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19 - CBT for Persistent Depressive Disorder

from Part Four - Cognitive Behavioral Therapy for Depression

Published online by Cambridge University Press:  06 January 2022

By
Anne Garland
Edited by
Gillian Todd  and
Rhena Branch
Gillian Todd
Affiliation:
University of East Anglia
Rhena Branch
Affiliation:
University of East Anglia
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Summary

This chapter describes evidence-based cognitive behavioral therapy (CBT) for the treatment of persistent depressive disorder (PDD) based on an randomized controlled trial conducted in the Nottingham Mood Disorders Service in collaboration with the University of Nottingham, UK. The chapter identifies three key challenges in the context of persistent depression. A case example is used to illustrate the treatment model and the implementation of a collaboratively derived psycho-bio-social formulation and its associated cognitive behavioral interventions.

Keywords

resistant depressionpersistent depressive disorderchildhood adversitycomplex griefcompassion-focused therapy
Type
Chapter
Information
Evidence-Based Treatment for Anxiety Disorders and Depression
A Cognitive Behavioral Therapy Compendium
 , pp. 383 - 401
Publisher: Cambridge University Press
Print publication year: 2022

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References

Further Recommended Reading

Duffy, M., & Wild, J. (2017). A cognitive approach to persistent complex bereavement disorder (PCBD). The Cognitive Behaviour Therapist, e 16 (special issue – invited paper), 1–19. https://doi.org/10.1017/S1754470X17000034Google Scholar
Gilbert, P. (2007). The evolution of shame as a marker for relationship security: A biopsychosocial approach. In Tracy, Jessica L., Robins, Richard W., & Tangney, June Price (Eds.), The self-conscious emotions: Theory and research. Guilford Press.Google Scholar
Garland, A. (2016). Cognitive behavioural case formulation for complex and recurrent depression. In Tarrier, N. & Johnson, J. (Eds.), Case formulation in cognitive behaviour therapy: The treatment of challenging and complex cases. Routledge.Google Scholar
McAllister-Williams, R. H., Christmas, D. M. B., Cleare, J. A., Currie, A., Gledhill, J., Insole, L., Malizia, A. L., McGeever, M., Morriss, R., Robinson, L. J., Scott, M., Stokes, P. R. A., Talbot, P. S., & Young, A. H. (2018). Multiple-therapy-resistant major depressive disorder: A clinically important concept. British Journal of Psychiatry, 212, 274–278. doi:10.1192/bjp.2017.33CrossRefGoogle ScholarPubMed
Moore, R. G., & Garland, A. (2003). Cognitive therapy for chronic and persistent depression. Wiley.Google Scholar
Morriss, R., Garland, A., Nixon, N., Boliang, Guo., James, M., Kaylor-Hughes, C., Moore, R., Ramana, A., Sampson, C., Sweeney, T., & Dalgleish, T. (2016). Efficacy and cost effectiveness of a specialist depression service versus specialist mental healthcare to manage persistent depression: A randomised controlled trial. The Lancet Psychiatry, 9, 821–831.Google Scholar

