Problem-solving treatment and coping styles in primary care for minor depression.
Research was undertaken to compare problem-solving treatment for primary care (PST-PC) with usual care for minor depression and to examine whether treatment effectiveness was moderated by coping style. PST-PC is a 6-session, manual-based, psychosocial skills intervention. A randomized controlled trial was conducted in 2 academic, primary care clinics. Those subjects who were eligible were randomized (N = 151), and 107 subjects completed treatment (57 PST-PC, 50 usual care) and a 35-week follow-up. Analysis with linear mixed modeling revealed significant effects of treatment and coping, such that those in PST-PC improved at a faster rate and those initially high in avoidant coping were significantly more likely to have sustained benefit from PST-PC.
Oxman
Thomas E
TE
Department of Psychiatry, Dartmouth Medical School, Lebanon, NH 03756, USA. t.oxman@dartmouth.edu
Hegel
Mark T
MT
Hull
Jay G
JG
Dietrich
Allen J
AJ
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D003376:Counseling; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D011340:Problem Solving; D011613:Psychotherapy / Q000379:methods*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D055815:Young Adult