Problem-solving therapy for depression: a meta-analysis.

 

problem solving therapy for depression

Problem-Solving Therapy (PST) is an evidenced-based intervention for treating both adult and late-life depression. Based on research identifying ineffective problem-solving ability to be an important vulnerability factor for depression, PST fosters adoption and implementation of adaptive problem-solving attitudes and behaviors as a means of effectively coping with stressful life events. Her current areas of interest include the treatment of depression in medical patients, the integration of cognitive and behavioral therapies with patients' spiritual beliefs and practices, interventions directed toward stress, coping, and health, and cognitive behavior therapy and problem-solving therapy for individuals with personality disorders. Good coping and problem-solving skills make it easier to untangle conflict, manage stress, cope with depression, and make changes to get the life you want. By Stephanie Stephens Stress. Conflict. Frustration. Inevitable facts of life—and notorious triggers for depression and anxiety. Unfortunately, it’s common during a depressive episode to feel trapped, hopeless, and overwhelmed.


Problem-Solving Therapy for Depression – Society of Clinical Psychology


Email This BlogThis! What is Problem-Solving Therapy? Problem-Solving Therapy PST is an evidenced-based intervention for treating both adult and late-life depression.

Based on research identifying ineffective problem-solving ability to be an important vulnerability factor for depression, PST fosters adoption and implementation of adaptive problem-solving attitudes and behaviors as a means of effectively coping with stressful life events. Problem-solving treatment is a relatively new psychological intervention for depression.

It is a brief and practical psychological intervention that has been found to be effective in the treatment of depressive disorders in primary care.

Depressive disorders are known to be linked with stressful life events, and depressed patients may be less able to cope with these stresses in a clear problem-focused way. The rationale for problem-solving treatment is that symptoms are caused by everyday problems, which can be resolved by the technique of problem-solving, and that resolution of problems leads to reduction in symptoms.

Approach Details. Problem-solving therapy PST teaches patients to more effectively generate solutions for problems, such as interpersonal conflicts or the pursuit of goals. Therapists help patients learn and effectively apply the steps of problem problem solving therapy for depression, including:. Types of Problem-Solving Therapy. There are three general types of problem-solving therapy:, problem solving therapy for depression.

This is a cognitive—behavioral process through which patients identify effective solutions for coping with stressful, everyday problems in social settings. Patients learn how to adapt, rather than employ a single coping strategy. Research shows that PST is a brief, effective treatment for mild to moderate psychological disorders, including depression.

This helps patients determine their major goals, asses the problems that are getting in the way of those goals, and apply problem-solving techniques as well as accept uncontrollable situations. PST is a short-term therapy sessions that can be provided in individual or group format. PST for primary care settings is briefer and consists of 4 to 6 sessions. PST has also been applied to geriatric and medical populations. PST has received empirical support as a treatment for depression, but some findings are mixed.

Nezu notes that outcomes are best when the problem-solving orientation component of PST is included in addition to the skills training. Social problem-solving therapy. According to D'Zurilla and Nezu, problem solving therapy for depression, problem solving consists of five skills.

The first is problem orientation, which is concerned with how one views his or her ability to cope with a problem. The second is problem definition, which is concerned with the specific and concrete definition of the problem, and setting achievable and definable goals, problem solving therapy for depression.

The third skill, generation of alternative solutions, involves creating various methods for solving problems and meeting one's goals while withholding judgment on their effectiveness.

The fourth skill, decision making, involves a systematic process to select the best solution for a problem from the list generated. The fifth and final skill, solution implementation and evaluation, involves planning and initiation of solutions, and subsequently evaluating the success of the solution.

The intervention is delivered over ten to twelve sessions. The first session covers education about depression and explication of the model. It is important to educate older people about what depression is and how this therapy works because so many older adults hold inaccurate ideas about depression and are afraid of psychotherapy. After this introduction, the next five sessions focus on teaching each of the skills.

It is important that these skills be taught sequentially, rather than all at once. Older people generally need a longer period to process new information, and allowing more time for discussion of each step facilitates learning. After each skill is taught and practiced, the remaining problem solving therapy for depression are spent using the model to solve the patient's problems.

Guided practice is particularly important in teaching new psychosocial skills. The more opportunities older people have to practice new behavior, the more likely they are to retain the skills and use them in the future. Two studies have evaluated the effectiveness of problem-solving treatment for major depression in primary care settings in the United Kingdom, problem solving therapy for depression.

In these studies, problem-solving treatment was delivered in problem solving therapy for depression sessions over 12 weeks as an acute treatment for depression. The first study found problem-solving to be similarly effective to amitriptyline, in patients with major problem solving therapy for depression. All patients receiving the problem-solving approach found it either helpful or very helpful.

The second study assessed whether the combination of problem-solving treatment and antidepressant drugs a selective serotonin reuptake inhibitor antidepressant was more effective than either treatment given alone, problem solving therapy for depression, in patients with major depression.

It also compared delivery of the problem-solving technique by practice nurses and general practitioners. Problem-solving treatment was equally effective when provided alone or in combination with antidepressant therapy and when provided by nurses or general practitioners.

At present it is unknown whether problem-solving treatment is effective in the long-term treatment of depression, through reducing the rate of relapses or recurrence of illness. Depression in primary care usually occurs in the context of psychosocial problems, which may persist even if depressive symptoms resolve.

As problem-solving treatment teaches patients a technique to enable them to resolve problems in a structured and logical way, it may protect patients against future relapse. However, it is uncertain whether problem-solving treatment is effective in older patients, or whether it is effective in patients with depressive disorders other than major depression. In addition to depression, PST can help with the following conditions or situations:. Why Use PST?

Binder, Ph. The therapy is focused on very concrete problems. Sources and additional information:. An atlas of Depression by d avid S. Baldwin and Jon Birtwistle. Newer Post Older Post Home.

 

Problem Solving Therapy | SpringerLink

 

problem solving therapy for depression

 

Problem-solving therapy for depression: a meta-analysis. Moreover, component analyses indicated that PST is more effective when the treatment program includes (a) training in a positive problem orientation (vs. problem-solving skills only), (b) training in all four major problem-solving skills (i.e., problem definition and formulation, Cited by: Good coping and problem-solving skills make it easier to untangle conflict, manage stress, cope with depression, and make changes to get the life you want. By Stephanie Stephens Stress. Conflict. Frustration. Inevitable facts of life—and notorious triggers for depression and anxiety. Unfortunately, it’s common during a depressive episode to feel trapped, hopeless, and overwhelmed. This paper describes how problem solving therapy (PST) would be applied to the treatment of Sylvia (I. Caro, ), a year-old depressed wife and mother of three. PST involves training individuals in five major processes: problem orientation, problem definition and formulation, generation of alternatives, decision making, and solution Cited by: