Bibliotherapy as a treatment for depression in primary care.
This study was designed to determine whether a physician-delivered bibliotherapy prescription would compare favorably with the prevailing usual care treatment for depression in primary care (that often involves medication) and potentially offer an alternative. Six family physicians were trained to write and deliver prescriptions for cognitive-behavioral bibliotherapy. Thirty-eight patients were randomly assigned to receive either usual care or a behavioral prescription to read the self-help book, Feeling Good (Burns, D. D. (1999). Feeling good: The new mood therapy. New York: HarperCollins). The treatment groups did not differ in terms of overall outcome variables. Patients in both treatment groups reported statistically significant decreases in depression symptoms, decreases in dysfunctional attitudes, and increases in quality of life. Although not statistically significant, the mean net medical expenses in the behavioral prescription group were substantially less. This study provided empirical evidence that a behavioral prescription for Feeling Good may be as effective as standard care, which commonly involves an antidepressant prescription.
Naylor
Elizabeth V
EV
Department of Family & Community Medicine, University of Nevada School of Medicine, Brigham Building (MS 316), Reno, NV 89557-0169, USA. enaylor@medicine.nevada.edu
Antonuccio
David O
DO
Litt
Mark
M
Johnson
Gary E
GE
Spogen
Daniel R
DR
Williams
Richard
R
McCarthy
Catherine
C
Lu
Marcia M
MM
Fiore
David C
DC
Higgins
Dianne L
DL
D000704:Analysis of Variance; D000928:Antidepressive Agents / Q000627:therapeutic use; D001638:Bibliotherapy / Q000379:methods*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003866:Depressive Disorder / Q000188:drug therapy / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000379:methods*; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D011788:Quality of Life / Q000523:psychology; D016896:Treatment Outcome
D000928:Antidepressive Agents
JAMA. 2010 Jan 6;303(1):47-53
20051569
Psychother Psychosom. 2002 May-Jun;71(3):127-32
12021554
Assessment. 1997 Sep;4(3):211-9
26613770
J Consult Clin Psychol. 2008 Jun;76(3):468-77
18540740
BMJ. 2001 Mar 31;322(7289):772-5
11282864
NIDA Res Monogr. 1990;104:50-65
2092225
Am J Psychiatry. 1996 Apr;153(4):559-60
8599407
J Clin Psychol Med Settings. 2008 Jun;15(2):92-7
19104973
Can J Psychiatry. 2001 Apr;46(3):258-63
11320680
J Nerv Ment Dis. 1992 May;180(5):277-86
1533868
Perspect Biol Med. 2002 Spring;45(2):250-63
11919383
J Consult Clin Psychol. 1995 Aug;63(4):644-50
7673542
Br J Psychiatry. 1998 Dec;173:519-22
9926082
Fam Pract. 2004 Apr;21(2):204-12
15020393
BMJ. 1996 Oct 5;313(7061):858-9
8870574
J Consult Clin Psychol. 1991 Feb;59(1):12-9
2002127
Br J Cancer. 2002 Jan 7;86(1):92-7
11857018
Arch Gen Psychiatry. 2005 Apr;62(4):409-16
15809408
J Affect Disord. 2008 Oct;110(3):197-206
18456340
Biol Psychiatry. 1998 Jul 15;44(2):77-87
9646889
J Adolesc Health. 1999 Jun;24(6):389-94
10401966
J Clin Psychopharmacol. 1996 Oct;16(5):356-62
8889907
J Consult Clin Psychol. 1989 Jun;57(3):414-9
2738214
Psychother Psychosom. 2009;78(3):182-6
19321971
Br J Psychiatry. 2000 Nov;177:396-401
11059991
Arch Gen Psychiatry. 2001 Feb;58(2):181-7
11177120
Arch Gen Psychiatry. 2007 Oct;64(10):1132-43
17909125
J Clin Psychiatry. 2006 Dec;67(12):1974-82
17194277
JAMA. 2002 Jan 9;287(2):203-9
11779262
J Consult Clin Psychol. 1998 Aug;66(4):685-90
9735587
J Clin Psychiatry. 2006 Nov;67(11):1776-81
17196059
Psychother Psychosom. 1995;63(3-4):137-41
7624457
Psychol Bull. 1990 Jul;108(1):30-49
2200072
Am J Psychiatry. 2001 Aug;158(8):1271-5
11481162
BMC Psychiatry. 2008 May 16;8:36
18485191
Epidemiology. 2003 May;14(3):307-14
12859031
Arch Intern Med. 2009 Dec 14;169(22):2128-39
20008698
Arch Gen Psychiatry. 2006 Mar;63(3):332-9
16520440
Am J Psychiatry. 1999 Jul;156(7):1007-13
10401443
J Consult Clin Psychol. 1991 Feb;59(1):88-99
2002147
JAMA. 2004 Mar 3;291(9):1081-91
14996777
Behav Res Ther. 1997 Aug;35(8):785-91
9256522
Psychother Psychosom. 1999;68(1):3-14
9873236
Am J Public Health. 1998 Feb;88(2):288-91
9491025
Arch Gen Psychiatry. 1999 Jun;56(6):519-26
10359466
Br J Psychiatry. 2000 Dec;177:551-6
11102331
Gen Hosp Psychiatry. 1997 Jul;19(4):251-8
9327254
Arch Gen Psychiatry. 2005 Apr;62(4):417-22
15809409
Psychother Psychosom. 2003 Jul-Aug;72(4):185-94
12792123
J Consult Clin Psychol. 1997 Apr;65(2):324-7
9086697
Psychother Psychosom. 1995;64(2):57-61
8559954
JAMA. 2004 Aug 18;292(7):807-20
15315995
Am J Epidemiol. 2000 May 15;151(10):951-7
10853633
Eur Psychiatry. 2007 Jan;22(1):1-8
17194571
J Behav Ther Exp Psychiatry. 1997 Jun;28(2):139-47
9194011
Psychopharmacol Bull. 1993;29(2):321-6
8290681
Arch Gen Psychiatry. 1986 May;43(5):471-9
3516110
Arch Gen Psychiatry. 1989 Nov;46(11):971-82; discussion 983
2684085
J Consult Clin Psychol. 1989 Jun;57(3):403-7
2738212
Gerontologist. 1987 Jun;27(3):383-7
2886403
J Consult Clin Psychol. 1988 Dec;56(6):877-84
2904928
J Consult Clin Psychol. 1990 Oct;58(5):665-7
2254516
Br J Gen Pract. 1997 Sep;47(422):567-9
9406491
J Consult Clin Psychol. 1983 Dec;51(6):856-63
6655102
Arch Gen Psychiatry. 2000 Apr;57(4):311-7
10768687
JAMA. 2003 Nov 12;290(18):2428-9
14612479
Gen Hosp Psychiatry. 1999 Mar-Apr;21(2):106-11
10228890
Aging Ment Health. 2001 May;5(2):143-8
11511061
J Clin Psychiatry. 2001 Jan;62(1):30-3
11235925
J Clin Psychiatry. 2006 Nov;67(11):1754-9
17196056