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Do Client Attributes Moderate the Effectiveness of a Group Cognitive Behavioral Therapy for Depression in Addiction Treatment?

Abstract  

The study goal was to determine whether client attributes were associated with outcomes from group cognitive behavioral therapy
for depression (GCBT-D) as delivered in community-based addiction treatment settings. Data from 299 depressed residential
clients assigned to receive either usual care (N = 159) or usual care plus GCBT-D (N = 140) were examined. Potential moderators included gender, race/ethnicity, education, referral status, and problem substance
use. Study outcomes at 6 months post-baseline included changes in depressive symptoms, mental health functioning, negative
consequences from substance use, and percentage of days abstinent. Initial examination indicated that non-Hispanic Whites
had significantly better outcomes than other racial/ethnic groups on two of the four outcomes. After correcting for multiple
testing, none of the examined client attributes moderated the treatment effect. GCBT-D appears effective; however, the magnitude
and consistency of treatment effects indicate that it may be less helpful among members of racial/ethnic minority groups and
is worthy of future study.

  • Content Type Journal Article
  • Pages 1-14
  • DOI 10.1007/s11414-012-9289-8
  • Authors
    • Sarah B. Hunter, RAND, Drug Policy Research Center, 1776 Main St., Santa Monica, CA 90407, USA
    • Susan M. Paddock, RAND, Drug Policy Research Center, 1776 Main St., Santa Monica, CA 90407, USA
    • Annie Zhou, RAND, Drug Policy Research Center, 1776 Main St., Santa Monica, CA 90407, USA
    • Katherine E. Watkins, RAND, Drug Policy Research Center, 1776 Main St., Santa Monica, CA 90407, USA
    • Kimberly A. Hepner, RAND, Drug Policy Research Center, 1776 Main St., Santa Monica, CA 90407, USA
    • Journal The Journal of Behavioral Health Services and Research
    • Online ISSN 1556-3308
    • Print ISSN 1094-3412
Posted in: Journal Article Abstracts on 07/30/2012 | Link to this post on IFP |
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