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Bibliotherapy as a Treatment for Depression in Primary Care

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Abstract

This study was designed to determine whether a physician-delivered bibliotherapy prescription would compare favorably with the prevailing usual care treatment for depression in primary care (that often involves medication) and potentially offer an alternative. Six family physicians were trained to write and deliver prescriptions for cognitive-behavioral bibliotherapy. Thirty-eight patients were randomly assigned to receive either usual care or a behavioral prescription to read the self-help book, Feeling Good (Burns, D. D. (1999). Feeling good: The new mood therapy. New York: HarperCollins). The treatment groups did not differ in terms of overall outcome variables. Patients in both treatment groups reported statistically significant decreases in depression symptoms, decreases in dysfunctional attitudes, and increases in quality of life. Although not statistically significant, the mean net medical expenses in the behavioral prescription group were substantially less. This study provided empirical evidence that a behavioral prescription for Feeling Good may be as effective as standard care, which commonly involves an antidepressant prescription.

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Authors and Affiliations

  1. Department of Family & Community Medicine, University of Nevada School of Medicine, Brigham Building (MS 316), Reno, NV, 89557-0169, USA

    Elizabeth V. Naylor, Gary E. Johnson, Daniel R. Spogen, Richard Williams, Catherine McCarthy, Marcia M. Lu & David C. Fiore

  2. Department of Psychiatry and Behavioral Sciences, University of Nevada School of Medicine, Reno, NV, USA

    David O. Antonuccio

  3. Division of Behavioral Sciences, University of Connecticut Health Center, Farmington, CT, USA

    Mark Litt

  4. Tahoe Forest Multispecialty Clinics, 880 Alder St., Incline Village, NV, 89451, USA

    Dianne L. Higgins

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  1. Elizabeth V. Naylor
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  2. David O. Antonuccio
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Naylor, E.V., Antonuccio, D.O., Litt, M. et al. Bibliotherapy as a Treatment for Depression in Primary Care. J Clin Psychol Med Settings 17, 258–271 (2010). https://doi.org/10.1007/s10880-010-9207-2

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