Abstract
Although most inpatient psychiatric programs incorporate psychotherapeutic principles, surprisingly little attention has been devoted to development of specific models of treatments for hospitalized depressed individuals (Markowitz, 1989). Beck’s model of cognitive therapy (Beck, 1976; Beck, Rush, Shaw, & Emery, 1979) or, as more broadly conceived, cognitive behavior therapy (CBT) is well-suited for this purpose (Bowers, 1989; Scott, 1988; Shaw, 1981; Thase, 1994a; Thase & Wright, 1991; Wright, Thase, Beck, & Ludgate, 1993). In this chapter, the most recent version of our inpatient CBT of depression is described.
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References
Abramson, L., Metalsky, G., & Alloy, L. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review, 96, 358–372.
Abramson, L., Seligman, M., & Teasdale, J. D. (1978). Learned hopelessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87, 49–74.
Alloy, L., & Abramson, L. (1988). Depressive realism: Four theoretical perspectives. In L. Alloy (Ed.), Cognitive processes in depression (pp. 223–265). New York: Guilford Press.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.
Barker, W. A., Scott, J., & Eccleston, D. (1987). The Newcastle Chronic Depression Study: Results of a treatment regime. International Clinical Psychopharmacology, 2, 261–272.
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.
Beck, A. T., Freeman, A., Pretzer, J., Davis, D., Fleming, B., Ottaviani, R., Beck, J., Simon, K., Padesky, C., Meyer, J., & Trexler, L. (1990). Cognitive therapy of personality disorders. New York: Guilford Press.
Beck, A. T., & Greenberg, R. L. (1974). Coping with depression (a booklet). New York: Institute for Rational Living.
Beck, A. T., Kovacs, M., & Weissman, A. (1975). Hopelessness and suicidal behavior: An overview. Journal of the American Medical Association, 234, 1146–1149.
Beck, A. T., Rush, A. J., Shaw, B. G., & Emery, C. (1979). Cognitive therapy of depression. New York: Guilford Press.
Beck, A. T., Steer, R., Kovacs, M., & Garrison, B. (1985). Hopelessness and eventual suicide: A 10-year prospective study of patients hospitalized with suicide ideation. American Journal of Psychiatry, 142, 559–563.
Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessimism: The Hopelessness Scale. Journal of Consulting and Clinical Psychology, 42, 861–865.
Bellack, A. S., Hersen, M., and Himmelhoch, J. (1981). Social skills training compared with pharmacotherapy and psychotherapy in the treatment of unipolar depression. American Journal of Psychiatry, 138, 1562–1567.
Belsher, G., & Costello, C. G. (1988). Relapse after recovery from unipolar depression: A critical review. Psychological Bulletin, 104, 84–96.
Bernstein, D. A., & Borkovec, T. C. (1973). Progressive relaxation training: A manual for the helping professions. Champaign, IL: Research Press.
Bishop, S., Miller, I. V., Norman, W., Buda, M., & Foulke, M. (1986). Cognitive therapy of psychotic depression: A case report. Psychotherapy, 23, 167–173.
Bowers, W. A. (1989). Cognitive therapy with inpatients. In A. Freeman, K. M. Simon, L. E. Beutler, & H. Arkowitz (Eds.), Comprehensive handbook of cognitive therapy (pp. 583–596). New York: Plenum Press.
Bowers, W. A. (1990). Treatment of depressed inpatients. Cognitive therapy plus medication, relaxation plus medication, and medication alone. British Journal of Psychiatry, 156, 73–78.
Bowler, K. A., Moonis, L. J., & Thase, M. E. (1993). The role of the nurse in the cognitive milieu. In J. H. Wright, M. E. Thase, A. T. Beck, & J. W. Ludgate (Eds.), The cognitive milieu: Inpatient applications of cognitive therapy (pp. 247–270). New York: Guilford Press.
Burns, D. (1980). Feeling good: The new mood therapy. New York: Morrow.
Burns, D. D., Rude, S. T., Simons, A. D., Bates, M. A., & Thase, M. E. (1994). Does learned resourcefulness predict the response to cognitive behavioral therapy for depression? Cognitive Therapy and Research, 18, 277–291.
