INTEGRATIVE GROUP TREATMENT FOR DEPRESSION

本研究的总体目标是开发一种治疗重度抑郁症的限时团体心理疗法。虽然目前有几种有效的心理社会疗法来治疗抑郁症，但这些疗法在可移植性、成本和疗效方面都有很大的局限性。为了解决这些问题，小组治疗被提议作为个体心理治疗的成本效益的替代方案。然而，最近对文献的回顾表明，目前经经验验证的集体治疗仅提供有限的改善，而不是个体治疗。这项研究的目标是开发一种成本效益高的抑郁症集体治疗方法。拟议的综合治疗计划包括在结构化的、有时间限制的、以应对为基础的模式内进行团体、个人和家庭治疗(GIFT)。目前的提案旨在开发抑郁症的礼物治疗计划。这项研究的目标将首先是，a)为抑郁症患者开发综合团体治疗(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定量表的可靠性和有效性；以及d)进行一项试点试验，调查GIFT计划与安慰剂的短期疗效。这项试点工作将为评估这一治疗方案的抑郁症患者进行更大规模的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.