A psychoeducational approach to the treatment of depression: Comparison of group, individual, and minimal contact procedures.

Brown, Richard A.; Lewinsohn, Peter M.

doi:10.1037/0022-006x.52.5.774

Cited by 195 publications

(147 citation statements)

References 26 publications

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“…The CBT-D condition included all the components of the ST condition integrated with depression coping skills training using a modified version of the Coping With Depression Course (CWD; Brown & Lewinsohn, 1984). The depression skills component involved treatment based on a social learning model of depression and included daily mood monitoring, increasing pleasant activities, changing negative and nonconstructive ways of thinking, and social skills/assertiveness components.…”

Section: Methodsmentioning

confidence: 99%

Determinants of attrition from cessation treatment in smokers with a history of major depressive disorder.

Curtin¹,

Brown²,

Sales³

2000

Psychology of Addictive Behaviors

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Attrition from smoking cessation treatment by individuals with a history of major depression was investigated. An investigation of preinclusion attrition examined differences between eligible smokers who did (n = 258) and did not (n = 100) attend an initial assessment session. Postinclusion attrition was investigated by comparing early dropouts (n = 33), lale dropouts (n = 27), and treatment completers (n = 117). Those who failed to attend the assessment session were more likely to be female, to smoke cigarettes with higher nicotine content, and to have a history of psychotropic medication use. Early-treatment dropouts reported a higher smoking rate than late-treatment dropouts and endorsed more symptoms of depression than late dropouts and treatment completers. Results are compared with previous investigations of smoking cessation attrition, and implications for treatment and attrition prevention are discussed.Attrition from treatment poses a considerable problem for both researchers evaluating interventions (Howard, Cox, & Saunders, 1990) and clinicians delivering treatment (Stark, 1992). In studying attrition, investigators have found it useful to distinguish between preinclusion attrition-which occurs prior to entering a study, during screening or during intake evaluations-and postinclusion attrition, which occurs during treatment or posttreatment follow-ups (Howard et al., 1990). For example, evaluations of smoking cessation programs have noted preinclusion attrition rates of 30%-50% (Curry, Marlatt, Gordon, & Baer, 1988;Kviz, Crittenden, Madura, & Warnecke, 1994;Hall, Muñoz, & Reus, 1994) and postinclusion attrition rates that range from less than 10% (Curry, Thompson, Sexton, & Omenn, 1989;Zelman, Brandon, Jorenby, & Baker, 1992) to approximately 50% (Curry et al., 1988;Klesges et al., 1988).Although they are significant, these rates of attrition may be even higher in selected high-risk groups of smokers, such as those with psychiatric comorbidity. Disproportionately high rates of psychiatric comorbidity with cigarette smoking have been found in both adolescent (Brown, Lewinsohn, Seeley, & Wagner, 1996) and adult ) community samples. In adult smoking cessation programs, rates of past major depressive disorder (MDD) have ranged from 31% (Hall et al., 1994) to 61% (Glassman et al., 1988 smokers with a history of major depression have been shown to have elevated negative mood at pretreatment (Ginsberg, Hall, Reus, & Muñoz, 1995;Hall et al., 1994), to experience mood disturbance following cessation Ginsberg et al., 1995), and to relapse at higher rates than smokers without past MDD (Glassman et al., 1988;Glassman, 1993).As the overall prevalence of cigarette smoking decreases (Centers for Disease Control, 1994), those remaining smokers are likely to have more difficulty quitting because of factors such as psychiatric comorbidity and high nicotine dependence (Coambes, Kozlowski, & Ferrence, 1989;Hughes, 1993). Smoking cessation programs are increasingly faced with the prospect of delivering treatment ...

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Section: Methodsmentioning

confidence: 99%

Determinants of attrition from cessation treatment in smokers with a history of major depressive disorder.

Curtin¹,

Brown²,

Sales³

2000

Psychology of Addictive Behaviors

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“…Similar to our example of inconsistent findings in studies examining interventions for children, the efficacy of this adult intervention was both founded and unfounded across these two investigations. 3 Other studies examining the same psychological intervention for adult psychological constructs other than anxiety disorders (e.g., Coping with Depression Course; Brown & Lewinsohn, 1984;Dowrick et al, 2000), and other forms of intervention (e.g., acamprostate for alcohol dependence; Chick, Howlett, Morgan, & Ritson, 2000;Tempesta, Janiri, Begnamini, Chabec, & Potgieter, 2000) convey the same point. Again, inconsistent findings made across two (or more) studies of the same intervention present difficulties in concluding that the intervention changes the targeted construct.…”

Section: Between-study Inconsistenciesmentioning

confidence: 99%

Conceptualizing changes in behavior in intervention research: The range of possible changes model.