Coccaro, E., Siever, L., Klar, H., Maurer, G., Cochrane, K., Cooper, T., Mohs, R. R., & Davis, K. (1989). Serotonergic studies in patients with affective and personality disorders: Correlates with suicidal and impulsive aggressive behavior. Archives of General Psychiatry, 46, 587–599.
Cochran, S. D. (1984). Preventing medical noncompliance in the outpatient treatment of bipolar affective disorders. Journal of Consulting and Clinical Psychiatry, 52, 873–878.
Costello, C. G. (1972). Depression: Loss of reinforcers or loss of reinforcer effectiveness. Behavior Therapy, 3, 340–347.
Covi, L., & Lipman, R. S. (1987). Cognitive-behavioral group psychotherapy combined with imipramine in major depression. Psychopharmacological Bulletin, 23, 173–177.
Coyne, J. C., & Gotlib, I. H. (1983). The role of cognition in depression: A critical appraisal. Psychology Bulletin, 94, 472–505.
de Jong, J. A., & Roy, A. (1990). Relationship of cognitive factors to CSF corticotropin-releasing hormone in depression. American Journal of Psychiatry, 147, 350–352.
de Jong, J. A., Treiber, R., & Henrich, G. (1986). Effectiveness of two psychological treatments for inpatients with severe and chronic depressions. Cognitive Therapy Research, 10, 645–663.
DeRubeis, R. J., & Feeley, M. (1990). Determinants of change in cognitive therapy for depression. Cognitive Therapy Research, 14, 469–482.
Dobson, K., & Shaw, B. (1986). Cognitive assessment with major depressive disorders. Cognitive Therapy and Research, 10, 13–29.
Dubé, S., Dobkin, J. A., Bowler, K. A., Thase, M. E., & Kupfer, D. J. (1993). Cerebral perfusion changes with antidepressant treatment in depression. Biological Psychiatry, 33, 47A.
Eaves, G., & Rush, A. (1984). Cognitive patterns in symptomatic and remitted unipolar major depression. Journal of Abnormal Psychology, 93, 31–40.
Elkin, I., Shea, M. T., Watkins, J. T., Imber, S. D., Sotsky, S. M., Collins, J. F., Glass, D. R., Pilkonis, P. A., Leber, W. R., Docherty, J. P., Fiester, S. J., & Parloff, M. B. (1989). National Institutes of Mental Health Treatment of Depression Collaborative Research program: General effectiveness of treatments. Archives of General Psychiatry, 46, 971–982.
Fawcett, J., Scheftner, W., Clark, D., Hedeker, D., Gibbons, R., & Corywell, W. (1987). Clinical predictors of suicide in patients with major affective disorders: A controlled prospective study. American Journal of Psychiatry, 144, 35–40.
Ferster, C. B. (1973). A functional analysis of depression. American Psychologist, 28, 857–870.
Freeman, A., & Reinecke, M. A. (1993). Cognitive therapy of suicidal behavior: A manual for treatment. New York: Springer.
Garamoni, G. L., Reynolds, C. F. III, Thase, M. E., Frank, E., Berman, S. R., & Fasiczka, A. L. (1991). The balance of positive and negative affects in major depression: A further test of the states of mind model. Psychiatry Research, 39, 99–108.
Haaga, D. A. F., Dyck, M. J., & Ernst, D. (1991). Empirical status of cognitive theory of depression. Psychology Bulletin, 110, 215–236.
Hamilton, E., & Abramson, L. (1983). Cognitive patterns and major depressive disorders: A longitudinal study in a hospital setting. Journal of Abnormal Psychology, 92, 173–184.
Hammen, C., Ellicott, A., Gitlin, M., & Jamison, K. R. (1989). Sociotropy/autonomy and vulnerability to specific life events in patients with unipolar depression and bipolar disorders. Journal of Abnormal Psychology, 98, 154–160.
Hersen, M., Bellack, A. S., Himmelhoch, J. M., and Thase, M. E. (1984). Effects of social skill training, amitriptyline, and psychotherapy in unipolar depressed women. Behavior Therapy, 15, 21–40.
