Effectiveness of cognitive therapy for depression in a community mental health center: A benchmarking study

被引:119
作者
Merrill, KA
Tolbert, VE
Wade, WA
机构
[1] Indiana Univ, Dept Psychol, Bloomington, IN USA
[2] Ctr Behav Hlth, Bloomington, IN USA
关键词
D O I
10.1037/0022-006X.71.2.404
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The current study examined the feasibility and effectiveness of transporting an empirically supported treatment for depression, cognitive therapy (CT), to a community mental health center setting. CT was delivered to 192 adult outpatients with major depression, and a benchmarking strategy compared results with those of 2 randomized controlled trials (RCTs). The 3 samples were largely similar in terms of initial severity of depression, and CT was as effective in reducing depressive symptoms in the current sample as in the RCTs. More favorable outcome was associated with less severe initial depression, more therapy sessions, more years of education, and absence of a comorbid personality disorder. This study demonstrates that an empirically supported treatment can be transported effectively to a clinical setting.
引用
收藏
页码:404 / 409
页数:6
相关论文
共 24 条
[1]  
[Anonymous], 1987, Instruction manual for The Structured Clinical Interview for DSM-III-R
[2]  
Beck AT., 1979, Cognitive Therapy of Depression
[3]   Defining empirically supported therapies [J].
Chambless, DL ;
Hollon, SD .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1998, 66 (01) :7-18
[4]  
ELKIN I, 1985, ARCH GEN PSYCHIAT, V42, P305
[5]  
ELKIN I, 1989, ARCH GEN PSYCHIAT, V46, P971
[6]   INITIAL SEVERITY AND DIFFERENTIAL TREATMENT OUTCOME IN THE NATIONAL INSTITUTE OF MENTAL-HEALTH TREATMENT OF DEPRESSION COLLABORATIVE RESEARCH-PROGRAM [J].
ELKIN, I ;
GIBBONS, RD ;
SHEA, MT ;
SOTSKY, SM ;
WATKINS, JT ;
PILKONIS, PA ;
HEDEKER, D .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1995, 63 (05) :841-847
[7]  
ENDICOTT J, 1976, ARCH GEN PSYCHIAT, V33, P766
[8]  
FRANK E, 1987, J PERSONALITY DISORD, V1, P14
[9]   Some problems associated with ''validated'' forms of psychotherapy [J].
Garfield, SL .
CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE, 1996, 3 (03) :218-229
[10]   Toward a more clinically valid approach to therapy research [J].
Goldfried, MR ;
Wolfe, BE .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1998, 66 (01) :143-150