Treating Major Depression by Creating Positive Expectations for the Future: A Pilot Study for the Effectiveness of Future‐Directed Therapy (FDT) on Symptom Severity and Quality of Life

CNS Neuroscience and Therapeutics - Tập 18 Số 2 - Trang 102-109 - 2012
Jennice Vilhauer1, Sabrina Young1, Chanel Kealoha1, Josefine Borrmann1, Waguih William IsHak1, Mark Hyman Rapaport1, Narineh Hartoonian1, Jim Mirocha1
1Cedars-Sinai Medical Center, Los Angeles, CA, USA

Tóm tắt

SUMMARY

Introduction:This nonrandomized pilot study assesses the efficacy of a new future‐oriented form of therapy, known as future‐directed therapy (FDT), as a treatment for patients with Major Depressive Disorder (MDD) in a naturalistic hospital‐based outpatient psychiatry clinic. The study measured symptom severity of depression and anxiety, in addition to quality of life pre‐ and posttreatment.

Aims:The study examined a new manualized treatment designed to help people anticipate a more positive future. The intervention consists of twenty 90‐min group sessions administered twice a week over 10 weeks. The intervention was compared to depressed patients in the same clinic who enrolled in traditional cognitive‐based group psychotherapy. Sixteen patients with MDD completed the FDT intervention as part of their outpatient treatment for depression. Seventeen patients with MDD participated in treatment as usual (TAU) cognitive‐based group therapy. The Quick Inventory of Depressive Symptoms, the Beck Anxiety Inventory, and the Quality‐of‐Life Enjoyment and Satisfaction Questionnaire short form, self‐report instruments were administered prior to and immediately after the completion of therapy.

Results:Patients treated with FDT demonstrated significant improvements in depression (P= 0.001), anxiety (P= 0.021) and quality of life (P= 0.035), and also reported high satisfaction with the therapy. Compared to the TAU group, patients treated with FDT showed greater improvements in depressive symptoms (P= 0.049).

Conclusions:FDT may have the potential of becoming an additional treatment option for patients with MDD.

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