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Is there an Alternative to Drugs in the Treatment of Depressed Ambulatory Patients?

  • I. M. Blackburn (a1) and S. Bishop (a1)

Sixty-four patients suffering from primary major depressive illness from hospital and general practice clinics were randomly allocated to three treatment groups: drug of choice, cognitive therapy and a combination of the two. Looking at end-point scores on two rating scales of depression, there was no difference in the proportion of responders to the three treatments in the hospital group, but in the general practice, significantly less patients treated with drugs improved. Looking at group mean changes from baseline, all groups improved significantly on most variables except for the general practice drug group. The potential value of cognitive therapy for therapy-resistant hospital patients and for general practice patients is discussed.

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A. T. Beck (1961). Inventory for measuring depression. Archives of General Psychiatry 4, 5363.

P. Berner , K. Kryspin-Exner and W. Poeldinger (1974). Therapy possibilities for therapy resistant depression. Pharmakopsychiatrie, Neuro-Psychopharmakologie 7, 189193.

J. H. Brown (1979). Suicide in Britain. Archives of General Psychiatry 36, 11191124.

F. Freyhan (1974). Contribution to the definition of therapy resistance and of the therapy resistant depressions. Pharmakopsychiatrie, Neuro-Psychopharmakologie 7, 7075.

M. Hamilton (1967). Development of a rating scale for primary depressive illness. British Journal of Social and Clinical Psychology 6, 278296.

S. D. Hollon and A. T. Beck (1979). Cognitive Behavioural Interventions. Theory, Research and Procedures. London: Academic Press.

F. Quitkin , A. Rifkin and D. F. Klein (1976). Proplylaxis of affective disorders. Current status and knowledge. Archives of General Psychiatry 33, 337341.

A. J. Rush (1977). Comparative efficacy of cognitive therapy and imipramine in the treatment of depressed outpatients. Cognitive Therapy and Research 1, 1737.

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Behavioural and Cognitive Psychotherapy
  • ISSN: 1352-4658
  • EISSN: 1469-1833
  • URL: /core/journals/behavioural-and-cognitive-psychotherapy
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