TY - JOUR
KW - Adult
KW - Alcohol
KW - Alcoholism/complications/diagnosis/psychology
KW - Cognitive Therapy
KW - depressed
KW - Depression/complications/diagnosis/psychology/therapy
KW - Diagnosis, Dual (Psychiatry)
KW - face-to-face
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - office visits
KW - Patient Compliance
KW - primary care
KW - Primary Health Care
KW - Psychiatric Status Rating Scales
KW - Telemedicine/instrumentation
KW - Telephone
KW - Time Factors
KW - Treatment Outcome
AU - R. K. Kalapatapu
AU - J. Ho
AU - X. Cai
AU - S. Vinogradov
AU - S. L. Batki
AU - D. C. Mohr
A1 - 
AB - This secondary analysis of a larger study compared adherence to telephone-administered cognitive-behavioral therapy (T-CBT) vs. face-to-face CBT and depression outcomes in depressed primary care patients with co-occurring problematic alcohol use. To our knowledge, T-CBT has never been directly compared to face-to-face CBT in such a sample of primary care patients. Participants were randomized in a 1:1 ratio to face-to-face CBT or T-CBT for depression. Participants receiving T-CBT (n = 50) and face-to-face CBT (n = 53) were compared at baseline, end of treatment (week 18), and three-month and six-month follow-ups. Face-to-face CBT and T-CBT groups did not significantly differ in age, sex, ethnicity, marital status, educational level, severity of depression, antidepressant use, and total score on the Alcohol Use Disorders Identification Test. Face-to-face CBT and T-CBT groups were similar on all treatment adherence outcomes and depression outcomes at all time points. T-CBT and face-to-face CBT had similar treatment adherence and efficacy for the treatment of depression in depressed primary care patients with co-occurring problematic alcohol use. When targeting patients who might have difficulties in accessing care, primary care clinicians may consider both types of CBT delivery when treating depression in patients with co-occurring problematic alcohol use.
BT - Journal of psychoactive drugs
C5 - HIT & Telehealth
CP - 2
CY - United States
DO - 10.1080/02791072.2013.876521
IS - 2
JF - Journal of psychoactive drugs
N2 - This secondary analysis of a larger study compared adherence to telephone-administered cognitive-behavioral therapy (T-CBT) vs. face-to-face CBT and depression outcomes in depressed primary care patients with co-occurring problematic alcohol use. To our knowledge, T-CBT has never been directly compared to face-to-face CBT in such a sample of primary care patients. Participants were randomized in a 1:1 ratio to face-to-face CBT or T-CBT for depression. Participants receiving T-CBT (n = 50) and face-to-face CBT (n = 53) were compared at baseline, end of treatment (week 18), and three-month and six-month follow-ups. Face-to-face CBT and T-CBT groups did not significantly differ in age, sex, ethnicity, marital status, educational level, severity of depression, antidepressant use, and total score on the Alcohol Use Disorders Identification Test. Face-to-face CBT and T-CBT groups were similar on all treatment adherence outcomes and depression outcomes at all time points. T-CBT and face-to-face CBT had similar treatment adherence and efficacy for the treatment of depression in depressed primary care patients with co-occurring problematic alcohol use. When targeting patients who might have difficulties in accessing care, primary care clinicians may consider both types of CBT delivery when treating depression in patients with co-occurring problematic alcohol use.
PP - United States
PY - 2014
SN - 0279-1072; 0279-1072
SP - 85
EP - 92
EP - 
T1 - Cognitive-behavioral therapy in depressed primary care patients with co-occurring problematic alcohol use: effect of telephone-administered vs. face-to-face treatment-a secondary analysis
T2 - Journal of psychoactive drugs
TI - Cognitive-behavioral therapy in depressed primary care patients with co-occurring problematic alcohol use: effect of telephone-administered vs. face-to-face treatment-a secondary analysis
U1 - HIT & Telehealth
U2 - 25052784
U3 - 10.1080/02791072.2013.876521
VL - 46
VO - 0279-1072; 0279-1072
Y1 - 2014
ER -