Work

Comorbid Anxiety as a Differential Treatment Predictor for Telephone Versus Face-to-face Administered Cognitive Behavioral Therapy for Depression

Year: 2014

Type: article

Abstract: BACKGROUND: The present study examines the role of comorbid anxiety on depression outcomes for those receiving cognitive behavioral therapy (CBT) for depression by telephone (T-CBT) or face-to-face (FtF-CBT). METHODS: Three hundred twenty-five participants were randomized to T-CBT or FtF-CBT. Comorbid anxiety was measured using the Mini International Neuropsychiatric Interview and Generalized Anxiety Disorder 7. Depression was measured using the Hamilton Rating Scale for Depression and Patient Health Questionnaire 9. RESULTS: A hierarchical model including the two-way interaction of treatment assignment and anxiety status indicated a significant effect for all outcome variables (Ps < .05). Post hoc t tests indicated T-CBT participants with comorbid anxiety disorders had significantly higher symptom severity over time compared to their T-CBT counterparts without anxiety (Ps < .001) and FtF-CBT counterparts with comorbid anxiety (Ps < .003). There were no significant differences in outcomes between those with and without comorbid anxiety disorders receiving FtF-CBT, or between T-CBT and FtF-CBT among those without comorbid anxiety disorders. CONCLUSIONS: The findings indicate that the presence of baseline anxiety impacts the overall effect of T-CBT for the treatment of depression.

Source: Depression and Anxiety

DOI: 10.1002/da.22323

Authors: Colleen Stiles-Shields, Mary J. Kwasny, Xuan Cai, David C. Mohr

Institution: Northwestern University

Language: English

Topic: Digital Mental Health Interventions

Subfield: Applied Psychology

Field: Psychology

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: bronze

Funder: National Institute of Mental Health