title: Bibliotherapy as a treatment for depression in primary care.
abstract: 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.
authors.affiliation: Department of Family & Community Medicine, University of Nevada School of Medicine, Brigham Building (MS 316), Reno, NV 89557-0169, USA. enaylor@medicine.nevada.edu
authors.forename: Elizabeth V
authors.initials: EV
authors.lastname: Naylor
authors.forename: David O
authors.initials: DO
authors.lastname: Antonuccio
authors.forename: Mark
authors.initials: M
authors.lastname: Litt
authors.forename: Gary E
authors.initials: GE
authors.lastname: Johnson
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Spogen
authors.forename: Richard
authors.initials: R
authors.lastname: Williams
authors.forename: Catherine
authors.initials: C
authors.lastname: McCarthy
authors.forename: Marcia M
authors.initials: MM
authors.lastname: Lu
authors.forename: David C
authors.initials: DC
authors.lastname: Fiore
authors.forename: Dianne L
authors.initials: DL
authors.lastname: Higgins
mesh_terms: 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
chemical_list: D000928:Antidepressive Agents
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