Sigan L Hartley1, Anna J Esbensen2, Rebecca Shalev3, Lori B Vincent4, Iulia Mihaila5, Paige Bussanich5. 1. Univeristy of Wisconsin, Waisman Center, 1500 Highland Ave, Madison, 53705 United States. 2. Cincinnati Children's Hospital Medical Center, Division of Developmental and Behavioral Pediatrics, 3333 Burnet Ave, ML 4002, Cincinnati, 45229 United States. 3. University of Wisconsin-Madison, School Psychology, Madison, United States. 4. university of Wisconsin-Madison, School Psychology, Madison, United States. 5. University of Wisconsin-Madison, Waisman Center, Madison, United States.
Abstract
BACKGROUND: There is a paucity of research on psychosocial treatments for depression in adults with intellectual disability (ID). In this pilot study, we explored the efficacy of a group CBT treatment that involved a caregiver component in adults with mild ID with a depressive disorder. METHOD:Sixteen adults with mild ID and a depressive disorder participated in a 10-week group CBT treatment and 8 adults with mild ID with a depressive disorder served as a treatment as usual (TAU) control group. Adults with mild ID and caregivers completed measures of depressive symptoms, behavior problems, and social skills at pre-treatment, post-treatment, and a 3-month follow-up. Adults with mild ID also completed a series of tasks to measure their understanding of the principles of cognitive therapy pre- and post-treatment. RESULTS: The CBT group demonstrated significant decreases in depressive symptoms and behavior problems from pre-treatment to post-treatment and these effects were maintained at a 3-month follow-up. The CBT group demonstrated significant improvements in their ability to infer emotions and thoughts based on various situation-thought-emotion pairings from pre-treatment to post-treatment. CONCLUSIONS: Findings indicate that adults with mild ID with a depressive disorder benefitted from a group CBT treatment with a caregiver component. Moreover, adults with mild ID appeared to benefit, at least in part, from the cognitive therapy components of the treatment, in addition to the behavior therapy components.
RCT Entities:
BACKGROUND: There is a paucity of research on psychosocial treatments for depression in adults with intellectual disability (ID). In this pilot study, we explored the efficacy of a group CBT treatment that involved a caregiver component in adults with mild ID with a depressive disorder. METHOD: Sixteen adults with mild ID and a depressive disorder participated in a 10-week group CBT treatment and 8 adults with mild ID with a depressive disorder served as a treatment as usual (TAU) control group. Adults with mild ID and caregivers completed measures of depressive symptoms, behavior problems, and social skills at pre-treatment, post-treatment, and a 3-month follow-up. Adults with mild ID also completed a series of tasks to measure their understanding of the principles of cognitive therapy pre- and post-treatment. RESULTS: The CBT group demonstrated significant decreases in depressive symptoms and behavior problems from pre-treatment to post-treatment and these effects were maintained at a 3-month follow-up. The CBT group demonstrated significant improvements in their ability to infer emotions and thoughts based on various situation-thought-emotion pairings from pre-treatment to post-treatment. CONCLUSIONS: Findings indicate that adults with mild ID with a depressive disorder benefitted from a group CBT treatment with a caregiver component. Moreover, adults with mild ID appeared to benefit, at least in part, from the cognitive therapy components of the treatment, in addition to the behavior therapy components.
Authors: Madhukar H Trivedi; A John Rush; Stephen R Wisniewski; Andrew A Nierenberg; Diane Warden; Louise Ritz; Grayson Norquist; Robert H Howland; Barry Lebowitz; Patrick J McGrath; Kathy Shores-Wilson; Melanie M Biggs; G K Balasubramani; Maurizio Fava Journal: Am J Psychiatry Date: 2006-01 Impact factor: 18.112
Authors: Andrew Jahoda; Richard Hastings; Chris Hatton; Sally-Ann Cooper; Dave Dagnan; Ruiqi Zhang; Alex McConnachie; Nicola McMeekin; Kim Appleton; Rob Jones; Katie Scott; Lauren Fulton; Rosie Knight; Dawn Knowles; Chris Williams; Andrew Briggs; Ken MacMahon; Helen Lynn; Ian Smith; Gail Thomas; Craig Melville Journal: Lancet Psychiatry Date: 2017-11-16 Impact factor: 27.083