Reyes

Kazdin

2006

Psychological Review

125

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An international movement has focused on identifying evidence-based interventions: Interventions that were developed to change psychological constructs, and have evidence from controlled studies on their behalf. However, inconsistent findings within individual intervention studies and among multiple studies of the same intervention raise critical problems for interpreting the evidence, and deciding when and whether an intervention is evidence-based. A theoretical and methodological framework (Range of Possible Changes [RPC] Model) is proposed to guide the study of change in intervention research. We recommend that future quantitative reviews of the research literature use the RPC Model to conceptualize, examine, and classify the available evidence for interventions. Further, future research should adopt the RPC Model to both develop theory-driven hypotheses and conduct examinations of the instances in which interventions may or may not change psychological constructs. Keywordsefficacy; effectiveness; range of possible changes; intervention; treatment The terms efficacy or effectiveness denote the study of whether interventions can successfully change specific psychological constructs or behaviors (e.g., Hoagwood, Hibbs, Brent, & Jensen, 1995;Kazdin, 2000;Lambert & Ogles, 2004). 1 An overriding goal of intervention research is to identify evidence-based interventions: Evidence from controlled experiments suggests these interventions change constructs they were developed to change. Researchers have developed classification systems through which a given intervention can be identified as evidence-based, based on prior well-controlled experimental outcome studies examining the intervention (e.g., Lonigan, Elbert, & Johnson, 1998;Nathan & Gorman, 2002;Roth & Fonagy, 2005). Upon scrutiny, the supportive evidence raises Correspondence regarding this manuscript should be addressed to Alan E. Kazdin, Child Study Center, Yale University School of Medicine, 230 S. Frontage Road, New Haven, CT 06520-7900. 1 The intervention literature often distinguishes between the terms efficacy and effectiveness by the setting in which changes in constructs occur. Specifically, efficacy research examines whether an intervention can change psychological constructs under controlled experimental conditions. In contrast, effectiveness research examines whether an intervention can change psychological constructs in more naturalistic settings outside the research laboratory. Despite these differences in settings, both of these research literatures examine the ability of interventions to change multidimensional constructs. Thus, the conceptual and methodological framework we propose generally applies to the study of change in multidimensional constructs in intervention research. At the same time, the evidence we cite in support of our proposed framework is largely gleaned from the efficacy literature, particularly because of its longer history of examination and replication, relative to the effectiveness literature. Thus, it is possible...

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“…Early treatment studies provided support for behavioral activation for depression (Brown & Lewinsohn, 1984;Lewinsohn & Atwood, 1969;Zeiss, Lewinsohn, & Munoz, 1979), but as discussed by Hopko and colleagues (Hopko, Lejuez, LePage, Hopko, & McNeil, 2003), a paradigm shift toward more cognitive explanations of psychological phenomena led to criticisms that behavioral approaches to depression were inadequate by failing to directly address depressive schemas and cognitive structures. The cognitive theory of depression, developed by Beck and colleagues (Beck et al, 1979), is based on the premise that dysfunctional cognitions and core beliefs are at the root of depression, causing both negative moods and avoidance behavior (Beck, 1970).…”

mentioning

confidence: 99%

Behavioral activation treatment for major depressive disorder: A pilot investigation.

Cullen¹,

Spates²,

Pagoto³

et al. 2006

The Behavior Analyst Today

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Behavioral activation (BA) has emerged as an effective intervention for major depressive disorder. Previous research has indicated that it is as effective as the full cognitive behavioral treatment package (CBT). Conceptualized to consume fewer participant sessions, BA may be more efficient and cost-effective than CBT. With depression among the most common diagnoses in practice settings, NIMH's recent vision statement calls for continued research devoted to cost-and time-effective targeted treatment alternatives, including "behavioral activation as a more simply behavioral form of CBT" (NIMH, 2005, p. 92). The present investigation piloted a 10week individual intervention model of BA with medicated and unmedicated participants in a clinical research setting. This follows our earlier report (Porter, Spates, & Smitham, 2004) of an efficacious group-administered BA intervention. In comparison to the group intervention, end state functioning of participants in the present investigation revealed more robust symptom reductions to within the fully recovered range of functioning.

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A psychoeducational approach to the treatment of depression: Comparison of group, individual, and minimal contact procedures.

Cited by 195 publications

References 26 publications

Determinants of attrition from cessation treatment in smokers with a history of major depressive disorder.

Determinants of attrition from cessation treatment in smokers with a history of major depressive disorder.

Conceptualizing changes in behavior in intervention research: The range of possible changes model.

Behavioral activation treatment for major depressive disorder: A pilot investigation.

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