Article1990

Treatment of Depressed In-Patients

110 citations0/0 files storedThe British Journal of Psychiatry

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Psychotherapy Techniques and Applications Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Treatment of Major Depression

Abstract

Thirty in-patients received one of three treatments - medication (nortriptyline) alone (MA), relaxation therapy plus medication (RT&M), or cognitive therapy plus medication (CT&M) (each n = 10) - along with ward milieu. The relaxation and cognitive therapy groups participated in 12 therapy sessions. Symptoms of depression and related cognitive variables were assessed at sessions 1, 6 and 12, and at discharge. All groups improved over the course of the study. CT&M and RT&M groups reported significantly fewer depressive symptoms and negative cognitions at discharge than the MA group. The number of subjects judged depressed at discharge was lower in the CT&M group than in the MA and RT&M groups. It is proposed that a consistent rationale for treatment is a significant facilitating factor in achieving behavioural and cognitive changes in depression.

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References

1961An Inventory for Measuring Depression 1960A RATING SCALE FOR DEPRESSION 2012Cognitive Therapy for Depression 1974The measurement of pessimism: The Hopelessness Scale.1979Cognitive Therapy of Depression 1980Cognitive self-statements in depression: Development of an automatic thoughts questionnaire 1984Psychotherapy outcome research: Methods for reporting variability and evaluating clinical significance 1977Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients

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2011Psychological treatment of depression in inpatients: A systematic review and meta-analysis 2005Treatment Matching in the Posthospital Care of Depressed Patients 2012Mind-Body Medicine Therapies for a Range of Depression Severity: A Systematic Review 2003Cognitive Therapy for Chronic and Persistent Depression 2007Changes in cognitive content during and following cognitive therapy for recurrent depression: Substantial and enduring, but not predictive of change in depressive symptoms.

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