INTEGRATIVE GROUP TREATMENT FOR DEPRESSION

本研究的总体目标是发展一种治疗重性抑郁症的限时团体心理治疗。虽然目前有几种有效的抑郁症心理社会治疗方法，但这些治疗方法在可移植性，成本和疗效方面存在显着局限性。为了解决这些问题，团体治疗已被提议作为个体心理治疗的成本效益替代方案。然而，最近的文献综述表明，目前经临床验证的组治疗相比于个体治疗仅提供有限的改善。本研究的目的是开发一种具有成本效益的抑郁症团体治疗方法。建议的综合治疗方案包括团体，个人和家庭治疗（GIFT）在一个结构化的，有时间限制的，以应对为基础的模型。目前的建议旨在制定抑郁症的GIFT治疗方案。本研究的目标首先是，a）为抑郁症患者开发一个综合性团体治疗（GIFT）治疗计划; B）开发和实施治疗师培训计划; c）开发和评估能力和依从性评级量表的可靠性和有效性;以及d）进行一项试点试验，调查GIFT计划与安慰剂相比的短期疗效。这项试点工作将为评估该治疗方案的抑郁症患者的更大治疗结果研究奠定基础。

The overall aim of this research is to develop a time-limited group psychotherapy for the treatment of major depression. While there are currently several well-validated psychosocial treatments for depression, these treatments have significant limitations in terms of transportability, cost, and efficacy. In order to address these issues, group treatments have been proposed as cost-effective alternatives to individual psychotherapies. However, recent reviews of the literature suggest that current empirically-validated group treatments provide only limited improvement over individual treatment. The goal of this research is to develop a cost-effective group treatment for depression. The proposed integrated therapy program includes group, individual and family treatment (GIFT) within a structured, time-limited, coping-based model. The current proposal is designed to develop the GIFT treatment program for depression. The goal of this research will first be to, a) develop a integrative group therapy (GIFT) treatment program for depressed patients; b) develop and implement a therapist training program; c) develop and evaluate the reliability and validity of competence and adherence rating scales; and d) to conduct a pilot trial investigating the short-term efficacy of the GIFT program versus Placebo. This pilot work will lay the groundwork for a larger treatment outcome study for depressed patients evaluating this treatment program.