One-year outcomes of a randomized clinical trial treating depression in low-income minority women
Article
Miranda, J, Siddique, J, Belin, T et al. (2006). One-year outcomes of a randomized clinical trial treating depression in low-income minority women
. JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 74(1), 99-111. 10.1037/0022-006X.74.1.99
Miranda, J, Siddique, J, Belin, T et al. (2006). One-year outcomes of a randomized clinical trial treating depression in low-income minority women
. JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 74(1), 99-111. 10.1037/0022-006X.74.1.99
This study examines 1-year depressive symptom and functional outcomes of 267 predominantly low-income, young minority women randomly assigned to antidepressant medication, group or individual cognitive-behavioral therapy (CBT), or community referral. Seventy-six percent assigned to medications received 9 or more weeks of guideline-concordant doses of medications; 36% assigned to psychotherapy received 6 or more CBT sessions. Intent-to-treat, repeated measures analyses revealed that medication (p < .001) and CBT (p = .02) were superior to community referral in lowering depressive symptoms across 1-year follow-up. At Month 12, 50.9% assigned to antidepressants, 56.9% assigned to CBT, and 37.1% assigned to community referral were no longer clinically depressed. These findings suggest that both antidepressant medications and CBT result in clinically significant decreases in depression for low-income minority women. Copyright 2006 by the American Psychological Association.