Evidence map›Paper›PMID 21646576›Full record

ArticleArchives of general psychiatry2011

An effectiveness trial of group cognitive behavioral therapy for patients with persistent depressive symptoms in substance abuse treatment.

Katherine E Watkins, Sarah B Hunter, Kimberly A Hepner, Susan M Paddock, Erin de la Cruz, Annie J Zhou, Jim Gilmore

Registry-linked trialAbstract readControlled Clinical Trial
In one paragraph

Article in Archives of general psychiatry, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01191788 (Group Cognitive Behavioral Therapy), which is not on this map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01191788 nacompletednot on this map

Group Cognitive Behavioral Therapy (CBT) For Depression in Clients With Alcohol and Other Drug (AOD) Disorders

TypeinterventionalSponsorRANDRan2006 to 2010Enrolled299ConditionsDepression, Substance UseArmsGroup Cognitive Behavioral Therapy, Group CBT for Depression
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 citations in OpenAlex.

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  7. Brief Strategic Family Therapy: implementing evidence-based models in community settings.Psychotherapy research : journal of the Society for Psychotherapy Research · 2015
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  12. The moderating effects of group cognitive-behavioral therapy for depression among substance users.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2012
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Katherine E WatkinsMSHS, RAND Corporation, Santa Monica, CA 90401-2138, USA. kwatkins@rand.org
Sarah B Hunter
Kimberly A Hepner
Susan M Paddock
Erin de la Cruz
Annie J Zhou
Jim Gilmore
RAND Corporation · US

Funding

GROUP CBT FOR DEPRESSION IN CLIENTS WITH AOD DISORDERSR01AA014699 · NIAAA · RAND CORPORATION · PI WATKINS, KATHERINE E · 2005 to 2009
$3.8M
NIAAA NIH HHS 1R01AA014699-01A2NIAAA NIH HHS R01 AA014699
6 · The paper itself

Abstract

contextAlthough depression frequently co-occurs with substance abuse, few individuals entering substance abuse treatment have access to effective depression treatment.

objectiveThe Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT) study is a community-based effectiveness trial that compared residential substance abuse treatment with residential treatment plus group cognitive behavioral therapy for depression delivered by substance abuse treatment counselors. We hypothesized that intervention clients would have improved depression and substance use outcomes compared with those of clients receiving usual care.

designA nonrandomized controlled trial using a quasi-experimental intent-to-treat design in which 4 sites were assigned to alternate between the intervention and usual care conditions every 4 months for 2½ years.

settingFour treatment programs in Los Angeles County.

participantsWe screened 1262 clients for persistent depressive symptoms (Beck Depression Inventory-II score >17). We assigned 299 clients to receive either usual care (n = 159) or usual care plus the intervention (n = 140). Follow-up rates at 3 and 6 months after the baseline interview were 88.1% and 86.2%, respectively, for usual care and 85.7% and 85.0%, respectively, for the intervention group.

interventionSixteen 2-hour group sessions of cognitive behavioral therapy for depression.

main outcome measuresChange in depression symptoms, mental health functioning, and days of alcohol and problem substance use.

resultsIntervention clients reported significantly fewer depressive symptoms (P < .001 at 3 and 6 months) and had improved mental health functioning (P < .001 at 3 months and P < .01 at 6 months). At 6 months, intervention clients reported fewer drinking days (P < .05) and fewer days of problem substance use (P < .05) on days available.

conclusionsProviding group cognitive behavioral therapy for depression to clients with persistent depressive symptoms receiving residential substance abuse treatment is associated with improved depression and substance use outcomes. These results provide support for a new model of integrated care.

trial registrationclinicaltrials.gov Identifier: NCT01191788.

Indexed as

Cognitive Behavioral TherapyMental HealthPsychotherapy, GroupAdultAlcohol DrinkingComorbidityDepressionFemaleFollow-Up StudiesHumansMaleMiddle AgedSeverity of Illness IndexSubstance-Related DisordersSurveys and QuestionnairesTreatment Outcome

Identifiers

PMID21646576
PMCPMC3230556
OpenAlexW2140512391

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.