This Article Full Text (PDF) All Versions of this Article: 0145445509331924v1 33/3/374    most recent References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Uebelacker, L. A. Articles by Miller, I. W. Search for Related Content PubMed PubMed Citation Articles by Uebelacker, L. A. Articles by Miller, I. W. Social Bookmarking                         What's this?

Adapted Behavior Therapy for Persistently Depressed Primary Care Patients

An Open Trial

Warren Alpert Medical School of Brown University and Butler Hospital, Lisa_Uebelacker{at}brown.edu

Risa B. Weisberg

Warren Alpert Medical School of Brown University

Ryan Haggarty

Warren Alpert Medical School of Brown University and Butler Hospital

Ivan W. Miller

Warren Alpert Medical School of Brown University and Butler Hospital

Major depressive disorder is commonly treated in primary care settings. Psychotherapy occurring in primary care should take advantage of the unique aspects of the setting and must adapt to the problems and limitations of the setting. In this open trial, the authors used a treatment development model to adapt behavior therapy for primary care patients (n = 12) with persistent symptoms of depression, despite antidepressant medication treatment. Ten of 12 participants completed 10 sessions of therapy over the course of 4 months, and all endorsed high levels of treatment satisfaction. Participants' depression scores declined significantly over time, and 75% of participants experienced at least 50% change on a self-report measure of depression symptoms. There were trends for social functioning, pain, and general health perceptions to improve over time. These results highlight the acceptability and feasibility of adapting behavior therapy for primary care, and support the continuation of this research.

Key Words: depression • behavior therapy • primary care

This version was published on May 1, 2009

Behavior Modification, Vol. 33, No. 3, 374-395 (2009)
DOI: 10.1177/0145445509331924


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?