dc.contributor.author | Singla, Daisy R. | |
dc.contributor.author | Hollon, Steven D. | |
dc.contributor.author | Fairburn, Christopher G. | |
dc.contributor.author | Dimidjian, Sona | |
dc.contributor.author | Patel, Vikram | |
dc.date.accessioned | 2020-04-27T19:51:59Z | |
dc.date.available | 2020-04-27T19:51:59Z | |
dc.date.issued | 2019-07 | |
dc.identifier.citation | Singla, D. R., Hollon, S. D., Fairburn, C. G., Dimidjian, S., & Patel, V. (2019). The Roles of Early Response and Sudden Gains on Depression Outcomes: Findings From a Randomized Controlled Trial of Behavioral Activation in Goa, India. Clinical psychological science : a journal of the Association for Psychological Science, 7(4), 768–777. https://doi.org/10.1177/2167702619825860 | en_US |
dc.identifier.issn | 2167-7026 | |
dc.identifier.uri | http://hdl.handle.net/1803/9968 | |
dc.description.abstract | The Healthy Activity Program (HAP), a brief, lay-counselor-delivered, behavioral activation psychological treatment, was found to be effective in reducing depressive symptoms among primary care attendees in India. We now examine whether early response predicts depression (PHQ-9) outcomes at the primary endpoint of 3 months and sustained recovery at 12 months after enrollment and the extent to which this effect is influenced by sudden gains in the context of the larger randomized controlled trial. HAP participants (N = 245) who exhibited an early response (150 of 245 or 61.2%), as defined by a 50% reduction in depressive symptoms from baseline to Session 3, had lower depressive symptom scores than those who did not at 3 months (5.29 vs. 10.75, F = 33.21, p < .001) and at 12 months (6.56 vs. 11.02, F = 21.84, p < .001). Further exploratory analyses suggested that this advantage was largely confined to the subset of early responders who also showed sudden gains (87 of 150). | en_US |
dc.description.sponsorship | This research was funded by Wellcome Trust Senior Research Fellowship Grant 091834 (to V. Patel) and Wellcome Trust Principal Research Fellowship Grant 046386 (to C. G. Fairburn). D. R. Singla currently holds an Academic Scholars Award and Distinguished Fellowship from the Medical Psychiatry Alliance in the Department of Psychiatry at the University of Toronto. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | Clinical Psychological Science | en_US |
dc.rights | Clinical Psychological Science2019, Vol. 7(4) 768 –777© The Author(s) 2019Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/2167702619825860www.psychological science.org/CPS | |
dc.source.uri | https://journals.sagepub.com/doi/pdf/10.1177/2167702619825860 | |
dc.subject | early response | en_US |
dc.subject | sudden gains | en_US |
dc.subject | behavioral activation | en_US |
dc.subject | psychological treatment | en_US |
dc.subject | depression | en_US |
dc.subject | nonspecialist provider | en_US |
dc.subject | low- and middle-income country | en_US |
dc.title | The Roles of Early Response and Sudden Gains on Depression Outcomes: Findings From a Randomized Controlled Trial of Behavioral Activation in Goa, India | en_US |
dc.type | Article | en_US |
dc.identifier.doi | 10.1177/2167702619825860 | |