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.) (DSM-5). American Psychiatric Association.Google Scholar
Amital, D., Fostick, L., Silberman, A., Beckman, M. & Spivak, B. (2008). Serious life events among resistant and non-resistant MDD patients. Journal of Affective Disorders, 110(3), 260–264.Google Scholar
Beck, A. T., Epstein, N., Brown, G. & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893–897. doi:10.1037//0022-006x.56.6.893Google Scholar
Beck, A. T., Kovacs, M., & Weismann, A. (1975). Hopelessness and suicidal behavior. Journal of American Medical Association, 234, 1146–1163.Google Scholar
Beck, A. T., Rush, A. J., Shaw, A. J., & Emery, G. (1979). Cognitive therapy for depression. Guilford Press.Google Scholar
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. E., & Erbaugh, J. K. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.Google Scholar
Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessimism: The hopelessness scale. Journal of Consulting and Clinical Psychology, 42, 861–865.Google Scholar
Blesher, G., & Costello, C. G. (1988). Relapse after recovery from unipolar depression: A critical review. Psychological Bulletin, 104, 84–96.Google Scholar
Brewin, C. R., Wheatley, J., Patel, T., Fearon, P., Hackmann, A., Wells, A., & Myers, S. (2009). Imagery rescripting as a brief stand-alone treatment for depressed patients with intrusive memories. Behaviour, Research and Therapy, 47(7), 569–576. doi:10.1016/j.brat.2009.03.008Google Scholar
Brown, G. K., Ten Have, T., Henriques, G. R., Xie, S. X., Hollander, J. E., & Beck, A. T. (2005). Cognitive therapy for the prevention of suicide attempts: A randomized controlled trial. Journal of American Psychiatric Association, 294(5).Google Scholar
Chapman, D. P., Perry, G., & Strine, T. W. (2005). The vital link between chronic disease and depressive disorders. Preventing Chronic Disease, 2(2), 1–10.Google Scholar
Conway, C. R., George, M. S., & Sackheim, H. A. (2017). Toward an evidence-based, operational definition of treatment-resistant depression: When enough is enough. Journal of American Medical Association Psychiatry, 74, 9–10.Google Scholar
Craddock, N., & Mynors-Wallis, L. (2014). Psychiatric diagnosis: Impersonal, imperfect and important. The British Journal of Psychiatry 204, 93–95. doi:10.1192/bjp.bp.113.133090Google Scholar
Cuijpers, P., Berking, M., Andersson, G., Quigley, L., Kleiboer, A., & Dobson, K. S. (2013). A meta-analysis of cognitive-behavioural therapy for adult depression, alone and in comparison with other treatments. Canadian Journal of Psychiatry, 58(7), 376–385.Google Scholar
Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., Gallop, R., McGlinchey, J. B., Markley, D. K., Gollan, J. K., Atkins, D. C., Dunner, D. L., & Jacobson, N. S. (2006). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74(4), 658–670.CrossRefGoogle ScholarPubMed
Duffy, M., & Wild, J. (2017). A cognitive approach to persistent complex bereavement disorder (PCBD). The Cognitive Behaviour Therapist, e 16 (special issue – invited paper), 1–19. https://doi.org/10.1017/S1754470X17000034Google Scholar
Fava, M. (2003). Diagnosis and definition of treatment resistant depression. Biological Psychiatry, 53(8), 649–659.Google Scholar
Furukawa, T. A., Schramm, E., Weitz, E. S., Salanti, G., Efthimiou, O., Michalak, J., Watanabe, N., Cipriani, A., Keller, M. B., Kocsis, J. H., Klein, D. N., & Cuijpers, P. (2016). Cognitive-behavioural analysis system of psychotherapy (CBASP), a drug, or their combination: Differential therapeutics for persistent depressive disorder: A study protocol of an individual participant data network meta-analysis. British Medical Journal Open Access 4 May, 6:e011769. doi:10.1136/bmjopen-2016-011769CrossRefGoogle Scholar
Garland, A. (2016). Cognitive behavioural case formulation for complex and recurrent depression. In Tarrier, N. and Johnson, J. (Eds.), Case formulation in cognitive behaviour therapy: The treatment of challenging and complex cases. Routledge.Google Scholar