Hooley, J. M., & Teasdale, J. D. (1989). Predictors of relapse in unipolar depressives: Expressed emotion, marital distress, and perceived criticism. Journal of Abnormal Psychology, 98, 229–235.
Howell, J. R., & Thase, M. E. (1991). Beating the blues: Recovery from depression. In D. C. Daley (Ed.), Insight to recovery: A practical workbook series for mental health disorders (pp. 1–27). Skokie, IL: G. T. Rogers Production.
Kovacs, M., Beck, A., & Weissman, A. (1975). The use of suicidal motives in the psychotherapy practice of attempted suicides. American Journal of Psychotherapy, 29, 368–383.
Liberman, R., & Eckman, T. (1981). Behavior therapy vs. insight-oriented therapy for repeated suicide attempters. Archives of General Psychiatry, 38, 1126–1130.
Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D., & Heard, H. L. (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48, 1060–1064.
Linehan, M., Goodstein, J., Neilsen, S., & Chiles, J. (1983). Reasons for staying alive when you are thinking of killing yourself: The Reasons for Living Inventory. Journal of Consulting and Clinical Psychology, 51, 276–286.
Ludgate, J. W., Wright, J. H., Bowers, W., & Camp, G. F. (1993). Individual cognitive therapy with inpatients. In J. H. Wright, M. E. Thase, A. T. Beck, & J. W. Ludgate (Eds.), Cognitive therapy with inpatients. Developing a cognitive milieu (pp. 91–120). New York: Guilford Press.
Malone, K. M., Thase, M. E., Mieczkowski, T., Myers, J. E., Stull, S. D., Cooper, T. B., & Mann, J. J. (1993). Fenfluramine challenge test as a predictor of outcome in major depression. Psychopharmacology Bulletin, 29, 155–161.
Markowitz, J. C. (1989). “Meat-and-potatoes” inpatient psychotherapy. Hospital Community Psychiatry, 40, 877.
Miller, I., & Norman, W. (1986). Persistence of depressive cognitions within a subgroup of depressed inpatients. Cognitive Therapy and Research, 10, 211–224.
Miller, I. W., Norman, W. H., & Keitner, G. I. (1989a). Cognitive-behavioral treatment of depressed inpatients: Six-and twelve-month follow-ups. American Journal of Psychiatry, 146, 1274–1279.
Miller, I. W., Norman, W. H., & Keitner, G. I. (1990). Treatment response of high cognitive dysfunction depressed inpatients. Comprehensive Psychiatry, 31, 62–71.
Miller, I. W., Norman, W. H., Keitner, G. I., Bishop, S. T., & Dow, M. G. (1989b). Cognitive-behavioral treatment of depressed inpatients. Behavior Therapy, 20, 25–47.
Miranda, J., & Persons, J. (1988). Dysfunctional attitudes are mood-state dependent. Journal of Abnormal Psychology, 97, 76–79.
Monroe, S. M., & Simons, A. D. (1991). Diathesis-stress theories in the context of life stress research: Implications for the depressive disorders. Psychology Bulletin, 110, 406–425.
Nezu, A. M. (1986). Efficacy of a social problem-solving therapy approach for unipolar depression. Journal of Consulting Clinical Psychology, 54, 196–202.
Padesky, C. A. (1993). Staff and patient education. In J. H. Wright, M. E. Thase, A. T. Beck, & J. W. Ludgate (Eds.), Cognitive therapy with inpatients: Developing a cognitive milieu (pp. 393–413). New York: Guilford Press.
Persons, J. B. (1989). Cognitive therapy in practice: A case formulation approach. New York: Norton.
Robins, C. J., & Hayes, A. M. (1993). An appraisal of cognitive therapy. Journal of Consulting and Clinical Psychology, 61, 205–214.
Rosen, H. (1989). Piagetian theory and cognitive therapy. In A. Freeman, K. Simon, L. Beutler, & H. Arkowitz (Eds.), Comprehensive handbook of cognitive therapy (pp. 189–212). New York: Plenum Press.
