© 1999 Evidence-Based Mental Health
A very brief 3 session psychotherapy intervention was effective in subsyndromal depression
Barkham M, Shapiro DA, Gillian EH, et al. Psychotherapy in two-plus-one sessions: outcomes of a randomized controlled trial of cognitive-behavioral and psychodynamic-interpersonal therapy for subsyndromal depression. J Clin Consult Psychol 1999 Apr;67:201–11.
Question In patients with subsyndromal depression, are cognitive behavioural therapy (CBT) and psychodynamic interpersonal therapy (PIT) effective when given using a 2 + 1 model (2 one hour sessions 1 week apart followed by a third 1 hour session 3 months later)?
Randomised (stratified by severity of depression) controlled trial with follow up to 1 year. The study had a 2 x 2 x 3 factorial design (treatment type x delay x severity).
A psychotherapy clinic in the Medical Research Council Unit at the University of Sheffield, UK.
138 patients with subsyndromal depression were randomised. 116 completed the study (mean age 45 y, 58% men). Patients were stratified for severity on the Beck Depression Inventory (BDI) as stressed (n=29), subclinical (n=48), or low level clinically depressed (n=39). Exclusion criteria were >3 sessions of formal therapy in the previous 5 years, a substantive change in medication regimen within the previous 6 months, mania, or psychotic symptoms.
Patients were assigned to CBT or PIT. Each treatment was given in 1 of 2 timeframes, immediately or after a 4 week delay (which acted initially as a control condition). Treatment was given using a 2 +
McMaster University Hamilton, Ontario, Canada
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- Cagnitive behavioural psychotherapy
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