Gilbert, P. (2007). The evolution of shame as a marker for relationship security: A biopsychosocial approach. In Tracy, J. L., Robins, R. W., & Tangney, J. P. (Eds.), The self-conscious emotions: Theory and research. Guilford Press.Google Scholar
Gilbert, P. (2009). The compassionate mind. Constable and Robinson.Google Scholar
Gilbert, P., & Choden, (2013). Mindful compassion: Using the power of mindfulness and compassion to transform lives. Constable Robinson.Google Scholar
Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and self-criticism: Overview and pilot study of a group therapy approach. Clinical Psychology and Psychotherapy, 13, 353–379.Google Scholar
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour, Research and Therapy, 44(1), 1–25.CrossRefGoogle ScholarPubMed
Kennedy, N., & Foy, K. (2005). The impact of residual symptoms on outcome of major depression. Current Psychiatry Reports, 7(6), 441–446. doi: 10.1007/s11920-005-0065-9CrossRefGoogle ScholarPubMed
Kinsella, P., & Garland, A. (2008). Cognitive behavioural therapy for mental health workers: A beginner’s guide. Routledge/Taylor & Francis Group.Google Scholar
Kroenke, K., Spitzer, R., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. doi:10.1046/j.1525-1497.2001.016009606.xGoogle Scholar
Kroenke, K., Wu, J., Bair, M. J., Kerbs, E. E., Damush, T. M., & Tu, W. (2012). Reciprocal relationship between pain and depression: A 12 month longitudinal analysis in primary care. Journal of Pain, 12(9), 964–973. doi:10.1016/j.jpain.2011.03.003Google Scholar
Kupfer, D. J., Frank, E., Perel, J. M., Cornes, C., Mallinger, A. G., Thase, M. E., McEachran, A. B., & Grochocinski, V. J. (1992). Five-year outcome of maintenance therapies in recurrent depression. Archives of General Psychiatry, 49(10), 769–773.Google Scholar
Lee, A. S., & Murray, R. M. (1988). The long-term outcome of Maudsley depressives. British Journal of Psychiatry, 153, 741–751.CrossRefGoogle ScholarPubMed
Lepine, J. P., & Briley, M. (2011). The increasing burden of depression. Neuropsychiatric Disorders and Treatment 7(Suppl 1), 3–7. doi:10.2147/NDT.S19617Google Scholar
Ma, H., & Teasdale, J. D. (2004). Mindfulness based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31–40. doi:10.1037/0022-006X.72.1.31Google Scholar
Martell, C. R., Addis, M. E., & Jacobson, N. S. (2001). Depression in context: Strategies for guided action. W. W. Norton.Google Scholar
Mayberg, H. S. (2014) Neuroimaging and psychiatry: The long road from bench to bedside. In Johnston, J. & Parens, E. (Eds.), Hastings Center Report special issue: Interpreting neuroimages: An introduction to the technology and its limits (pp. S31–S36). Vol. 44, no. 2. March–April.Google Scholar
McAllister-Williams, R. H., Christmas, D. M. B., Cleare, J. A., Currie, A., Gledhill, J., Insole, L., Malizia, A. L., McGeever, M., Morriss, R., Robinson, L. J., Scott, M., Stokes, P. R. A., Talbot, P. S., & Young, A. H. (2018). Multiple-therapy-resistant major depressive disorder: A clinically important concept. British Journal of Psychiatry, 212, 274–278. doi:10.1192/bjp.2017.33Google Scholar
McCullough, J. P. (2000). Treatment for chronic depression: Cognitive behavioural analysis system of psychotherapy. Guilford Press.Google Scholar
Moore, R. G., & Garland, A. (2003). Cognitive therapy for chronic and persistent depression. Wiley.Google Scholar
Morriss, R., Garland, A., Nixon, N., Boliang, G., James, M., Kaylor-Hughes, C., Moore, R., Ramana, A., Sampson, C., Sweeney, T., & Dalgleish, T. (2016). Efficacy and cost effectiveness of a specialist depression service versus specialist mental healthcare to manage persistent depression: A randomised controlled trial. The Lancet Psychiatry, 9, 821–831.Google Scholar
Moussavi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V., & Ustun, B. (2007). Depression, chronic diseases, and decrements in health: Results from the World Health Surveys. The Lancet, 370(9590), 851–858.CrossRefGoogle ScholarPubMed
Mundt, J. C., Marks, I. M., & Greist, J. H. (2002). The Work and Social Adjustment Scale: A simple measure of impairment to functioning. British Journal of Psychiatry, 180, 461–464.CrossRefGoogle Scholar
