Is there a role for continuation phase cognitive therapy for depressed outpatients?

Robin B. Jarrett, Monica R. Basco, Richard Risser, Janaki Ramanan, Maria Marwill, Dolores Kraft, A. John Rush

Research output: Contribution to journalArticle

45 Scopus citations

Abstract

Two pilot studies evaluated the rate of relapse or recurrence (i.e., major depressive disorder) after cognitive therapy (CT). Two sequential cohorts included outpatients who responded to acute phase CT (A-CT) and who agreed to monthly, treatment-free follow-up. In Study 1, the Kaplan-Meier technique estimated relapse and recurrence rates of 40% at 6 months, 45% at 8 months, 50% at 12 months, 67% at 18 months, and 74% at 24 months. In Study 2, responders to A-CT received 8 months (10 sessions) of continuation phase CT (C-CT). In Study 2, relapse or recurrence was 20% at 6 and 8 months, 27% at 12 months, and 36% at 18 and 24 months after A-CT. An exploratory log-rank test showed that relapse or recurrence-free survival was greater in Study 2 than in Study 1. If replicated, this result suggests that C-CT can reduce depressive relapse or recurrence. Alternative explanations are presented.

Original languageEnglish (US)
Pages (from-to)1036-1040
Number of pages5
JournalJournal of Consulting and Clinical Psychology
Volume66
Issue number6
DOIs
StatePublished - 1998

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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