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Revitalizing Psychiatry
Phone Therapy
Phone-based Psychotherapy Works in Depression
Reported by Susan Aldridge, PhD, medical journalist
Patients beginning antidepressant treatment can benefit from phone and outreach-based psychotherapy
too, according to a study.
Ideally, depression is treated by a combination of antidepressant drugs and psychotherapy. But, often,
face-to-face psychotherapy is not available or the patient doesn't show up for it.
A team at Group Health in Seattle USA has been looking at whether patients can benefit from phone
therapy - possibly a more convenient way of delivering treatment. They assigned a group to usual care,
usual care plus phone therapy (including outreach visits) and usual care with care management and
cognitive behavioural therapy delivered by phone.
Those in the phone therapy groups did better than those receiving just usual care. It's true that phone
therapy lacks some of the depth of the person-to-person approach. But clearly it can be of great benefit
and is more easily accessible to more people in need of therapy. The team, backed by the National
Institute of Mental Health, ia now looking at how phone therapy compares to conventional psychotherapy.
Phone Psychotherapy Helps with Depression Meds
Talking can help patients cope with their treatments
by Jan Eickmeier
Less than a third of people with depression get adequate treatment, often because they have trouble
adjusting to medications or they have too little time for psychotherapy.
In the August 25, 2004 issue of Journal of the American Medical Association, researchers reported on a
study in which they evaluated if telephone interventions could improve the treatment for depression.
One intervention consisted of the usual primary care for depression plus care management designed to
help patients adjust to using antidepressants. The second intervention included eight
cognitive-behavioral therapy sessions in addition to care management and the usual primary care.
After 6 months of treatment, patients assigned to get psychotherapy plus care management had
significantly lower depression scores, greater subjective improvements in their depression symptoms,
and greater satisfaction with their treatment than people who just got the usual primary care for
depression. The effects of care management on subjective improvement and satisfaction were smaller,
and there were no significant improvements in depression scores in that group.
Source
Journal of the American Medical Association 25th August 2004
Reported by Susan Aldridge, PhD, medical journalist
Patients beginning antidepressant treatment can benefit from phone and outreach-based psychotherapy
too, according to a study.
Ideally, depression is treated by a combination of antidepressant drugs and psychotherapy. But, often,
face-to-face psychotherapy is not available or the patient doesn't show up for it.
A team at Group Health in Seattle USA has been looking at whether patients can benefit from phone
therapy - possibly a more convenient way of delivering treatment. They assigned a group to usual care,
usual care plus phone therapy (including outreach visits) and usual care with care management and
cognitive behavioural therapy delivered by phone.
Those in the phone therapy groups did better than those receiving just usual care. It's true that phone
therapy lacks some of the depth of the person-to-person approach. But clearly it can be of great benefit
and is more easily accessible to more people in need of therapy. The team, backed by the National
Institute of Mental Health, ia now looking at how phone therapy compares to conventional psychotherapy.
Phone Psychotherapy Helps with Depression Meds
Talking can help patients cope with their treatments
by Jan Eickmeier
Less than a third of people with depression get adequate treatment, often because they have trouble
adjusting to medications or they have too little time for psychotherapy.
In the August 25, 2004 issue of Journal of the American Medical Association, researchers reported on a
study in which they evaluated if telephone interventions could improve the treatment for depression.
One intervention consisted of the usual primary care for depression plus care management designed to
help patients adjust to using antidepressants. The second intervention included eight
cognitive-behavioral therapy sessions in addition to care management and the usual primary care.
After 6 months of treatment, patients assigned to get psychotherapy plus care management had
significantly lower depression scores, greater subjective improvements in their depression symptoms,
and greater satisfaction with their treatment than people who just got the usual primary care for
depression. The effects of care management on subjective improvement and satisfaction were smaller,
and there were no significant improvements in depression scores in that group.
Source
Journal of the American Medical Association 25th August 2004
