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Cognitive-behavioral analysis system of psychotherapy as a maintenance treatment for chronic depression
Daniel N Klein1, Neil J Santiago, Dina Vivian
1Department of Psychology, State University of New York at Stony Brook, Stony Brook, NY 11794, USA. dklein@notes.cc.sunysb.edu
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.
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