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Randomized Controlled Trial
. 2008 Dec;76(6):933-43.
doi: 10.1037/a0012617.

Problem-solving treatment and coping styles in primary care for minor depression

Thomas E Oxman  1 , Mark T Hegel, Jay G Hull, Allen J Dietrich
Affiliations
Randomized Controlled Trial

Problem-solving treatment and coping styles in primary care for minor depression

Thomas E Oxman et al. J Consult Clin Psychol. 2008 Dec.

Abstract

Research was undertaken to compare problem-solving treatment for primary care (PST-PC) with usual care for minor depression and to examine whether treatment effectiveness was moderated by coping style. PST-PC is a 6-session, manual-based, psychosocial skills intervention. A randomized controlled trial was conducted in 2 academic, primary care clinics. Those subjects who were eligible were randomized (N = 151), and 107 subjects completed treatment (57 PST-PC, 50 usual care) and a 35-week follow-up. Analysis with linear mixed modeling revealed significant effects of treatment and coping, such that those in PST-PC improved at a faster rate and those initially high in avoidant coping were significantly more likely to have sustained benefit from PST-PC.

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Figures

Figure 1
Figure 1. CONSORT flowchart
PST-PC = problem-solving treatment for primary care; UC = usual care. *Attending 4 or more sessions of PST-PC is considered adequate treatment (Williams et al., 2000).
Figure 2
Figure 2. Depression as a function of Time, Treatment, and Avoidance Coping as assessed by Observer-Rating (MADRS)
Note. Avoidance coping is treated as a continuous measure. As a consequence, the plotted values do not represent means. Rather they represent constructed values for individuals one standard deviation above and below the mean in Avoidance.
Figure 3
Figure 3. Correlation of Avoidant Coping as measured at Week Minus 4 with Depression as a function of Time and Treatment
*p < .05
See this image and copyright information in PMC

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