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Chronic Depression: Can Cognitive Therapy Succeed When Other Treatments Fail?

Published online by Cambridge University Press:  16 June 2009

Jan Scott
Jan Scott
Affiliation:
Royal Victoria Infirmary, Newcastle upon Tyne
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Extract

This paper describes the use of cognitive behaviour therapy (CBT) with 24 chronically depressed in-patients. These individuals had previously failed to respond to all other standard antidepressant treatments and had been persistently depressed for at least two years. The clients were divided into two cohorts. The first (n=8) received a standard CBT package of 15 sessions combined with pharmacotherapy. The second cohort received a combined treatment, but the style of delivery of CBT was changed to try to take into account the special needs of the client population. At 12 weeks, 70% of the second cohort of clients showed a greater than 50% change on their pre-treatment objective and subjective depression ratings. The implications of these findings are discussed and further therapy trials in this difficult-to-treat population are encouraged.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 20 , Issue 1 , January 1992 , pp. 25 - 36
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1992

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References

Beck, A. T., Ward, C., Mendelson, M. et al. (1961). An inventory for measuring depression. Archives of General Psychiatry 4, 961–971.CrossRefGoogle ScholarPubMed
Beck, A. T., Weissman, A., Lester, D. and Trexler, L. (1974). The measurement of pessimism: The Hopelessness Scale. Journal of Consulting and Clinical Psychology 42, 861–865.CrossRefGoogle ScholarPubMed
Beck, A. T., Rush, A. J., Shaw, B. F. and Emery, G. (1979). Cognitive Therapy of Depression. New York: Guilford.Google Scholar
Brittlebank, A., Scott, J., Williams, J. M. G. and Ferrier, I. N. (1991). Autobiographical memory in depression: strait or trait marker. Manuscript submitted for publication.Google Scholar
Fennell, M. and Teasdale, J. (1982). Cognitive therapy with chronic drug-refractory depressed outpatients: a note of caution. Cognitive Therapy and Research 6, 455–460.CrossRefGoogle Scholar
Greenberg, D. and Spiro, H. (1987). Psychological management of resistant depression. In Zohar, J. and Belmaker, R. (Eds). Treating Resistant Depression. New York: PMA Publishing Group.Google Scholar
Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry 23, 56–62.CrossRefGoogle ScholarPubMed
Harpin, R. E., Liberman, R., Marks, I. et al. (1982). Cognitive behaviour therapy for chronically depressed patients: a controlled pilot study. Journal of Nervous and Mental Diseases 170, 295–301.CrossRefGoogle ScholarPubMed
Honigfeld, G., Gillis, R. and Klett, C. (1966). NOSIE–30: a treatment sensitive ward behaviour scale. Psychological Reports 19, 180–183.CrossRefGoogle Scholar
Ingham, J., Kreitman, N., Miller, P., Sashidaran, S. and Surtees, P. (1987). Self-appraisal, anxiety and depression in women: a prospective study. British Journal of Psychiatry 151, 643–651.CrossRefGoogle Scholar
Keller, M., Rice, J., Coryell, W. and Hirschfeld, R. (1986). The persistent risk of chronicity in recurrent episodes of non-bipolar major depressive disorder: a prospective follow-up study. American Journal of Psychiatry 143, 24–28.Google Scholar
Martin, M. (1985). Neuroticism as cognitive predisposition toward depression: a cognitive mechanism. Personality and Individual Differences 6, 353–365.CrossRefGoogle Scholar
Murphy, G., Simons, A., Wetzel, R. and Lustman, P. (1984). Cognitive therapy and pharmacotherapy: singly and together in the treatment of depression. Archives of General Psychiatry 41, 33–41.CrossRefGoogle ScholarPubMed
Rush, A. J., Beck, A. T., Kovacs, M. and Hollon, S. (1977). Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients. Cognitive Therapy and Research 1, 17–37.CrossRefGoogle Scholar
Scott, J. (1988a). Chronic depression. British Journal of Psychiatry 153, 287–297.CrossRefGoogle ScholarPubMed
Scott, J. (1988b). Cognitive therapy with depressed inpatients. In Dryden, W. and Trower, P. (Eds). Developments in Cognitive Psychotherapy. London: Sage.Google Scholar
Scott, J., Barker, W. and Eccleston, D. (1988). The Newcastle chronic depression study. British Journal of Psychiatry 152, 28–33.CrossRefGoogle ScholarPubMed
Shaw, D. M. (1977). The practical management of affective disorders. British Journal of Psychiatry 130, 432–451.CrossRefGoogle ScholarPubMed
Spitzer, R., Endicott, J. and Robins, E. (1978). Research Diagnostic Criteria for a Selected Group of Functional Disorders. New York Psychiatric Institute.Google Scholar
Weissman, M. and Akiskal, H. (1984). The role of psychotherapy in chronic depression: a proposal. Comprehensive Psychiatry 25, 23–31.CrossRefGoogle ScholarPubMed
Williams, J. M. G. and Scott, J. (1988). Autobiographical memory in depression. Psychological Medicine 18, 689–695.CrossRefGoogle ScholarPubMed
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