Effectiveness of Cognitive Behavioral Therapy for Veterans with Depression and Suicidal Ideation

被引：20
|
作者：
Brown, Gregory K. [1 ,2 ]
Karlin, Bradley E. [3 ,4 ,5 ,8 ,9 ]
Trockel, Mickey [6 ,7 ]
Gordienko, Maria [6 ,7 ]
Yesavage, Jerry [6 ,7 ]
Taylor, C. Barr [6 ,7 ]
机构：
[1] US Dept Vet Affairs, VISN Mental Illness Res Educ & Clin Ctr 4, Philadelphia, PA USA
[2] Univ Penn, Dept Psychiat, Perelman Sch Med, Philadelphia, PA 19104 USA
[3] US Dept Vet Affairs, Mental Hlth Serv, Cent Off, Washington, DC USA
[4] Educ Dev Ctr Inc, Waltham, MA USA
[5] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Baltimore, MD USA
[6] Stanford Univ, Med Ctr, Dept Psychiat, Palo Alto, CA 94304 USA
[7] US Dept Vet Affairs, VISN Mental Illness Res Educ & Clin Ctr 21, Palo Alto, CA USA
[8] Johns Hopkins Univ, Educ Dev Ctr, Baltimore, MD 21218 USA
[9] Johns Hopkins Univ, Dept Mental Hlth, Bloomberg Sch Publ Hlth, Baltimore, MD 21218 USA
来源：
ARCHIVES OF SUICIDE RESEARCH | 2016年 / 20卷 / 04期
关键词：
cognitive behavioral therapy; depression; suicide; suicidal ideation; veterans; RANDOMIZED CONTROLLED-TRIAL; HEALTH-CARE-SYSTEM; NATIONAL-DISSEMINATION;
D O I：
10.1080/13811118.2016.1162238
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
The current study examined suicidal ideation (SI) and depression outcomes among Veterans receiving Cognitive Behavioral Therapy for depression (CBT-D) throughout the Department of Veterans Affairs health care system. Patient outcomes included Beck Depression Inventory-II total score and SI item. Of 902 patients, 427 (47%) had no SI, 405 (45%) had SI but no suicidal intent, 26 (3%) indicated suicidal desire, 8 (1%) indicated suicide intent if they had the chance, and 36 (4%) did not answer this question at session one. The odds of SI decreased by 64% from 1.03 at session one to 0.37 at final assessment (OR = 0.36; 95% CI: 0.31, 0.43). Findings reveal that CBT-D was associated with significant decreases in SI and depression among Veterans.
引用
收藏
页码：677 / 682
页数：6
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