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A pilot randomised controlled trial of a brief cognitive behavioural group intervention to reduce recurrence rates in late life depression | Author(s) | Philip Wilkinson, Nicola Alder, Edmund Juszczak |
Journal title | International Journal of Geriatric Psychiatry, vol 24, no 1, January 2009 |
Pages | pp 68-75 |
Source | http://www.interscience.wiley.com/journal/gps |
Keywords | Depression ; Psychiatric treatment ; Therapy ; Pilot ; Clinical surveys ; Longitudinal surveys ; Oxford ; Southampton. |
Annotation | A group cognitive behaviour therapy (CBT-G) manual was produced and the Cognitive Therapy Rating Scale 9CTS-R) modified to assess therapy delivery. 45 adults aged 60+ in Oxford and Southampton who had met ICD-10 criteria for major depression in the previous year and were still taking antidepressant medication were randomly allocated to CBT-G/antidepressant combination or antidepressant alone. Depression severity was measured at baseline, randomisation and 6 and 12 months after start of CBT-G using the Montgomery Asberg Rating Scale for Depression (MADRS). One-year recurrence rates on the MADRS were encouragingly lower in participants receiving CBT-G (5/18 or 27% compared with controls (8/18 44.4%), although this did not achieve statistical significance. In contrast, overall scores on the secondary outcome measure, the Beck Depression Inventory, increased in participants receiving CBT-G. The CBT-G manual was successfully implemented and therapy delivery achieved an overall satisfactory level of competence. The authors believe that evaluation of this intervention in a full-scale trial is warranted. (RH). |
Accession Number | CPA-090121206 A |
Classmark | ENR: LP: LO: 4UC: 3G: 3J: 8OC: 8HH |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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