatry 33, 766771.CrossRefGoogle Scholar
Fawcett, J. and Epstein, P. (1981). Clinical Management, Imipramine, Placebo Administration Manual. NIMH Psychotherapy of Depression Collaborative Research Program.Google Scholar
Fennell, M. and Teasdale, J. (1982). Cognitive therapy with chronic drugrefractory depressed outpatients. Cognitive Therapy and Research 61, 455460.CrossRefGoogle Scholar
Harpin, R. E., Liberman, R. P., Marks, I., Stern, R. and Bohannon, W. E. (1982). Cognitive-behavior therapy for chronically depressed patients: A controlled pilot study. Journal of Nervous and Mental Disease 170, 295301.CrossRefGoogle ScholarPubMed
Keller, M. B., Lavori, P. W., Endicott, J., Coryell, W. and Klerman, G. L. (1981). Double depression: Two year follow-up. American Journal of Psychiatry 140, 689694.Google Scholar
Miller, P. M., Norman, W. H. and Bishop, S. B. (1985). The modified Hamilton depression rating scale. Psychiatry Research 14, 131142.CrossRefGoogle Scholar
Monti, P. M., Corriveau, D. and Curran, J. P. (1982). Social skills training for psychiatric patients: Treatment and outcome. In Social Skills Training, Curran, J. P. and Monti, P. M. (Eds), The Guildford Press, 1982.Google Scholar
Robins, L. N., Helzer, J. E.Croughan, J. and Ratcliff, K. S. (1981). National Institute of Mental Health diagnostic interview schedule. Archives of General Psychiatry 38, 381389.CrossRefGoogle ScholarPubMed
Rush, A. J., Beck, A. T., Kovacs, M. and Hollon, S. D. (1977). Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients. Cognitive Therapy and Research 1, 1737.CrossRefGoogle Scholar
Shaw, B. (1979). Study quoted in Beck, A. T., Rush, A. J., Shaw, B. and Emery, G. Cognitive Therapy of Depression, New York: The Guildford Press.Google Scholar
Weissman, M. M., Prusoff, B. A., DiMascio, A., Neu, C., Goklaney, M. and Klerman, G. L. (1979). The efficacy of drugs and psychotherapy in the treatment of acute depressive episodes. American Journal of Psychiatry 136, 555558.CrossRefGoogle ScholarPubMed
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