OBJECTIVE: The BRIGHT (Building Recovery by Improving Goals, Habits, and Thoughts) study was a community-based effectiveness trial that compared residential substance abuse treatment with residential treatment plus group cognitive-behavioral therapy (CBT)for depression. This brief report focuses on the subgroup of participants with major depression. METHODS: The authors used a quasi-experimental design and an intent-to-treat analysis. Out of 299 participants enrolled, 135 had major depression. Primary outcomes were change in depression symptoms, mental health functioning, and days of alcohol use and problematic substance use. RESULTS: At the three-month follow-up, participants with major depression reported less severe depression and better functioning, compared with participants with major depression who received usual care. At six months, functioning continued to be higher and problem substance use was lower. CONCLUSIONS: Group CBT was an effective treatment for major depression for clients in residential substance abuse treatment. These results extend the effectiveness of group CBT for major depression to a new setting, patient population, and type of provider.
RCT Entities:
OBJECTIVE: The BRIGHT (Building Recovery by Improving Goals, Habits, and Thoughts) study was a community-based effectiveness trial that compared residential substance abuse treatment with residential treatment plus group cognitive-behavioral therapy (CBT)for depression. This brief report focuses on the subgroup of participants with major depression. METHODS: The authors used a quasi-experimental design and an intent-to-treat analysis. Out of 299 participants enrolled, 135 had major depression. Primary outcomes were change in depression symptoms, mental health functioning, and days of alcohol use and problematic substance use. RESULTS: At the three-month follow-up, participants with major depression reported less severe depression and better functioning, compared with participants with major depression who received usual care. At six months, functioning continued to be higher and problem substance use was lower. CONCLUSIONS: Group CBT was an effective treatment for major depression for clients in residential substance abuse treatment. These results extend the effectiveness of group CBT for major depression to a new setting, patient population, and type of provider.
Authors: Ronald C Kessler; Hagop S Akiskal; Minnie Ames; Howard Birnbaum; Paul Greenberg; Robert M A Hirschfeld; Robert Jin; Kathleen R Merikangas; Gregory E Simon; Philip S Wang Journal: Am J Psychiatry Date: 2006-09 Impact factor: 18.112
Authors: Ronald C Kessler; Patricia Berglund; Olga Demler; Robert Jin; Doreen Koretz; Kathleen R Merikangas; A John Rush; Ellen E Walters; Philip S Wang Journal: JAMA Date: 2003-06-18 Impact factor: 56.272
Authors: I Elkin; M T Shea; J T Watkins; S D Imber; S M Sotsky; J F Collins; D R Glass; P A Pilkonis; W R Leber; J P Docherty Journal: Arch Gen Psychiatry Date: 1989-11
Authors: Sarah B Hunter; Susan M Paddock; Annie Zhou; Katherine E Watkins; Kimberly A Hepner Journal: J Behav Health Serv Res Date: 2013-01 Impact factor: 1.505
Authors: Karin Tobin; Melissa A Davey-Rothwell; Bareng A S Nonyane; Amy Knowlton; Lawrence Wissow; Carl A Latkin Journal: PLoS One Date: 2017-12-14 Impact factor: 3.240