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The cognitive behavioural analysis system of psychotherapy prevented recurrence in chronic major depression

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 Q In patients with chronic major depressive disorder (MDD), does the cognitive behavioural analysis system of psychotherapy [CBASP] prevent recurrence?

Clinical impact ratings Psychiatry ★★★★★★☆ GP/FP/Mental health ★★★★★☆☆

METHODS

Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:

{concealed*}.

Embedded ImageBlinding:

blinded ({data collectors} and outcome assessors).*

Embedded ImageFollow up period:

1 year maintenance phase (after 12 wks in a treatment phase and 16 wks in a continuation phase).

Embedded ImageSetting:

12 academic centres in the US.

Embedded ImagePatients:

82 patients who were 18–75 years of age (mean age 45 y, 67% women); began the treatment phase with a DSM-IV diagnosis of MDD (duration ⩾2 y) and a score ⩾20 on the 24 item Hamilton Rating Scale for Depression (HRSD-24); and responded to CBASP alone during the treatment …

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