Problem-solving treatment and coping styles in primary care for minor depression

J Consult Clin Psychol. 2008 Dec;76(6):933-43. doi: 10.1037/a0012617.


Research was undertaken to compare problem-solving treatment for primary care (PST-PC) with usual care for minor depression and to examine whether treatment effectiveness was moderated by coping style. PST-PC is a 6-session, manual-based, psychosocial skills intervention. A randomized controlled trial was conducted in 2 academic, primary care clinics. Those subjects who were eligible were randomized (N = 151), and 107 subjects completed treatment (57 PST-PC, 50 usual care) and a 35-week follow-up. Analysis with linear mixed modeling revealed significant effects of treatment and coping, such that those in PST-PC improved at a faster rate and those initially high in avoidant coping were significantly more likely to have sustained benefit from PST-PC.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adaptation, Psychological*
  • Adolescent
  • Adult
  • Counseling
  • Depressive Disorder / diagnosis
  • Depressive Disorder / psychology*
  • Depressive Disorder / therapy*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Primary Health Care*
  • Problem Solving*
  • Psychotherapy / methods*
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Young Adult