Ross, M, & Scott, M. (1985). An evaluation of the effectiveness of individual and group cognitive therapy in the treatment of depressed patients in an inner city health centre. Journal Royal College of General Practitioners, 35, 239–242.
Roy, A., Agren, H., Pickar, D., Linnoila, M., Doran, A., Cutler, A., Cutler, N., & Paul, S. (1986). Reduced cerebrospinal fluid homovanillic acid and lower ratio of homovanillic acid to 5-hydroxyindolacetic acid in depressed patients: Relationship to suicidal behavior and dexamethasone nonsuppression. American Journal of Psychiatry, 143, 1539–1545.
Roy, A., & Linnoila, M. (1988). Suicidal behavior, impulsiveness, and serotonin. Acta Psychiatrica Scandinavica, 78, 529–535.
Salkovskis, P. M., Atha, C., & Storer, D. (1990). Cognitive-behavioral problem solving in the treatment of patients who repeatedly attempt suicide: A controlled trial. British Journal of Psychiatry, 157, 871–876.
Samson, J. A., Mirin, S. M., Hauser, S. T., Fenton, B. T., & Schildkraut, J. J. (1992). Learned helplessness and urinary MHPG levels in unipolar depression. American Journal of Psychiatry, 149, 806–809.
Schotte, D., & Clum, G. (1987). Problem-solving skills in suicidal psychiatric patients. Journal of Consulting and Clinical Psychology, 55, 49–54.
Schwartz, R. M, & Garamoni, G. L. (1986). A structural model of positive and negative states of mind: Asymmetry in the internal dialogue. In P. C. Kendall (Ed.) Advances in cognitive-behavioral research and therapy (Vol. 5, pp. 1–62). New York: Academic Press.
Scott, J. (1988). Cognitive therapy with depressed inpatients. In W. Dryden, & P. Trower, Developments in cognitive psychotherapy (pp. 177–189). London: Sage.
Scott, J. (1992). Chronic depression: Can cognitive therapy succeed when other treatments fail? Behavioral Psychotherapy, 20, 25–36.
Shaw, B. F (1981). Cognitive therapy with an inpatient population. In G. Emery, S. D. Hollon & R. C. Bedrosian (Eds.), New directions in cognitive therapy (pp. 29–49). New York: Guilford Press.
Shaw, B. F. (1984). Specification of the training and evaluation of cognitive therapists for outcome studies. In J. B. W. Williams & R. L. Spitzer (Eds.), Psychotherapy research: Where we are and where we should go? (pp. 173–189). New York: Guilford Press.
Simons, A. D., Epstein, L. H., McGowan, C. R., Kupfer, D. J., & Robertson, R. J. (1985). Exercise as a treatment for depression: An update. Clinical Psychology Review, 5, 553–568.
Simons, A. D., Garfield, S. L., & Murphy, C. E. (1984). The process of change in cognitive therapy and pharmacotherapy for depression. Archives of General Psychiatry, 41, 45–51.
Spangler, D. L., Simons, A. D., Monroe, S. M., and Thase, M. E. (1993). Evaluating the hopelessness model of depression: diathesis-stress and symptom components. Journal of Abnormal Psychology, 102, 592–600.
Stuart, S., & Thase, M. E. (1994). Inpatient applications of cognitive-behavior therapy: A review of recent developments. Journal of Psychotherapy Practice and Research, 3, 284–299.
Thase, M. (1993a) Inpatient cognitive-behavioral therapy of depression. In E. Liebeneuft, A. Tasman, & S. A. Green (Eds.). Less time to do more: Psychotherapy on the short-term inpatient unit (pp. 111–140). Washington, DC: American Psychiatric Association Press.
Thase, M. E. (1993b). Transition and aftercare. In J. H. Wright, M. E. Thase, A. T. Beck, & J. W. Ludgate (Eds.), Cognitive therapy with inpatients: Developing a cognitive milieu (pp. 414–435). New York: Guilford Press.
Thase, M. E. (1994a). Cognitive-behavior therapy of severe unipolar depression. In L. Grunhaus, & J. Greden, Severe depressive disorders. Washington, DC: American Psychiatric Press, 44, 269–296.
