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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 titleInternational Journal of Geriatric Psychiatry, vol 24, no 1, January 2009
Pagespp 68-75
Sourcehttp://www.interscience.wiley.com/journal/gps
KeywordsDepression ; Psychiatric treatment ; Therapy ; Pilot ; Clinical surveys ; Longitudinal surveys ; Oxford ; Southampton.
AnnotationA 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 NumberCPA-090121206 A
ClassmarkENR: LP: LO: 4UC: 3G: 3J: 8OC: 8HH

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