Document Detail


Depressed outpatients treated with cognitive therapy or pharmacotherapy. A one-year follow-up.
MedLine Citation:
PMID:  7006557     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Using a controlled, clinical-trial format, 44 nonpsychotic, nonbipolar, depressed outpatients were treated with cognitive therapy or imipramine hydrochloride over a 12-week period. Although both interventions were associated with significant reductions in levels of depression, the cognitive-therapy patients showed greater symptomatic improvement and a higher treatment-completion rate. A one-year naturalistic follow-up of the 35 subjects who completed the protocol revealed that although many of the patients had a variable clinical course, both original treatment groups remained generally well. Self-rated depressive symptomatology was significantly lower for those who, one year earlier, had completed cognitive therapy than for those who had been in the clinical trial's pharmacotherapy cell. While there were several other interesting trends in favor of the cognitive-therapy patients, none of the between-group differences were significant. The pragmatic and clinical implications of the followup results are discussed.
Authors:
M Kovacs; A J Rush; A T Beck; S D Hollon
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of general psychiatry     Volume:  38     ISSN:  0003-990X     ISO Abbreviation:  Arch. Gen. Psychiatry     Publication Date:  1981 Jan 
Date Detail:
Created Date:  1981-03-17     Completed Date:  1981-03-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372435     Medline TA:  Arch Gen Psychiatry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  33-9     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Ambulatory Care
Clinical Trials as Topic
Cognition
Depressive Disorder / diagnosis,  therapy*
Female
Follow-Up Studies
Humans
Imipramine / therapeutic use*
Male
Middle Aged
Patient Dropouts
Psychiatric Status Rating Scales
Psychotherapy / methods*
Grant Support
ID/Acronym/Agency:
MH-30847/MH/NIMH NIH HHS; MH-30915-01/MH/NIMH NIH HHS; MH-35420-03/MH/NIMH NIH HHS
Chemical
Reg. No./Substance:
50-49-7/Imipramine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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