Telephone-administered Psychotherapy for Depression in MS Patients: Moderating Role of Social Support

Overview

Journal J Behav Med

Specialty Social Sciences

Date 2009 Nov 27

PMID 19941048

Citations 11

Authors

Victoria Beckner

Isa Howard

Lea Vella

David C Mohr

Affiliations

Soon will be listed here.

Abstract

Depression is common in individuals with multiple sclerosis (MS). While psychotherapy is an effective treatment for depression, not all individuals benefit. We examined whether baseline social support might differentially affect treatment outcome in 127 participants with MS and depression randomized to either Telephone-administered Cognitive-Behavioral Therapy (T-CBT) or Telephone-administered Emotion-Focused Therapy (T-EFT). We predicted that those with low social support would improve more in T-EFT, since this approach emphasizes the therapeutic relationship, while participants with strong social networks and presumably more emotional resources might fare better in the more structured and demanding T-CBT. We found that both level of received support and satisfaction with that support at baseline did moderate treatment outcome. Individuals with high social support showed a greater reduction in depressive symptoms in the T-CBT as predicted, but participants with low social support showed a similar reduction in both treatments. This suggests that for participants with high social support, CBT may be a more beneficial treatment for depression compared with EFT.

Citing Articles

Psychiatric disorders in multiple sclerosis.

Sparaco M, Lavorgna L, Bonavita S J Neurol. 2019; 268(1):45-60.

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The effectiveness of school-based skills-training programs promoting mental health in adolescents: a study protocol for a randomized controlled study.

van Loon A, Creemers H, Vogelaar S, Saab N, Miers A, Westenberg P BMC Public Health. 2019; 19(1):712.

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Social support, negative social exchange, and response to case formulation-based cognitive behavior therapy.

Eidelman P, Jensen A, Rappaport L Cogn Behav Ther. 2018; 48(2):146-161.

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Perceived problem-solving deficits and suicidal ideation: Evidence for the explanatory roles of thwarted belongingness and perceived burdensomeness in five samples.

Chu C, Walker K, Stanley I, Hirsch J, Greenberg J, Rudd M J Pers Soc Psychol. 2017; 115(1):137-160.

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The Effect of Social Support on Quality of Life in Older Adults Receiving Cognitive Behavioral Therapy.

LaRocca M, Scogin F Clin Gerontol. 2016; 38(2):131-148.

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