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Cognitive-behavioral analysis system of psychotherapy as a maintenance treatment for chronic depression

  • Daniel N. Klein
  • , Neil J. Santiago
  • , Dina Vivian
  • , Janice A. Blalock
  • , James H. Kocsis
  • , John C. Markowitz
  • , James P. McCullough
  • , A. John Rush
  • , Madhukar H. Trivedi
  • , Frances E. Borian
  • , Bruce A. Arnow
  • , David L. Dunner
  • , Rachel Manber
  • , Barbara Rothbaum
  • , Michael E. Thase
  • , Gabor I. Keitner
  • , Ivan W. Miller
  • , Martin B. Keller
  • Stony Brook University
  • University of Texas Medical Branch at Galveston
  • University of Texas MD Anderson Cancer Center
  • Cornell University
  • Virginia Commonwealth University
  • University of Texas Southwestern Medical Center
  • Bristol-Myers Squibb
  • Stanford University
  • University of Washington
  • University of Arizona
  • Emory University
  • University of Pittsburgh
  • Brown University

Research output: Contribution to journalArticlepeer-review

89 Scopus citations

Abstract

Although the efficacy of maintenance pharmacotherapy for the prevention of recurrence in major depressive disorder (MDD) is well documented, few studies have tested the efficacy of psychotherapy as a maintenance treatment. The authors examined the efficacy of the cognitive-behavioral analysis system of psychotherapy (CBASP) as a maintenance treatment for chronic forms of MDD. Eighty-two patients who had responded to acute and continuation phase CBASP were randomized to monthly CBASP or assessment only for 1 year. Significantly fewer patients in the CBASP than assessment only condition experienced a recurrence. The 2 conditions also differed significantly on change in depressive symptoms over time. These findings support the use of CBASP as a maintenance treatment for chronic forms of MDD.

Original languageEnglish
Pages (from-to)681-688
Number of pages8
JournalJournal of Consulting and Clinical Psychology
Volume72
Issue number4
DOIs
StatePublished - Aug 2004

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