Psychotherapy in two-plus-one sessions: outcomes of a randomized controlled trial of cognitive-behavioral and psychodynamic-interpersonal therapy for subsyndromal depression.

Abstract:

:A total of 116 clients with a range of subsyndromal depression received 3 therapy sessions: 2 sessions 1 week apart followed by a 3rd session 3 months later (the 2 + 1 model). Clients were stratified for severity on the Beck Depression Inventory (BDI) as stressed, subclinical, or low-level clinically depressed. In a 2 x 2 design, they received either cognitive-behavioral (CB) or psychodynamic-interpersonal (PI) therapy, either immediately or after a 4-week delay. An initial advantage for the immediate condition disappeared once the delayed-condition clients received treatment. Improvement rates at the end of treatment were 67% (stressed), 72% (subclinical), and 65% (low-level clinically depressed). There were no significant differences between CB and PI treatment methods, with the exception at 1-year follow-up, when the BDI showed a significant advantage for CB. Implications for designing very brief planned interventions are discussed.

journal_name

J Consult Clin Psychol

authors

Barkham M,Shapiro DA,Hardy GE,Rees A

doi

10.1037//0022-006x.67.2.201

keywords:

subject

Has Abstract

pub_date

1999-04-01 00:00:00

pages

201-11

issue

2

eissn

0022-006X

issn

1939-2117

journal_volume

67

pub_type

临床试验,杂志文章,随机对照试验
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