Efficacy of an audio-based cognitive behavioral therapy for older adults with depression

Thumbnail Image
Journal Title
Journal ISSN
Volume Title
University of Alabama Libraries

The purpose of this study was to develop and assess the efficacy of an audio-based cognitive behavioral therapy (ACBT) intervention for older adults with depressive symptoms. The process of developing this program included: 1) adaptation of a client and therapist manual developed for older adult caregivers (Dick, Gallagher-Thompson, Coon, Powers, & Thompson, 1996); 2) review of the ACBT program by older adults and cognitive behavioral therapists for acceptability; and 3) program revision. The revised program consists of 8 compact discs (CDs) and a workbook on the following topics: 1) introduction to CBT; 2) identifying and changing unhelpful thoughts; 3) addressing feelings; 4) relaxation; 5) engaging in pleasant events; 6) assertiveness; and 7) problem-solving. The next phase of this study entailed testing the efficacy of the ACBT program. Eligible participants (N = 34) were recruited from mainly medical settings and rural communities (e.g. above age 54 with a score greater than 9 on the Geriatric Depression Scale; GDS). Participants were randomly assigned to an immediate treatment group or a minimal contact delayed treatment group. The delayed treatment group waited four weeks to begin treatment while the immediate treatment group received a brief training session and 4 weeks to complete the ACBT program. Both groups received brief weekly contact calls to monitor mood. Outcome analyses assessed change in depression with the Hamilton Rating Scale for Depression (HRSD; Hamilton, 1967) and GDS. Intent-to-treat carry forward analyses revealed significant differences on only the HRSD by group and time. Analyses assessing change on the Somatization subscale of the Brief Symptom Inventory (Derogatis & Spencer, 1983) and GDS by group and time were not significant.

Electronic Thesis or Dissertation
Clinical psychology