title: Controlled randomized clinical trial of spirituality integrated psychotherapy, cognitive-behavioral therapy and medication intervention on depressive symptoms and dysfunctional attitudes in patients with dysthymic disorder.
abstract: BACKGROUND
  Due to the controversy over efficacy of cognitive-behavioral therapy for chronic depression, recently, there has been an increasingly tendency toward therapeutic methods based on the cultural and spiritual approaches. The aim of this research was to compare efficacy of spiritual integrated psychotherapy (SIPT) and cognitive-behavioral therapy (CBT) on the intensity of depression symptoms and dysfunctional attitudes of patients with dysthymic disorder.
  
  
  METHODS
  This study had a mixed qualitative and quantitative design. In the first phase, SIPT model was prepared and, in the second phase, a double-blind random clinical trial was performed. Sixty-two patients with dysthymic disorder were selected from several centers include Nour and Alzahra Medical Center, Counseling Centers of Isfahan University of Medical Sciences and Goldis in Isfahan. The participants were randomly assigned to three experimental groups and one control group. The first group received 8 sessions treatment of SIPT, second groups also had 8 sessions of cognitive-behavioral therapy, which was specific to dysthymic disorder and third group were under antidepressant treatment. Beck depression inventory and dysfunctional attitudes scale were used to evaluate all the participants in four measurement stages. The data were analyzed using MANCOVA repeated measure method.
  
  
  RESULTS
  The results revealed that SIPT had more efficacy than medication based on both scales (P < 0.01); however, it was not different from CBT. SIPT was more effective on the modification of dysfunctional attitudes compared with CBT and medication (P < 0.05).
  
  
  CONCLUSIONS
  These findings supported the efficacy of psychotherapy enriched with cultural capacities and religious teachings.
authors: Department of Psychiatry, Psychosomatic Research Center, School of Medicine, School of Medicine, Isfahan University of Medical Sciences (IUMS), Isfahan, Iran.
authors: Amrollah
authors: A
authors: Ebrahimi
authors: Department of Psychology, University of Isfahan, Isfahan, Iran.
authors: Hamid Taher
authors: HT
authors: Neshatdoost
authors: Department of Psychiatry, Behavioral Sciences Research Center, School of Medicine, Isfahan University of Medical Sciences (IUMS), Isfahan, Iran.
authors: Seyed Ghafur
authors: SG
authors: Mousavi
authors: Department of Psychiatry, Behavioral Sciences Research Center, School of Medicine, Isfahan University of Medical Sciences (IUMS), Isfahan, Iran.
authors: Ghorban Ali
authors: GA
authors: Asadollahi
authors: Psychosomatic Research Center, School of Medicine, Isfahan University of Medical Sciences (IUMS), Isfahan, Iran.
authors: Hamid
authors: H
authors: Nasiri
keywords: Cognitive-behavior therapy; depression; dysthymic disorder; medication; psychotherapy; religious; spiritual