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Title: Cognitive behaviour therapy versus treatment as usual in the treatment of depression in older people
Author: Laidlaw, K.
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 2006
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Pharmacotherapy is the most common treatment approach for late life depression, however, because of fears about side effects by practitioners and recipients alike and poor compliance rates with medication there is a need for an investigation of an effective psychological treatment alternative to medication. This study provides an empirical evaluation of Cognitive Behaviour Therapy (CBT) alone versus Treatment as usual (TAU) alone (generally pharmacotherapy) for late life depression in a UK primary care setting. General Practitioners in Fife and Glasgow referred 114 Participants to the study with 44 meeting inclusion criteria and 40 participants providing data that permitted analysis. All participants had a diagnosis of Major Depressive Episode. Participants were randomly allocated to receive either TAU alone or CBT alone. Participants in both treatment conditions benefited from treatment with reduced scores on primary measure of mood at end of treatment. However, one-Way ANOVAs and repeated measures ANOVAs performed between the two treatment conditions showed no differences between each treatment at the end of treatment and at 6 months follow-up on any of the primary outcome measures. Accounting for differences due to living arrangements, ANCOVAs provided evidence that CBT may be beneficial in reducing depression scores and hopelessness at end of treatment and at 6 months follow-up. Both the CBT alone and the TAU alone treatment conditions produced significant reductions in depressive symptoms at the end of treatment and at 6 months follow-up. CBT on its own is shown to be an effective treatment procedure for mild to moderate late life depression.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available