Effectiveness of Cognitive Behavioral Therapy for Veterans with Depression and Suicidal Ideation

Brown, Gregory K.; Karlin, Bradley E.; Trockel, Mickey; Gordienko, Maria; Yesavage, Jerry; Taylor, C. Barr

doi:10.1080/13811118.2016.1162238

Cited by 29 publications

(21 citation statements)

References 13 publications

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“…Results revealed that interpersonal psychotherapy (IPT [10];), but not cognitive behavioral therapy (CBT [11];), reduced rates of suicidal ideation among patients with depression. However, in a more recent study of veterans receiving CBT, rates of suicidality decreased significantly following treatment [12].…”

Section: Introductionmentioning

confidence: 90%

Treating suicidal ideation in the context of depression

et al. 2020

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Background Treatment recommendations suggest that suicidal ideation will decrease following successful psychotherapy for depression. However, findings from the empirical research are equivocal in this regard. It is possible suicidal ideation does not respond to empirically supported treatment (EST) for depression or that suicidal ideation limits the efficacy of ESTs for depression. Methods Data from 793 patients who sought EST for depression was analyzed using t-tests and multiple linear regression. Results Both patients with (n = 233) or without suicidal ideation (n = 560) were significantly less depressed following treatment. A significant reduction in suicidal ideation was also observed. At baseline, 233 (29.4%) patients reported suicidal ideation, whereas only 90 (11.3%) patients reported suicidal ideation at follow-up. The relationship between suicidal ideation at baseline and depression scores at follow-up was not significant. Conclusions Patients with suicidal ideation who receive short-term EST can experience significant reductions in both depressive symptoms and suicidal ideation. Findings suggest that suicidal ideation at baseline does not impact treatment efficacy, but additional research that directly tests moderation is needed.

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Section: Introductionmentioning

confidence: 90%

Treating suicidal ideation in the context of depression

et al. 2020

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“…BDI scores also showed clinically significant reductions following CPT treatment. Other studies have reported that Veterans who receive treatment with multiple interventions for PTSD and other trauma-related problems showed significant reductions in suicidal ideation, in addition to other benefits of treatment (Brown et al, 2016;Trockel et al, 2015;Walser et al, 2015). At the system level, VA researchers have documented mental health service and other cost offsets in the range of 30-40 percent associated with the delivery of EBTs for PTSD by trained therapists (Meyers et al, 2013;Tuerk et al, 2013).…”

Section: Veterans Health Administration Ebt Training Programmentioning

confidence: 99%

Evidence-based training in the era of evidence-based practice: Challenges and opportunities for training of PTSD providers

Rosen

Ruzek

Karlin

2017

Behaviour Research and Therapy

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There is a pressing global need for trained and competent mental health clinicians to deliver evidence-based psychological therapies to millions of trauma survivors in need of care. Three model, large-scale training programs were initiated a decade ago, one in the United Kingdom (U.K.), and two in the United States (U.S.), to disseminate high-quality, evidence-based psychological care to traumatized children and adults in need of assistance. Milestone contributions to implementation science have been made by each of these training programs, although limitations and challenges remain to be considered. In contrast, culturally adapted and simplified PTSD interventions and therapy training programs have also been developed and tested during the past decade, three of which show particular promise for broader implementation. These simplified but evidence-based interventions have been developed for use by lay counsellors or health technicians with minimal or no prior mental health training. Finally, a growing range of technology-based and technology-assisted training models for PTSD providers have also been developed and disseminated in the past decade. This trend is expected to accelerate as more providers become accustomed to acquiring clinical training in this modality or format, although significant barriers to technology-based training will need to be overcome.

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“…Depression is a common mood disorder, characterised as having high incidence rates of recurrence, disability and suicide [1].The World Psychiatric Association survey showed that the present global incidence of depression is 4.2%, and it is 6.9% in China. Depression is now a serious worldwide public health and social issue affecting patients' physical and mental health and reducing their quality of life.…”

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of Jiaotai Wan in patients with depression: study protocol for a randomised controlled trial

Zhou

Wang

et al. 2019

Preprint

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Background: Depression is a common affective disorder characterised by marked and lasting melancholia, with corresponding thought and behaviour changes. Due to an accelerated pace of life and increased work pressure, the incidence of depression has risen sharply, causing great harm to family and social life. Jiaotai Wan (JTW) is a Chinese herbal formula that is commonly prescribed for depression and insomnia in clinical treatment, and animal experimental research shows that it exhibits antidepressant effects. However, there are no standard clinical trials to confirm its efficacy in treating depression and insomnia. Therefore, this study aims to assess the efficacy and safety of JTW in the treatment of depression. Methods: This study is designed as a randomised, multicentre clinical trial with parallel groups. A total of 40 patients with depression will be recruited and randomly allocated to either the treatment or the control group (in a 1:1 ratio). The patients will receive JTW plus fluoxetine or fluoxetine alone once a day for eight weeks. The primary outcome is the Hamilton

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Effectiveness of Cognitive Behavioral Therapy for Veterans with Depression and Suicidal Ideation

Cited by 29 publications

References 13 publications

Treating suicidal ideation in the context of depression

Treating suicidal ideation in the context of depression

Evidence-based training in the era of evidence-based practice: Challenges and opportunities for training of PTSD providers

Safety and efficacy of Jiaotai Wan in patients with depression: study protocol for a randomised controlled trial

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