Author/Authors :
Bagherzadeh Ledari, Rahim Department of Clinical Psychology - Shaid Beheshti Medical University, Tehran , Masjedi, Abbas Department of Clinical Psychology - Shaid Beheshti Medical University, Tehran , Bakhtyari, Maryam Department of Clinical Psychology - Shaid Beheshti Medical University, Tehran , Zarghami, Mehran Mazandaran University of Medical Sciences, Sari , Nouri, Robabeh Department of Clinical Psychology - Kharazmi University, Tehran , Hosseini, Hamzeh Department of Psychiatry - Mazandaran University of Medical Sciences, Sari
Abstract :
Background: A group of patients with depression do not show proper treatment response to merely biological interventions.
Objectives: The aim of this study was to investigate the effectiveness of add on acceptance and commitment treatment (ACT) and
brief behavioral activation therapy for depression (BATD) to pharmacotherapy in treatment-resistant depression (TRD).
Methods: The study was conducted in Sari and Babol (North of Iran), during year 2016. In this study, the method of multiple baseline
was used. Twelve patients, including eight females and four males, having level 2 European staging model, were randomly selected
and entered the study after an interview by a psychiatrist and conducting SCID-I -SCID-II and checking the inclusion and exclusion
criteria. They were randomly entered in 12 sessions of ACT or BATD. The data obtained were analyzed through the method of visual
outline, reliable change index (RCI), effect size, and improvement percentage formula.
Results: The results of this study showed that the ACT and BATD were useful for improving treatment targets. These results were
statistically significant according to the RCI index. The earned effect size varied from 1 to 3.33.
Conclusions: The results of this study provided greater evidence for ACT and BADT. Also, the present study supports the role of
trans-diagnostic approaches as an add on to in TRD.
