Depression Treatment: Do Cancer and Treatment Type Affect Distress?

Do cancer and treatment type affect distress?

Filed under: Depression Treatment

Psychooncology. 2012 Oct 29;
Admiraal JM, Reyners AK, Hoekstra-Weebers JE

OBJECTIVE: We examined differences in distress levels and Distress Thermometer (DT) cutoff scores between different cancer types. The effect of socio-demographic and illness-related variables on distress was also examined. METHODS: One thousand three hundred fifty patients (response?=?51%) completed questions on socio-demographic and illness-related variables, the Dutch version of the DT and Problem List, and the Hospital Anxiety and Depression Scale. Receiver operating characteristics analyses were performed to determine cancer specific cutoff scores. Univariate and multivariate effects of socio-demographic and illness-related variables (including cancer type) on distress were examined. RESULTS: Prostate cancer patients reported significantly lower DT scores (M?=?2.5?±?2.5) and the cutoff score was lower (?4) than in patients with most other cancer types (M varied between 3.4 and 5.1; cutoff???5). Multivariate analyses (F?=?10.86, p?HubMed – depression

Cognitive Processing of Trauma and Attitudes Toward Disclosure in the First Six Months After Military Deployment.

Filed under: Depression Treatment

J Clin Psychol. 2012 Oct 26;
Currier JM, Lisman R, Irene Harris J, Tait R, Erbes CR

OBJECTIVES: To examine the role of cognitive processing and attitudes toward trauma disclosure among newly returned veterans of the Iraq and Afghanistan wars. METHOD: In total, 110 veterans completed the Cognitive Processing of Trauma Scale, Disclosure of Trauma Questionnaire, and assessments of posttraumatic stress symptoms (PTSS), depression, and posttraumatic growth (PTG). RESULTS: Both maladaptive and adaptive processing were the strongest predictors of PTSS and depression, ßs = .21 to .38. However, urge to discuss trauma was the main predictor of PTG, ß = .53. Correlational findings suggested that veterans’ willingness to discuss their traumas and reactivity to doing so were related with their processing of these experiences, rs = .23 to .40. CONCLUSION: This study provides further support for the critical intersection between cognitive processing and disclosure, while also suggesting the need for more research on the intra- and inter-personal dimensions of these constructs in negative and constructive outcomes after trauma.
HubMed – depression

Effectiveness of Abbreviated CBT for Insomnia in Psychiatric Outpatients: Sleep and Depression Outcomes.

Filed under: Depression Treatment

J Clin Psychol. 2012 Oct 26;
Wagley JN, Rybarczyk B, Nay WT, Danish S, Lund HG

OBJECTIVE: To test the efficacy of cogntive-behavioral therapy for insomnia (CBT-I) as a supplement treatment for psychiatric outpatients. Comorbid insomnia is prevalent among individuals with varied psychiatric disorders and evidence indicates that CBT-I may be effective for reducing insomnia and other psychiatric symptoms. METHOD: The present study randomly assigned 30 psychiatric outpatients (mean duration of treatment = 3.6 years) with low sleep quality and residual depressive symptoms to two sessions of CBT-I or a treatment as usual control group. Assessment included the Pittsburgh Sleep Quality Index (PSQI) for insomnia and the Patient Health Questionnaire (PHQ-9) for depression at pretreatment and 4 and 8 weeks posttreatment. RESULTS: Patients who received CBT-I demonstrated within group changes in PSQI and the PHQ-9 scores at both 4 and 8 weeks posttreatment, but did not show between-group differences. Additionally, 38% of the treatment participants achieved normal sleep at follow-up compared with none in the control condition. CONCLUSIONS: This study provides preliminary evidence that abbreviated behavioral treatment has beneficial effects on residual insomnia and depression in long-term psychiatric outpatients.
HubMed – depression

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