Problem-Solving Treatment and Coping Styles in Primary Care for Minor Depression
Problem-Solving Treatment and Coping Styles in Primary Care for Minor Depression
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DOI：
10.1037/a0012617
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发表时间：
2008-12-01
影响因子：
5.9
通讯作者：
Dietrich, Allen J.
中科院分区：
文献类型：
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作者：
Oxman, Thomas E.;Hegel, Mark T.;Dietrich, Allen J.
研究是为了比较初级护理的问题解决疗法(PST-PC)和轻微抑郁症的常规护理，并检查治疗效果是否受到应对方式的影响。PST-PC是一个6节课。以手工为基础的心理社会技能干预。一项随机对照试验在2个学术初级保健诊所进行。符合条件的受试者被随机分组(N=151)。107名受试者完成治疗(57例PST-PC，50例常规护理)和35周的随访。线性混合模型分析显示，治疗和应对方式有显著影响。因此，PST-PC患者的改善速度更快，而那些最初适应程度较高的回避性应对方式更有可能从PST-PC中获得持续的好处。
Research was undertaken to compare problem-solving treatment for primary care (PST-PC) with usual care for minor depression and to examine whether treatment effectiveness was moderated by Coping style. PST-PC is a 6-session. manual-based, psychosocial skills intervention. A randomized controlled trial was conducted in 2 academic, primary care clinics. Those subjects who were eligible were randomized (N = 151). and 107 subjects completed treatment (57 PST-PC, 50 usual care) and a 35-week follow-up. Analysis with linear mixed modeling revealed significant effects of treatment and Coping. Such that those in PST-PC improved at a faster rate and those initially high fit avoidant Coping were significantly more likely to have sustained benefit from PST-PC.