Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Cognitive Therapy and Research 1/2006

01-02-2006

Telephone Administered Cognitive-behavioral Therapy for the Treatment of Depression in a Rural Primary Care Clinic

Auteurs: David C. Mohr, Stacey L. Hart, Charles Marmar

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2006

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

The purpose of this study was to pilot a telephonically delivered cognitive-behavioral therapy to treat moderate to severe depression in patients from rural primary care settings where specialized mental health care is scarce. The goal was to obtain preliminary evidence of safety and efficacy. Depression is treated principally in primary care, however the outcomes are poor. Outcomes for depression in rural primary care settings are worse than in urban settings in part due to lack of access to specialized mental health care. This study examined the potential utility and safety of telephone-administered Cognitive-Behavior Therapy (T-CBT) for the treatment of depression in a rural primary care setting. Eight patients from a rural primary care clinic with significant depression were enrolled in 8 weeks of T-CBT administered by trained psychologists. Patients showed significant improvements in diagnostic status, as well as reductions in depression based the Beck Depression Inventory-II and the Hamilton Rating Scale for Depression, and there were no adverse events or problems with patient safety.
Literatuur
go back to reference Alvidrez, J., & Azocar, F. (1999). Distressed women's clinic patients: Preferences for mental health treatments and perceived obstacles. General Hospital Psychiatry, 21(5), 340–347. PubMedCrossRef Alvidrez, J., & Azocar, F. (1999). Distressed women's clinic patients: Preferences for mental health treatments and perceived obstacles. General Hospital Psychiatry, 21(5), 340–347. PubMedCrossRef
go back to reference Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory: Manual (2nd Ed.). San Antonio TX: Psychological Corporation. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory: Manual (2nd Ed.). San Antonio TX: Psychological Corporation.
go back to reference Beck, J. S. (1995). Cognitive therapy: Basics and beyond. New York: Guilford Press. Beck, J. S. (1995). Cognitive therapy: Basics and beyond. New York: Guilford Press.
go back to reference Brody, D. S., Khaliq, A. A., & Thompson, T. L., 2nd. (1997). Patients' perspectives on the management of emotional distress in primary care settings. Journal of General Internal Medicine, 12(7), 403–406. PubMedCrossRef Brody, D. S., Khaliq, A. A., & Thompson, T. L., 2nd. (1997). Patients' perspectives on the management of emotional distress in primary care settings. Journal of General Internal Medicine, 12(7), 403–406. PubMedCrossRef
go back to reference Callahan, C. M., Hendrie, H. C., Dittus, R. S., Brater, D. C., Hui, S. L., & Tierney, W. M. (1994). Improving treatment of late life depression in primary care: A randomized clinical trial. Journal of the American Geriatrics Society, 42(8), 839–846. PubMed Callahan, C. M., Hendrie, H. C., Dittus, R. S., Brater, D. C., Hui, S. L., & Tierney, W. M. (1994). Improving treatment of late life depression in primary care: A randomized clinical trial. Journal of the American Geriatrics Society, 42(8), 839–846. PubMed
go back to reference Churchill, R., Khaira, M., Gretton, V., Chilvers, C., Dewey, M., Duggan, C., et al. (2000). Treating depression in general practice: Factors affecting patients' treatment preferences. British Journal of General Practie, 50(460), 905–906. Churchill, R., Khaira, M., Gretton, V., Chilvers, C., Dewey, M., Duggan, C., et al. (2000). Treating depression in general practice: Factors affecting patients' treatment preferences. British Journal of General Practie, 50(460), 905–906.
go back to reference Dowrick, C., & Buchan, I. (1995). Twelve month outcome of depression in general practice: Does detection or disclosure make a difference? British Medical Journal, 311(7015), 1274–1276. PubMed Dowrick, C., & Buchan, I. (1995). Twelve month outcome of depression in general practice: Does detection or disclosure make a difference? British Medical Journal, 311(7015), 1274–1276. PubMed
go back to reference Dwight-Johnson, M., Sherbourne, C. D., Liao, D., & Wells, K. B. (2000). Treatment preferences among depressed primary care patients. Journal of General Internal Medicine, 15(8), 527–534. PubMedCrossRef Dwight-Johnson, M., Sherbourne, C. D., Liao, D., & Wells, K. B. (2000). Treatment preferences among depressed primary care patients. Journal of General Internal Medicine, 15(8), 527–534. PubMedCrossRef
go back to reference First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (1995). Structured clinical interview for DSM-IV Axis I disorders—patient edition (SCID-I/P, Version 2. 0). New York: New York State Psychiatric Institute. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (1995). Structured clinical interview for DSM-IV Axis I disorders—patient edition (SCID-I/P, Version 2. 0). New York: New York State Psychiatric Institute.
