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This version was published on March 1, 2008
Research on Social Work Practice, Vol. 18, No. 2, 117-131 (2008)
DOI: 10.1177/1049731507301277
© 2008 SAGE Publications

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Problem-Solving Therapy for Depression in Adults: A Systematic Review

Zvi D. Gellis

University at Albany, New York, gellis@ albany.edu.

Bonnie Kenaley

University at Albany, New York

Objectives: This article presents a systematic review of the evidence on problem-solving therapy (PST) for depressive disorders in noninstitutionalized adults. Method: Intervention studies using randomized controlled designs are included and methodological quality is assessed using a standard set of criteria from the Cochrane Collaborative Review Initiative. Results: Twenty-two studies investigating PST for adult depression are compiled and examined. Studies differ in scope and methodological rigor. Sample sizes vary widely; all study outcomes include depression measures; problems in masking of group assignment and randomization are noted. Conclusions: Mixed evidence for PST as a depression treatment is found. The combined use of PST and antidepressant treatment has more favorable outcomes compared with PST alone for social work practice.

Key Words: systematic review • problem-solving therapy • depression


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