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There were also fewer patient dropouts with problem-solving treatment (7%) than with amitriptyline (19%).
Problem-solving treatment is a relatively new psychological intervention for depression.
It is a brief and practical psychological intervention that has been found to be effective in the treatment of depressive disorders in primary care.
This is a cognitive–behavioral process through which patients identify effective solutions for coping with stressful, everyday problems in social settings.
Patients learn how to adapt, rather than employ a single coping strategy.* Problem-solving for primary care settings.
The more opportunities older people have to practice new behavior, the more likely they are to retain the skills and use them in the future.
Two studies have evaluated the effectiveness of problem-solving treatment for major depression in primary care settings in the United Kingdom.According to D'Zurilla and Nezu, problem solving consists of five skills.The first is problem orientation, which is concerned with how one views his or her ability to cope with a problem.Depressive disorders are known to be linked with stressful life events, and depressed patients may be less able to cope with these stresses in a clear problem-focused way.The rationale for problem-solving treatment is that symptoms are caused by everyday problems, which can be resolved by the technique of problem-solving, and that resolution of problems leads to reduction in symptoms.PST for primary care settings is briefer and consists of 4 to 6 sessions.PST has also been applied to geriatric and medical populations.The second study assessed whether the combination of problem-solving treatment and antidepressant drugs (a selective serotonin reuptake inhibitor antidepressant) was more effective than either treatment given alone, in patients with major depression.It also compared delivery of the problem-solving technique by practice nurses and general practitioners.PST has received empirical support as a treatment for depression, but some findings are mixed.Nezu (2004) notes that outcomes are best when the problem-solving orientation component of PST is included in addition to the skills training.