Thase, M. E. (1994b). After the fall: Cognitive behavior therapy of depression in the “post-collaborative” era. The Behavior Therapist, 17, 48–52.
Thase, M. E., & Beck, A. T. (1993). An overview of cognitive therapy. In J. H. Wright, M. E. Thase, A. T. Beck, & J. W. Ludgate (Eds.), Cognitive therapy with inpatients: Developing a cognitive milieu (pp. 3–34). New York: Guilford Press.
Thase, M. E., Bowler, K., & Harden, T. (1991). Cognitive behavior therapy of endogenous depression: Part 2. Preliminary findings in 16 unmedicated patients. Behavior Therapy, 22, 469–477.
Thase, M. E., & Howland, R. (1994). Refractory depression: Relevance of psychosocial factors and therapies. Psychiatric Annals, 24, 232–240.
Thase, M. E., & Simons, A. D. (1992). Cognitive behavior therapy and relapse of nonbipolar depression: Parallels with pharmacotherapy. Psychopharmcology Bulletin, 28, 117–122.
Thase, M. E., Simons, A. D., McGeary, J., Cahalane, J. F., Hughes, C., Harden, T., & Friedman, E. (1992). Relapse after cognitive behavior therapy of depression: Potential implications for longer courses of treatment? American Journal of Psychiatry, 149, 1046–1052.
Thase, M. E., Simons, A. D., & Reynolds, C. F. III (1993). Psychobiological correlates of poor response to cognitive behavior therapy: Potential indications for antidepressant pharmacotherapy. Psychopharmacology Bulletin, 29, 293–301.
Thase, M. E., Wright, J. H. (1991). Cognitive behavior therapy manual for depressed inpatients: A treatment protocol outline. Behavior Therapy, 22, 579–595.
Vallis, T. M., Shaw, B. F., & Dobson, K. S. (1986). The cognitive therapy scale: Psychometric properties. Journal of Consulting and Clinical Psychology, 54, 381–385.
Weissman, A., & Beck, A. T. (1978). Development and validation of the dysfunctional attitude scale, Paper presented at the Annual Meeting of the Association for the Advancement of Behavior Therapy, Chicago, IL.
Whisman, M. A. (1993). Mediators and moderators of change in cognitive therapy of depression. Psychology Bulletin, 114, 248–265.
Whisman, M. A., Miller, I. W., Norman, W. H., & Keitner, G. I. (1991). Cognitive therapy with depressed inpatients: Specific effects on dysfunctional cognitions. Journal of Consulting and Clinical Psychology, 59, 282–288.
Wright, J. H., & Schrodt, G. (1989). Combined cognitive therapy and pharmacotherapy. In A. Freeman, K. Simon, L. Beutler, & H. Arkowitz (Eds.), Comprehensive handbook of cognitive therapy. New York: Plenum Press.
Wright, J. H., & Thase, M. E. (1992). Cognitive and biological therapies: A synthesis. Psychiatric Annals, 22, 451–458.
Wright, J. H., Thase, M. E., Beck, A. T., & Ludgate, J. W. (1993). Cognitive therapy with inpatients: Developing a cognitive milieu. New York: Guilford Press.
Wright, J. H., Thase, M. E., & Sensky, T. (1993). Cognitive and biological therapies: A combined approach. In J. H. Wright, M. E. Thase, A. T. Beck & J. Ludgate (Eds.), Cognitive therapy with inpatients: Developing a cognitive milieu. New York: Guilford Press.
Young, J. E., & Beck, A. T. (1982). Cognitive therapy: Clinical applications. In A. J. Rush (Ed.), Short-term psychotherapies for depression (pp. 182–214). New York: Guilford Press.
Young, J. E., & Lindemann, M. D. (1992). An integrative schema-focused model for personality disorders. Journal of Cognitive Psychotherapy, 6, 11–23.
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Thase, M.E. (1996). Cognitive Behavior Therapy Manual for Treatment of Depressed Inpatients. In: Van Hasselt, V.B., Hersen, M. (eds) Sourcebook of Psychological Treatment Manuals for Adult Disorders. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1528-3_6
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