Drug and psychotherapy interactions in depression

Am J Psychiatry. 1976 May;133(5):502-8. doi: 10.1176/ajp.133.5.502.

Abstract

The authors conducted a series of multiple regression analyses of data from depressed patients. They found that 8 factors consistently predicted treatment response: a lower initial level of distress, imipramine treatment, a positive attitude toward group psychotherapy, and a good employment history predicted lower posttreatment distress levels; estrogen maintenance treatment was related to better response to diazepam, and a low level of intelligence predicted better response to both diazepam and imipramine; and a low initial level of interpersonal sensitivity and a significant other's having an unfavorable attitude toward psychiatric treatment were associated with better response to group psychotherapy.

PIP: Multiple regression analyses of experimental data from emotionally depressed patients were conducted to determine factors bearing on the prediction of response to 6 types of treatment of depression. The following 8 factors were found to consistently predict favorable response to treatment: 1) lower initial level of distress, 2) treatment with imipramine, 3) a good employment history, 4) a positive attitude toward group psychotherapy, 5) estrogen replacement therapy enhanced the response to diazepam, 6) a low level of intelligence was predictive of a better response to diazepam and imipramine, 7) a low initial level of interpersonal intersensitivity, and 8) an unfavorable attitude toward psychiatric treatment was associated with a better response to group psychotherapy.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Anxiety
  • Attitude
  • Depression / therapy*
  • Diazepam / therapeutic use*
  • Drug Therapy, Combination
  • Employment
  • Estrogens / therapeutic use*
  • Female
  • Humans
  • Imipramine / therapeutic use*
  • Intelligence
  • Interpersonal Relations
  • Prognosis
  • Psychotherapy*
  • Psychotherapy, Group
  • Regression Analysis

Substances

  • Estrogens
  • Imipramine
  • Diazepam