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Cognitive behavioural therapy has short term but not long term benefits in people with residual symptoms of depression
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Q Does cognitive behavioural therapy reduce the risk of relapse in people with residual symptoms of depression?

METHODS

Embedded ImageDesign:

Retrospective follow up of an earlier randomised controlled trial.

Embedded ImageAllocation:

Not clear.

Embedded ImageBlinding:

Not clear.

Embedded ImageFollow up period:

Follow up extended from about 1.5 to 6 years.

Embedded ImageSetting:

Cambridge and Newcastle, UK.

Embedded ImagePatients:

135 people with a diagnosis of depression (DSM-III-R) in the last 18 months with continual residual symptoms, and receiving antidepressants or selective serotonin reuptake inhibitors. Main exclusion criteria: history of bipolar disorder, cyclothymia, drug or alcohol dependence, persistent antisocial behaviour or self harm, dysthymia, borderline personality disorder, IQ of <70, organic brain disorder, previous cognitive behavioural therapy (CBT), another axis 1 disorder, and current psychotherapy.

Embedded ImageIntervention:

Participants received CBT plus clinical management, or clinical management alone. CBT consisted of 16 sessions over 20 …

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