Treatment of unipolar depression in problem drinkers

Turner, Rex W.; Wehl, Chris K.

doi:10.1016/0146-6402(84)90006-7

Cited by 17 publications

(13 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In one study a moderate effect on alcohol use and/or depressive symptoms with Cognitive Behavior Therapy-Depression (CBT-D) was demonstrated, but included only patients with elevated depression (Beck Depression Inventory ≥ 10), not diagnosed depressive disorders [14]. Another study found that adding CBT-D for alcoholics with significant depressive symptoms was more effective on mood and alcohol use measures than standard treatment alone within an individual, but not a group treatment modality [35]. However, it is possible that treatment effects were due to the added therapist contact in the individual condition.…”

Section: Treatment Of Co-occurring Depression and Substance Related Pmentioning

confidence: 99%

Co-Occurring Chronic Depression and Alcohol Dependence: A Novel Treatment Approach

Kim¹,

Christopher²,

König³

et al. 2013

Psychiatric Disorders - New Frontiers in Affective Disorders

View full text Add to dashboard Cite

Section: Treatment Of Co-occurring Depression and Substance Related Pmentioning

confidence: 99%

Co-Occurring Chronic Depression and Alcohol Dependence: A Novel Treatment Approach

Kim¹,

Christopher²,

König³

et al. 2013

Psychiatric Disorders - New Frontiers in Affective Disorders

View full text Add to dashboard Cite

“…Similarly, depression in alcoholics constitutes a realm of indications for behaviour therapy [3]. In a group of severely depressed, often unmotivated individuals, also showing cognitive deficits such as reduction of short-term memory capacity and of the ability to reason abstractly, classical behaviour therapy proved to be superior to cog nitive therapy, the reason being that the former method provides concrete guidelines for conduct, such as keeping a record of activities and making an effort to increase the frequency of simple reinforcing behaviours.…”

Section: Therapeutic Approaches For the Treatment Of Depressive Disormentioning

confidence: 99%

“…Despite these early considerations the above associa tion was subject to neither discussion nor systematic research for a long time to come [3], Only in the last 10 years have the steadily increasing interest in psychiatric disorders in alcoholics as well as the possibilities for thera py in this special group become evident. Schuckit [4] 273 in-patient primary alcoholics DSM-III 30% current severe affective disorder Roy et al [5] 339 in-patient alcoholics Schedule for Affective Disorders and Schizophrenia -Lifetime Version.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Alcoholism and Depression

Baving

Olbrich²

1996

Eur Addict Res

View full text Add to dashboard Cite

Alcoholism and depressive disorders co-occur far more commonly than would be expected. The great prevalence of depression in alcoholics constitutes an important clinical issue, because alcoholic subjects with a coexisting depression exhibit heavier alcohol abuse, severer physical damage and greater liability to both psychotropic drug abuse and overdose behaviour than non-depressive alcoholics. The former also experience more frequent and severer relapses and are at greater risk of suicide. The nature of the relationship between alcohol dependence and depressive disorders is of considerable theoretical significance. Three possible non-mutually exclusive types of association are discussed: (1) the ingestion of alcohol may be an attempt at self-medication of depressive symptoms; (2) depression and alcohol abuse may, independently of each other, be attributable to an underlying, possibly genetic, factor; (3) depression may be a result of alcoholism: either induced by heavy alcohol consumption, as a consequence of alcohol withdrawal or as a psychoreactive phenomenon. Clinical guidelines for pharmaco- and psychotherapy of depression in patients suffering from alcoholism are outlined.

show abstract

“…One early study reported positive fi ndings using this approach, but more treatment contact was provided with CBT-D ver-sus the standard comparison treatment (Monti et al, 1990;Turner and Wehl, 1984). In a subsequent pilot study that corrected this design fl aw (Brown et al, 1997), we evaluated the comparative effi cacy of adding CBT-D versus a relaxation training control (RTC) to standard partial hospital alcohol treatment in a sample of 35 alcohol-dependent individuals with elevated levels of depressive symptoms.…”

mentioning

confidence: 99%

A Randomized Controlled Trial of Cognitive-Behavioral Treatment for Depression Versus Relaxation Training for Alcohol-Dependent Individuals With Elevated Depressive Symptoms

Brown

Ramsey

Kahler

et al. 2011

J. Stud. Alcohol Drugs

View full text Add to dashboard Cite

ABSTRACT. Objective: A previous pilot study found positive outcomes among alcohol-dependent individuals with elevated depressive symptoms who received cognitive-behavioral treatment for depression (CBT-D; n = 19) compared with a relaxation training control (RTC; n = 16). The current study represents a replication of this pilot study using a larger sample size and a longer follow-up assessment period. Method: Patients entering a partial hospital drug and alcohol treatment program who met criteria for alcohol dependence and elevated depressive symptoms (Beck Depression Inventory score ≥ 15) were recruited and randomly assigned to receive eight individual sessions of CBT-D (n = 81) or RTC (n = 84). Results: There were signifi cant improvements in depressive and alcohol use outcomes over time for all participants.Compared with RTC, the CBT-D condition had signifi cantly lower levels of depressive symptoms, as measured by the Beck Depression Inventory, at the 6-week follow-up. However, this effect was inconsistent because there were no differences in the Modifi ed Hamilton Rating Scale for Depression between conditions at that time point and there were no signifi cant differences at any other follow-up. No signifi cant between-group differences on alcohol use outcomes were found. Conclusions: The current fi ndings did not replicate the positive outcomes observed in the CBT-D condition in our previous pilot study. Possible explanations for why these fi ndings were not replicated are discussed, as are theoretical and clinical implications of using CBT-D in alcohol treatment. (J. Stud. Alcohol Drugs, 72, 286-296, 2011)

show abstract

Treatment of unipolar depression in problem drinkers

Cited by 17 publications

References 26 publications

Co-Occurring Chronic Depression and Alcohol Dependence: A Novel Treatment Approach

Co-Occurring Chronic Depression and Alcohol Dependence: A Novel Treatment Approach

Alcoholism and Depression

A Randomized Controlled Trial of Cognitive-Behavioral Treatment for Depression Versus Relaxation Training for Alcohol-Dependent Individuals With Elevated Depressive Symptoms

Contact Info

Product

Resources

About