Murphy, J. A., Sarris, J., & Byrne, G. J. (2017). A review of the conceptualisation and risk factors associated with treatment resistant depression, depression research and treatment. Depression Research and Treatment, Article 4176825. doi:10.1155/2017/4176825CrossRefGoogle Scholar
National Institute for Health and Clinical Excellence (NICE). (2009). Depression in adults: Recognition and management. Clinical Guideline 90 (last updated April 2018).Google Scholar
Nemeroff, C. B. (2007). Prevalence and management of treatment-resistant depression. Journal of Clinical Psychiatry, 68(Suppl 8), 17–25. PMID: 17640154Google ScholarPubMed
Nierenberg, A. A. (2015). Residual symptoms in depression: Prevalence and impact. Journal of Clinical Psychiaitry, 76(11), e1480. doi:10.4088/JCP.13097TX1CGoogle Scholar
Nystrom, S. (1979). Depressions: Factors related to 10-year prognosis. Acta Psychiatrica Scandinavica, 60, 225–238.Google Scholar
Padesky, C. A., & Greenberger, D. (1995). Clinician’s guide to mind over mood. Guilford Press.Google Scholar
Persons, J. B. (2012). The case formulation approach to cognitive behaviour therapy. Guilford Press.Google Scholar
Posner, K., Brown, G. K., Stanley, B., Brent, D., Yershova, V., Oquendo, M. A., Currier, G. W., Melvin, G. A., Greenhill, L., Shen, Sa & Mann, J. J. (2011). The Columbia Suicide Severity Rating Scale: Initial validity and internal consistency findings from three multisite studies with adolescents and adults. American Journal of Psychiatry, 168(12), 1266–1277. doi:10.1176/appi.ajp.2011.10111704Google Scholar
Rosner, R., Pfoh, G., & Kotoucova, M. (2011). Treatment of complicated grief. European Journal of Psychotraumatology, 2, 7995. doi:10.3402/ejpt.v2i0.7995Google Scholar
Rush, A., Trivedi, M. H., Wisniewski, S. R., Nierenberg, A. A., Stewart, J. W., Warden, D., Niederehe, G., Thase, M. E., Lavori, P. W., Lebowitz, B. D., McGrath, P. J., Rosenbaum, J. F., Sackeim, H. A., Kupfer, D. J., James Luther, J., & Fava, M. (2006). Acute and longer-term outcomes in depressed outpatients requiring one or several treatment steps: A STAR*D Report, American Journal of Psychiatry, 163, 1905–1917.Google Scholar
Rush, A. J, Warden, D., Wisniewski, S. R., Fava, M., Trivedi, M. H., Gaynes, B. N., & Nierenberg, A. A. (2009). STAR*D: Revising conventional wisdom. CNS Drugs, 23(8), 627–647. doi: 10.2165/00023210-200923080-00001. PMID: 19594193Google Scholar
Safran, J., & Segal, Z. (1996). Interpersonal processes in cognitive therapy. Basic Books.Google Scholar
Solomon, D. A., Keller, M. B., Leon, A. C., Mueller, T. I., Lavori, P. W., Shea, T., Coryell, W., Warshaw, M., Turvey, C., Maser, J. D., & Endicott, J. (2000). Multiple recurrences of major depressive disorder. American Journal of Psychiatry, 157, 2290233.Google Scholar
Thomson, L., Barker, M., Kaylor-Hughes, C., Garland, A., Ramana, R., Morriss, R., Hammond, E., Hopkins, G., & Simpson, S. (2018). BMC Psychiatry, 18(1), 194. doi:10.1186/s12888-018-1708-9Google Scholar
Watkins, E., Mullan, E., Wingrove, R., Rimes, K., Steiner, H., Bathhurst, N., Eastman, R., & Scott, J. (2011). Rumination focused cognitive behaviour therapy for residual depression: Phase II randomised controlled trial. British Journal of Psychiatry, 199(October), 317–322.CrossRefGoogle ScholarPubMed
Wells, A., Fisher, P., Myers, S., Wheatley, J., Patel, T., & Brewin, C. R. (2012). Metacognitive therapy in treatment resistant depression: A platform trial. Behaviour Research and Therapy, 50(6), 367–373.Google Scholar
Williams, J. B. W., Kobak, K. A., Engelhardt, N., Evans, K., Lipsitz, J., Olin, J., Pearson, J., & Kalai, A. (2008). The GRID-HAMD: Standardization of the Hamilton Depression Rating Scale. International Clinical Psychopharmacology, 23(3), 120–129. doi:10.1097/YIC.0b013e3282f948f5.Google Scholar
Wykes, T., & Callard, F. (2010). Diagnosis, diagnosis, diagnosis: Towards DSM 5. Journal of Mental Health, 19(4), 301–304.CrossRefGoogle ScholarPubMed

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