Beliefs about the causes of depression and treatment preferences

The relation between patients' beliefs about the causes of their depression, treatment preferences, and demographic variables was studied in a sample of 156 patients in a randomized controlled trial for depression (supportive‐expressive psychotherapy vs. medication vs. placebo). No gender diffe...

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Bibliographic Details
Published in:Journal of clinical psychology 2011-06, Vol.67 (6), p.539-549
Main Authors: Khalsa, Shabad-Ratan, McCarthy, Kevin S., Sharpless, Brian A., Barrett, Marna S., Barber, Jacques P.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adult and adolescent clinical studies
Aged
Belief & doubt
Biological and medical sciences
Clinical trials
Correlation analysis
Depression
Depressive Disorder, Major - etiology
Depressive Disorder, Major - therapy
Female
gender
Health Knowledge, Attitudes, Practice
Humans
major depressive disorder
Male
Medical sciences
Mental depression
Mental health care
Middle Aged
Mood disorders
Patient Preference
patient preferences
Preferences
psychodynamics
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy
Racial differences
Surveys and Questionnaires
United States
Young Adult
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Summary:The relation between patients' beliefs about the causes of their depression, treatment preferences, and demographic variables was studied in a sample of 156 patients in a randomized controlled trial for depression (supportive‐expressive psychotherapy vs. medication vs. placebo). No gender differences were found in beliefs or preferences. Racial differences were found for causes endorsed, but not preferences. Treatment experience predicted endorsement of characterological and biological causes. Psychotherapy experience predicted preference for medication. Finally, patients preferring psychotherapy endorsed childhood and complex causes more than those preferring medication, but the groups did not differ in other reasons endorsed. Implications of findings are discussed. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–11, 2011.
ISSN:0021-9762
1097-4679
DOI:10.1002/jclp.20785