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FACT effectiveness in primary care; a single visit RCT for depressive symptoms.

B Arroll1, H Frischtak1, R Roskvist1

  • 1Department of General Practice and Primary Healthcare, University of Auckland, Auckland, New Zealand.

International Journal of Psychiatry in Medicine
|April 24, 2021
PubMed
Summary
This summary is machine-generated.

A focused acceptance and commitment therapy (FACT) intervention significantly reduced depressive symptoms in primary care patients after one week. This brief therapy offers a promising approach for managing depression in general practice settings.

Keywords:
Primary health careacceptance and commitment therapybehavioural activation

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Area of Science:

  • Primary Care Medicine
  • Psychiatry
  • Behavioral Science

Background:

  • Depressive symptoms are prevalent in primary care settings.
  • There is a need for brief, easily implementable therapeutic interventions for depression in primary care.

Purpose of the Study:

  • To evaluate the effectiveness of a focused acceptance and commitment therapy (FACT) intervention compared to a control group for patients with depressive symptoms in primary care.
  • To assess the impact of FACT at a one-week follow-up.

Main Methods:

  • A randomized, blinded controlled trial was conducted in a primary care clinic.
  • Patients scoring ≥2 on the PHQ-2 were randomized to receive either standard care plus FACT-based behavioral activation or standard care alone.
  • The primary outcome measure was the change in PHQ-8 scores at one week.

Main Results:

  • The intervention group showed a significantly lower mean PHQ-8 score at one week (7.4) compared to the control group (10.1).
  • The number needed to treat to achieve a PHQ-8 score of ≤6 was 4.0.
  • No significant differences were observed in secondary outcomes.

Conclusions:

  • This study provides the first evidence for the effectiveness of FACT in a primary care population.
  • FACT appears to be an effective intervention for reducing depressive symptoms in primary care patients within one week.