go back to reference Fortney, J., Rost, K., & Zhang, M. (1998). A joint choice model of the decision to seek depression treatment and choice of provider sector. Medical Care, 36(3), 307–320. PubMedCrossRef Fortney, J., Rost, K., & Zhang, M. (1998). A joint choice model of the decision to seek depression treatment and choice of provider sector. Medical Care, 36(3), 307–320. PubMedCrossRef
go back to reference Geller, J. M. (1999). Rural primary care providers' perceptions of their roles in the provision of mental health services: Voices from the plains. Journal of Rural Health, 15(3), 326–334. PubMedCrossRef Geller, J. M. (1999). Rural primary care providers' perceptions of their roles in the provision of mental health services: Voices from the plains. Journal of Rural Health, 15(3), 326–334. PubMedCrossRef
go back to reference Hartley, D., Korsen, N., Bird, D., & Agger, M. (1998). Management of patients with depression by rural primary care practitioners. Archives of Family Medicine, 7(2), 139–145. PubMedCrossRef Hartley, D., Korsen, N., Bird, D., & Agger, M. (1998). Management of patients with depression by rural primary care practitioners. Archives of Family Medicine, 7(2), 139–145. PubMedCrossRef
go back to reference Hays, R. D., Wells, K. B., Sherbourne, C. D., Rogers, W., & Spritzer, K. (1995). Functioning and well-being outcomes of patients with depression compared with chronic general medical illnesses. Archives of General Psychiatry, 52(1), 11–19. PubMed Hays, R. D., Wells, K. B., Sherbourne, C. D., Rogers, W., & Spritzer, K. (1995). Functioning and well-being outcomes of patients with depression compared with chronic general medical illnesses. Archives of General Psychiatry, 52(1), 11–19. PubMed
go back to reference Hedrick, S. C., Chaney, E. F., Felker, B., Liu, C. F., Hasenberg, N., Heagerty, P., et al. (2003). Effectiveness of collaborative care depression treatment in Veterans' affairs primary care. Journal of General Internal Medicine, 18(1), 9–16. PubMedCrossRef Hedrick, S. C., Chaney, E. F., Felker, B., Liu, C. F., Hasenberg, N., Heagerty, P., et al. (2003). Effectiveness of collaborative care depression treatment in Veterans' affairs primary care. Journal of General Internal Medicine, 18(1), 9–16. PubMedCrossRef
go back to reference Hollon, S., Munoz, R., Barlow, D., Beardslee, W., Bell, C., Bernal, G., et al. (2002). Psychosocial intervention development for the prevention and treatment of depression: Promoting innovation and increasing access. Biological Psychiatry, 52(6), 610. PubMedCrossRef Hollon, S., Munoz, R., Barlow, D., Beardslee, W., Bell, C., Bernal, G., et al. (2002). Psychosocial intervention development for the prevention and treatment of depression: Promoting innovation and increasing access. Biological Psychiatry, 52(6), 610. PubMedCrossRef
go back to reference Katon, W., & Schulberg, H. (1992). Epidemiology of depression in primary care. General Hospital Psychiatry, 14(4), 237–247. PubMedCrossRef Katon, W., & Schulberg, H. (1992). Epidemiology of depression in primary care. General Hospital Psychiatry, 14(4), 237–247. PubMedCrossRef
go back to reference Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., et al. (2003). The epidemiology of major depressive disorder: Results from the National Comorbidity Survey Replication (NCS-R). Jama, 289(23), 3095–3105. PubMedCrossRef Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., et al. (2003). The epidemiology of major depressive disorder: Results from the National Comorbidity Survey Replication (NCS-R). Jama, 289(23), 3095–3105. PubMedCrossRef
go back to reference Lecrubier, Y. (2001). Prescribing patterns for depression and anxiety worldwide. Journal of Clinical Psychiatry, 62(Suppl 13) 31–36; discussion 37–38. PubMed Lecrubier, Y. (2001). Prescribing patterns for depression and anxiety worldwide. Journal of Clinical Psychiatry, 62(Suppl 13) 31–36; discussion 37–38. PubMed
go back to reference Little, D. N., Hammond, C., Kollisch, D., Stern, B., Gagne, R., & Dietrich, A. J. (1998). Referrals for depression by primary care physicians. A pilot study. Journal of Family Practice, 47(5), 375–377. PubMed Little, D. N., Hammond, C., Kollisch, D., Stern, B., Gagne, R., & Dietrich, A. J. (1998). Referrals for depression by primary care physicians. A pilot study. Journal of Family Practice, 47(5), 375–377. PubMed
go back to reference Lynch, D. J., Tamburrino, M. B., & Nagel, R. (1997). Telephone counseling for patients with minor depression: Preliminary findings in a family practice setting. Journal of Family Practice, 44(3), 293–298. PubMed Lynch, D. J., Tamburrino, M. B., & Nagel, R. (1997). Telephone counseling for patients with minor depression: Preliminary findings in a family practice setting. Journal of Family Practice, 44(3), 293–298. PubMed
