title: Adapted behavior therapy for persistently depressed primary care patients: an open trial.
abstract: 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.
authors.affiliation: Warren Alpert Medical School of Brown University and Butler Hospital, Providence, RI 02906, USA. Lisa_Uebelacker@brown.edu
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Uebelacker
authors.forename: Risa B
authors.initials: RB
authors.lastname: Weisberg
authors.forename: Ryan
authors.initials: R
authors.lastname: Haggarty
authors.forename: Ivan W
authors.initials: IW
authors.lastname: Miller
mesh_terms: D000928:Antidepressive Agents / Q000627:therapeutic use; D001521:Behavior Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D003863:Depression / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011320:Primary Health Care; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D000928:Antidepressive Agents