The Oxford Handbook of Depression and Comorbidity by Richards C. Steven;O'Hara Michael W.;

Author:Richards, C. Steven;O'Hara, Michael W.;
Language: eng
Format: epub
Publisher: Oxford University Press, Incorporated
Published: 2014-09-15T00:00:00+00:00

Psychological Interventions to Treat Depression and Depression Symptoms

To provide the reader with an illustration of the various types of interventions applied to impact distress and/or depression among adult cancer patients, we provide a brief description of a few such approaches.

COGNITIVE THERAPY

Cognitive therapy is based, in part, on the premise that inaccurate beliefs and maladaptive information processing have a fundamental role in depression and correcting such maladaptive thinking serves to reduce distress (DeRubeis, Siegle, & Hollon, 2008). Savard and colleagues (2006) conducted an RCT examining the effect of cognitive therapy for depression in women with metastatic breast cancer. The women were encouraged to develop an optimistic, but realistic, attitude toward their situation, as opposed to a negative (e.g., only thinking about death) or overly positive attitude (e.g., hoping to be cured). The women in the cognitive therapy condition, which lasted for eight weekly sessions plus three booster sessions, were also trained to identify negative thoughts and use cognitive restructuring to alter dysfunctional cognitions about cancer and other life situations. Compared with a wait-list control (WLC) group, those who received cognitive therapy reported significantly lower depression scores on one measure at posttreatment, and reduced depression scores, though not statistically significant, on two additional measures. Treatment gains were maintained at a follow-up assessment, which may have been attributed to the booster sessions included in the treatment protocol.

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