go back to reference Miller, L., & Weissman, M. (2002). Interpersonal psychotherapy delivered over the telephone to recurrent depressives. A pilot study. Depress Anxiety, 16(3), 114–117. PubMedCrossRef Miller, L., & Weissman, M. (2002). Interpersonal psychotherapy delivered over the telephone to recurrent depressives. A pilot study. Depress Anxiety, 16(3), 114–117. PubMedCrossRef
go back to reference Mohr, D. C., Hart, S. L., Julian, L., Catledge, C., Honos-Webb, L., Vella, L., et al. (2005). Telephone-administered psychotherapy for depression. Archives of General Psychiatry, 62(9), 1007–1014. PubMedCrossRef Mohr, D. C., Hart, S. L., Julian, L., Catledge, C., Honos-Webb, L., Vella, L., et al. (2005). Telephone-administered psychotherapy for depression. Archives of General Psychiatry, 62(9), 1007–1014. PubMedCrossRef
go back to reference Mohr, D. C., Likosky, W., Bertagnolli, A., Goodkin, D. E., Van Der Wende, J., Dwyer, P., et al. (2000). Telephone-administered cognitive-behavioral therapy for the treatment of depressive symptoms in multiple sclerosis. Journal of Consulting and Clinical Psychology, 68(2), 356–361. PubMedCrossRef Mohr, D. C., Likosky, W., Bertagnolli, A., Goodkin, D. E., Van Der Wende, J., Dwyer, P., et al. (2000). Telephone-administered cognitive-behavioral therapy for the treatment of depressive symptoms in multiple sclerosis. Journal of Consulting and Clinical Psychology, 68(2), 356–361. PubMedCrossRef
go back to reference Potts, M. K., Daniels, M., Burnam, M. A., & Wells, K. B. (1990). A structured interview version of the Hamilton Depression Rating Scale: Evidence of reliability and versatility of administration. Journal of Psychiatric Research, 24, 335–350. PubMedCrossRef Potts, M. K., Daniels, M., Burnam, M. A., & Wells, K. B. (1990). A structured interview version of the Hamilton Depression Rating Scale: Evidence of reliability and versatility of administration. Journal of Psychiatric Research, 24, 335–350. PubMedCrossRef
go back to reference Priest, R. G., Vize, C., Roberts, A., Roberts, M., & Tylee, A. (1996). Lay people's attitudes to treatment of depression: Results of opinion poll for Defeat Depression Campaign just before its launch. British Medical Journal, 313(7061), 858–859. PubMed Priest, R. G., Vize, C., Roberts, A., Roberts, M., & Tylee, A. (1996). Lay people's attitudes to treatment of depression: Results of opinion poll for Defeat Depression Campaign just before its launch. British Medical Journal, 313(7061), 858–859. PubMed
go back to reference Rost, K., Humphrey, J., & Kelleher, K. (1994). Physician management preferences and barriers to care for rural patients with depression. Archives of Family Medicine, 3(5), 409–414. PubMedCrossRef Rost, K., Humphrey, J., & Kelleher, K. (1994). Physician management preferences and barriers to care for rural patients with depression. Archives of Family Medicine, 3(5), 409–414. PubMedCrossRef
go back to reference Rost, K., Zhang, M., Fortney, J., Smith, J., Coyne, J., & Smith, G. R., Jr. (1998). Persistently poor outcomes of undetected major depression in primary care. General Hospital Psychiatry, 20(1), 12–20. PubMedCrossRef Rost, K., Zhang, M., Fortney, J., Smith, J., Coyne, J., & Smith, G. R., Jr. (1998). Persistently poor outcomes of undetected major depression in primary care. General Hospital Psychiatry, 20(1), 12–20. PubMedCrossRef
go back to reference Simon, G. E., Lin, E. H., Katon, W., Saunders, K., VonKorff, M., Walker, E., et al. (1995). Outcomes of “inadequate” antidepressant treatment. Journal of General Internal Medicine, 10(12), 663–670. PubMedCrossRef Simon, G. E., Lin, E. H., Katon, W., Saunders, K., VonKorff, M., Walker, E., et al. (1995). Outcomes of “inadequate” antidepressant treatment. Journal of General Internal Medicine, 10(12), 663–670. PubMedCrossRef
go back to reference Simon, G. E., Ludman, E. J., Tutty, S., Operskalski, B., & Von Korff, M. (2004). Telephone psychotherapy and telephone care management for primary care patients starting antidepressant treatment: a randomized controlled trial. Journal of the American Medical Association, 292(8), 935–942. PubMedCrossRef Simon, G. E., Ludman, E. J., Tutty, S., Operskalski, B., & Von Korff, M. (2004). Telephone psychotherapy and telephone care management for primary care patients starting antidepressant treatment: a randomized controlled trial. Journal of the American Medical Association, 292(8), 935–942. PubMedCrossRef
go back to reference Simon, G. E., Revicki, D., & VonKorff, M. (1993). Telephone assessment of depression severity. Journal of Psychiatric Research, 27(3), 247–252. PubMedCrossRef Simon, G. E., Revicki, D., & VonKorff, M. (1993). Telephone assessment of depression severity. Journal of Psychiatric Research, 27(3), 247–252. PubMedCrossRef
go back to reference Spreen, O., & Strauss, E. (1998). A compendium of neuropsychological tests: adminstration, norms, and commentary. New York: Oxford University Press. Spreen, O., & Strauss, E. (1998). A compendium of neuropsychological tests: adminstration, norms, and commentary. New York: Oxford University Press.
