Effectiveness of CT for Depression in CMHC Setting

Merrill, K. A., Tolbert, V. E. & Wade, W. (2003). Effectiveness of cognitive therapy for depression in a community mental health center: A benchmarking study. Journal of Consulting and Clinical Psychology, 71, 404-409. ABSTRACT - The current study examined the feasibility and effectiveness of transporting an empirically supported treatment for depression, cognitive therapy (CT), to a community mental health setting. CT was delivered to 192 adult outpatients with major depression, and a benchmarking strategy compared results with those of 2 randomized controlled trials (RCTs). The three samples were largely similar in terms of initial severity of depression, and CT was as effective in reducing depressive symptoms in the current sample as in the RCTs. More favorable outcome was associated with less severe initial depression, more therapy sessions, more years of education, and absence of a comorbid personality disorder. This study demonstrates that an empirically supported treatment can be transported effectively to a clinical setting.

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