Cognitive-behavioral analysis system of psychotherapy as a maintenance treatment for chronic depression.
Although the efficacy of maintenance pharmacotherapy for the prevention of recurrence in major depressive disorder (MDD) is well documented, few studies have tested the efficacy of psychotherapy as a maintenance treatment. The authors examined the efficacy of the cognitive-behavioral analysis system of psychotherapy (CBASP) as a maintenance treatment for chronic forms of MDD. Eighty-two patients who had responded to acute and continuation phase CBASP were randomized to monthly CBASP or assessment only for 1 year. Significantly fewer patients in the CBASP than assessment only condition experienced a recurrence. The 2 conditions also differed significantly on change in depressive symptoms over time. These findings support the use of CBASP as a maintenance treatment for chronic forms of MDD.
Klein
Daniel N
DN
Department of Psychology, State University of New York at Stony Brook, Stony Brook, NY 11794, USA. dklein@notes.cc.sunysb.edu
Santiago
Neil J
NJ
Vivian
Dina
D
Blalock
Janice A
JA
Kocsis
James H
JH
Markowitz
John C
JC
McCullough
James P
JP
Rush
A John
AJ
Trivedi
Madhukar H
MH
Arnow
Bruce A
BA
Dunner
David L
DL
Manber
Rachel
R
Rothbaum
Barbara
B
Thase
Michael E
ME
Keitner
Gabor I
GI
Miller
Ivan W
IW
Keller
Martin B
MB
D000293:Adolescent; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000628:therapy*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged