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.
Department of Psychology, State University of New York at Stony Brook, Stony Brook, NY 11794, USA. dklein@notes.cc.sunysb.edu
Daniel N
DN
Klein
Neil J
NJ
Santiago
Dina
D
Vivian
Janice A
JA
Blalock
James H
JH
Kocsis
John C
JC
Markowitz
James P
JP
McCullough
A John
AJ
Rush
Madhukar H
MH
Trivedi
Bruce A
BA
Arnow
David L
DL
Dunner
Rachel
R
Manber
Barbara
B
Rothbaum
Michael E
ME
Thase
Gabor I
GI
Keitner
Ivan W
IW
Miller
Martin B
MB
Keller
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