go back to reference Wagner, H. R., Burns, B. J., Broadhead, W. E., Yarnall, K. S., Sigmon, A., & Gaynes, B. N. (2000). Minor depression in family practice: Functional morbidity, co-morbidity, service utilization and outcomes. Psychological Medicine, 30(6), 1377–1390. PubMedCrossRef Wagner, H. R., Burns, B. J., Broadhead, W. E., Yarnall, K. S., Sigmon, A., & Gaynes, B. N. (2000). Minor depression in family practice: Functional morbidity, co-morbidity, service utilization and outcomes. Psychological Medicine, 30(6), 1377–1390. PubMedCrossRef
go back to reference Weddington, W. W., Jr. (1983). Adherence by medical-surgical inpatients to recommendations for outpatient psychiatric treatment. Psychotherapy and Psychosomatics, 39(4), 225–235. PubMedCrossRef Weddington, W. W., Jr. (1983). Adherence by medical-surgical inpatients to recommendations for outpatient psychiatric treatment. Psychotherapy and Psychosomatics, 39(4), 225–235. PubMedCrossRef
go back to reference Wells, K. B., Burnam, M. A., Rogers, W., Hays, R., & Camp, P. (1992). The course of depression in adult outpatients. Results from the Medical Outcomes Study. Archives of General Psychiatry, 49(10), 788–794. PubMed Wells, K. B., Burnam, M. A., Rogers, W., Hays, R., & Camp, P. (1992). The course of depression in adult outpatients. Results from the Medical Outcomes Study. Archives of General Psychiatry, 49(10), 788–794. PubMed
go back to reference Whooley, M. A., Stone, B., & Soghikian, K. (2000). Randomized trial of case-finding for depression in elderly primary care patients. Journal of General Internal Medicine, 15(5), 293–300. PubMedCrossRef Whooley, M. A., Stone, B., & Soghikian, K. (2000). Randomized trial of case-finding for depression in elderly primary care patients. Journal of General Internal Medicine, 15(5), 293–300. PubMedCrossRef
go back to reference Williams, J. W., Jr., Mulrow, C. D., Kroenke, K., Dhanda, R., Badgett, R. G., Omori, D., et al. (1999). Case-finding for depression in primary care: A randomized trial. American Journal of Medicine, 106(1), 36–43. PubMedCrossRef Williams, J. W., Jr., Mulrow, C. D., Kroenke, K., Dhanda, R., Badgett, R. G., Omori, D., et al. (1999). Case-finding for depression in primary care: A randomized trial. American Journal of Medicine, 106(1), 36–43. PubMedCrossRef
go back to reference Yuen, E. J., Gerdes, J. L., & Gonzales, J. J. (1996). Patterns of rural mental health care. An exploratory study. General Hospital Psychiatry, 18(1), 14–21. PubMedCrossRef Yuen, E. J., Gerdes, J. L., & Gonzales, J. J. (1996). Patterns of rural mental health care. An exploratory study. General Hospital Psychiatry, 18(1), 14–21. PubMedCrossRef
Metagegevens
Titel
Telephone Administered Cognitive-behavioral Therapy for the Treatment of Depression in a Rural Primary Care Clinic
Auteurs
David C. Mohr
Stacey L. Hart
Charles Marmar
Publicatiedatum
01-02-2006
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 1/2006
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-006-9006-0