Analysis of the Components of a Cognitive-Behavioral Intervention for the prevention of Depression Administered via Conference Call to Nonprofessional Caregivers

A Randomized Controlled Trial

Bibliographic Data

ID15468423
AuthorsFernando L Vázquez (0000-0002-5868-4025, Universidade de Santiago de Compostela, corresponding author), Lara López (Universidade de Santiago de Compostela), Ángela Torres (0000-0002-0430-1076, Universidade de Santiago de Compostela), Patricia Otero (0000-0002-8283-7722, Universidade da Coruña), Vanessa Blanco (0000-0002-6277-0671, Universidade de Santiago de Compostela), Olga Díaz Fernández (0000-0002-0082-9834, Universidade de Santiago de Compostela), Mario Páramo (0000-0001-5165-9612, Universidade de Santiago de Compostela)
Year2020
Volume17
Issue6
Pages2067-2067
Publication date2020-03-20
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17062067
PMID32244970
OpenAlexW3011420927
LanguageEN
Citations received3
References cited22

Effective and accessible interventions for indicated prevention of depression are necessary and lacking, especially for informal caregivers. Although telephone-based interventions could increase the accessibility for caregivers, randomized controlled trials are scarce, with no examination of prevention to date. Moreover, the efficacy of specific therapeutic components in preventive cognitive-behavioral programs is unknown. The main objective of this study was to evaluate the efficacy of a telephone-administered psychological preventive intervention in informal caregivers with high depressive symptoms. A total of 219 caregivers were randomized to a cognitive-behavioral conference call intervention (CBCC, n = 69), a behavioral-activation conference call intervention (BACC, n = 70), or a usual care control group (CG, n = 80). Both interventions consisted of five 90-minute group sessions. At the post-intervention, incidence of depression was lower in CBCC and BACC compared to CG (1.5% and 1.4% vs. 8.8%). Relative risk was 0.17 for the CBCC and 0.16 for the BACC, and the number-needed-to-treat was 14 in both groups. Depressive symptoms were significantly lower in BACC and BACC groups compared to CG ( d = 1.16 and 1.29), with no significant differences between CBCC and BACC groups. The conference call intervention was effective in preventing depression and the behavioral-activation component (BACC) was comparable to the CBCC intervention

Cognition · Cognitive behavioral therapy · Depression (economics · Intervention (counseling · Physical therapy · Psychiatry · Psychological intervention · Randomized controlled trial · Attachment and Relationship Dynamics · Child and Adolescent Psychosocial and Emotional Development · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Internal Medicine

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