Effectiveness of Cognitive Behavioral Therapy for Veterans with Depression and Suicidal Ideation

被引：20

作者：

Brown, Gregory K. ^{[1
,2
]}

Karlin, Bradley E. ^{[3
,4
,5
,8
,9
]}

Trockel, Mickey ^{[6
,7
]}

Gordienko, Maria ^{[6
,7
]}

Yesavage, Jerry ^{[6
,7
]}

Taylor, C. Barr ^{[6
,7
]}

机构：

[1] US Dept Vet Affairs, VISN Mental Illness Res Educ & Clin Ctr 4, Philadelphia, PA USA

[2] Univ Penn, Dept Psychiat, Perelman Sch Med, Philadelphia, PA 19104 USA

[3] US Dept Vet Affairs, Mental Hlth Serv, Cent Off, Washington, DC USA

[4] Educ Dev Ctr Inc, Waltham, MA USA

[5] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Baltimore, MD USA

[6] Stanford Univ, Med Ctr, Dept Psychiat, Palo Alto, CA 94304 USA

[7] US Dept Vet Affairs, VISN Mental Illness Res Educ & Clin Ctr 21, Palo Alto, CA USA

[8] Johns Hopkins Univ, Educ Dev Ctr, Baltimore, MD 21218 USA

[9] Johns Hopkins Univ, Dept Mental Hlth, Bloomberg Sch Publ Hlth, Baltimore, MD 21218 USA

来源：

ARCHIVES OF SUICIDE RESEARCH | 2016年 / 20卷 / 04期

关键词：

cognitive behavioral therapy; depression; suicide; suicidal ideation; veterans; RANDOMIZED CONTROLLED-TRIAL; HEALTH-CARE-SYSTEM; NATIONAL-DISSEMINATION;

D O I：

10.1080/13811118.2016.1162238

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

The current study examined suicidal ideation (SI) and depression outcomes among Veterans receiving Cognitive Behavioral Therapy for depression (CBT-D) throughout the Department of Veterans Affairs health care system. Patient outcomes included Beck Depression Inventory-II total score and SI item. Of 902 patients, 427 (47%) had no SI, 405 (45%) had SI but no suicidal intent, 26 (3%) indicated suicidal desire, 8 (1%) indicated suicide intent if they had the chance, and 36 (4%) did not answer this question at session one. The odds of SI decreased by 64% from 1.03 at session one to 0.37 at final assessment (OR = 0.36; 95% CI: 0.31, 0.43). Findings reveal that CBT-D was associated with significant decreases in SI and depression among Veterans.

引用

页码：677 / 682

页数：6

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