Featured Research

from universities, journals, and other organizations

Effectiveness of telephone-administered vs. Face-to-face cognitive behavioral therapy for depression compared

Date:
June 5, 2012
Source:
JAMA and Archives Journals
Summary:
Patients with major depression who received telephone-administered cognitive behavioral therapy (T-CBT) had lower rates of discontinuing treatment compared to patients who received face-to-face CBT, and telephone administered treatment was not inferior to face-to-face treatment in terms of improvement in symptoms by the end of treatment; however, at 6-month follow-up, patients receiving face-to-face CBT were less depressed than those receiving telephone administered CBT, according to a new study.

Patients with major depression who received telephone-administered cognitive behavioral therapy (T-CBT) had lower rates of discontinuing treatment compared to patients who received face-to-face CBT, and telephone administered treatment was not inferior to face-to-face treatment in terms of improvement in symptoms by the end of treatment; however, at 6-month follow-up, patients receiving face-to-face CBT were less depressed than those receiving telephone administered CBT, according to a study in the June 6 issue of JAMA.

"Depression is common, with the 1-year prevalence rate of major depressive disorder estimated at between 6.6 percent and 10.3 percent in the general population and roughly 25 percent of all primary care visits involving patients with clinically significant levels of depression. Psychotherapy is effective at treating depression, and most primary care patients prefer psychotherapy to antidepressant medication. When referred for psychotherapy, however, only a small percentage of patients follow through. Attrition from psychotherapy in randomized controlled trials is often 30 percent or greater and can exceed 50 percent in clinical practice," according to background information in the article. The discrepancy between patients' preference for psychotherapy and the low rates of initiation and adherence is likely due to access barriers, such as time constraints, lack of available and accessible services, transportation problems, and cost. "The telephone has been investigated as a treatment delivery medium to overcome access barriers, but little is known about its efficacy compared with face-to-face treatment delivery."

David C. Mohr, Ph.D., of the Northwestern University Feinberg School of Medicine, Chicago, and colleagues compared face-to-face cognitive behavioral therapy vs. a telephone-administered cognitive behavioral therapy for the treatment of depression in primary care. The trial included 325 patients with major depressive disorder, recruited from November 2007 to December 2010. Participants were randomized to 18 sessions of T-CBT or face-to-face CBT. The primary measured outcome for the study was attrition (completion vs. non-completion) at post-treatment (week 18). Secondary outcomes included measures of depression.

The researchers found that significantly fewer participants discontinued T-CBT (n = 34; 20.9 percent) before session 18 compared with face-to-face CBT (n = 53; 32.7 percent). Attrition before week 5 was significantly lower in T-CBT (n = 7; 4.3 percent) than in face-to-face CBT (n = 21; 13.0 percent), but there was no significant difference in attrition between sessions 5 and 18. T-CBT patients attended significantly more sessions than those receiving face-to-face CBT.

"The effect of telephone administration on adherence appears to occur during the initial engagement period. These effects may be due to the capacity of telephone delivery to overcome barriers and patient ambivalence toward treatment. Access barriers likely exert their effects early in treatment, and thus the effect of the telephone on overcoming those barriers is most prominent in the first sessions," the authors write.

In terms of changes in level of depression, the researchers found that T-CBT was not inferior to face to face CBT in reducing depressive symptoms at posttreatment. However, face-to-face CBT was significantly superior to T-CBT during the 6-month follow-up period. By 6-month follow-up, 19 percent of T-CBT vs. 32 percent of face-to-face CBT participants were fully remitted.

"The findings of this study suggest that telephone-delivered care has both advantages and disadvantages. The acceptability of delivering care over the telephone is growing, increasing the potential for individuals to continue with treatment," the authors write. "The telephone offers the opportunity to extend care to populations that are difficult to reach, such as rural populations, patients with chronic illnesses and disabilities, and individuals who otherwise have barriers to treatment. … "However, the increased risk of posttreatment deterioration in telephone-delivered treatment relative to face-to-face treatment underscores the importance of continued monitoring of depressive symptoms even after successful treatment."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Cite This Page:

JAMA and Archives Journals. "Effectiveness of telephone-administered vs. Face-to-face cognitive behavioral therapy for depression compared." ScienceDaily. ScienceDaily, 5 June 2012. <www.sciencedaily.com/releases/2012/06/120605172013.htm>.
JAMA and Archives Journals. (2012, June 5). Effectiveness of telephone-administered vs. Face-to-face cognitive behavioral therapy for depression compared. ScienceDaily. Retrieved September 2, 2014 from www.sciencedaily.com/releases/2012/06/120605172013.htm
JAMA and Archives Journals. "Effectiveness of telephone-administered vs. Face-to-face cognitive behavioral therapy for depression compared." ScienceDaily. www.sciencedaily.com/releases/2012/06/120605172013.htm (accessed September 2, 2014).

Share This




More Mind & Brain News

Tuesday, September 2, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Can You Train Your Brain To Eat Healthy?

Can You Train Your Brain To Eat Healthy?

Newsy (Sep. 1, 2014) New research says if you condition yourself to eat healthy foods, eventually you'll crave them instead of junk food. Video provided by Newsy
Powered by NewsLook.com
Coffee Then Napping: The (New) Key To Alertness

Coffee Then Napping: The (New) Key To Alertness

Newsy (Aug. 30, 2014) Researchers say having a cup of coffee then taking a nap is more effective than a nap or coffee alone. Video provided by Newsy
Powered by NewsLook.com
Young Entrepreneurs Get $100,000, If They Quit School

Young Entrepreneurs Get $100,000, If They Quit School

AFP (Aug. 29, 2014) Twenty college-age students are getting 100,000 dollars from a Silicon Valley leader and a chance to live in San Francisco in order to work on the start-up project of their dreams, but they have to quit school first. Duration: 02:20 Video provided by AFP
Powered by NewsLook.com
Baby Babbling Might Lead To Faster Language Development

Baby Babbling Might Lead To Faster Language Development

Newsy (Aug. 29, 2014) A new study suggests babies develop language skills more quickly if their parents imitate the babies' sounds and expressions and talk to them often. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins