An Open Trial of a New Acceptance-Based Behavioral Treatment for Major Depression with Psychotic Features

Autor/inn/en	Gaudiano, Brandon A.; Nowlan, Kathryn; Brown, Lily A.; Epstein-Lubow, Gary; Miller, Ivan W.
Titel	An Open Trial of a New Acceptance-Based Behavioral Treatment for Major Depression with Psychotic Features
Quelle	In: Behavior Modification, 37 (2013) 3, S.324-355 (32 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0145-4455
DOI	10.1177/0145445512465173
Schlagwörter	Depression (Psychology); Psychosis; Psychotherapy; Behavior Modification; Drug Therapy; Outcomes of Treatment; Symptoms (Individual Disorders); Cognitive Restructuring + Suchen Sie Ihr Suchwort? Psychose; Psychotherapie; Behaviour modification; Verhaltensänderung; Psychiatrische Symptomatik
Abstract	Research suggests that cognitive and behavioral therapies produce significant benefits over medications alone in the treatment of severe, nonpsychotic major depression or primary psychotic disorders such as schizophrenia. However, previous research has not demonstrated the efficacy of psychotherapy for major depression with psychotic features. In this initial treatment development study, we conducted an open trial of a new behavioral intervention that combines elements of behavioral activation and acceptance and commitment therapy for depression and psychosis. Fourteen patients with major depressive disorder with psychotic features were provided with up to 6 months of Acceptance-Based Depression and Psychosis Therapy (ADAPT) in combination with pharmacotherapy. Patients reported a high degree of treatment credibility and acceptability. Results showed that patients achieved clinically significant and sustained improvements through posttreatment follow-up in depressive and psychotic symptoms, as well as psychosocial functioning. In addition, the processes targeted by the intervention (e.g., acceptance, mindfulness, values) improved significantly over the course of treatment, and changes in processes were correlated with changes in symptoms. Results suggest that ADAPT combined with pharmacotherapy is a promising treatment approach for psychotic depression that should be tested in a future randomized trial. (Contains 3 tables and 1 figure.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10