Table 1.
Study | Population | Intervention | Comparator(s) | Outcomes (Primary, Secondary) |
---|---|---|---|---|
Larcombe (1984) [48] |
BDI ≥ 20; Self-reported depression ≥ 3 months; Met Feighner criteria for ‘definite’ or ‘probable’ depression; No psychological co-morbidities; Low suicide risk; Normal memory function; No concurrent or prior treatment with major tranquilisers or lithium. Diagnosis of MS confirmed by a neurologist |
Six weekly 90 minute group cognitive behavioural therapy sessions |
Waiting list for delayed treatment |
BDI; HRSD; Mood Ratings (3 item questionnaire, 10 point scale); Depression as rated by significant other (6 item questionnaire, 4 point scale) |
Mohr (2001) [25] |
BDI ≥ 16; HRSD ≥ 16; Clinical diagnosis of MDD assessed using SCID; No psychological or neurological co-morbidities, suicidal tendencies or CNS disorders; Willingness to abstain from any other treatment for depression than that provided in the study. Confirmed diagnosis of MS (Poser criteria) |
Sixteen weekly 50 minute individually administered cognitive behavioural therapy sessions |
Supportive-expressive group therapy; Sertraline |
BDI; BDI-18; HRSD; MDD assessed using SCID |
Mohr (2005) [47] |
BDI-II ≥ 16; HRSD ≥ 14; GNDS ≥ 3 on one or more areas of functioning; No co-morbid dementia, psychosis, substance abuse or suicidal tendencies; Not currently undergoing psychotherapy; No medication other than antidepressants. Diagnosis of MS confirmed by a neurologist |
Sixteen weekly 50 minute telephone administered cognitive behavioural therapy sessions |
Telephone administered supportive emotion-focused therapy |
BDI-II; HRSD; MDD assessed using SCID; Positive affect measured using PANAS-PA |
Mohr (2000) [45] |
POMS-DS ≥ 15; If in treatment for depression must have been in that treatment for ≥ 3 months; No co-morbid dementia or neurological disorders. Confirmed diagnosis of MS (Poser criteria) |
Eight weekly 50 minute telephone administered cognitive behavioural therapy sessions |
Standard care |
POMS-DS; Post-treatment adherence to IFNβ-1a |
Forman (2010) [43] |
Diagnosis of MS > 3 months; HADS ≥ 8 or GHQ-12 ≥ 3 |
Six fortnightly 120 minute group therapy sessions based on cognitive-behavioural and psycho-educational framework |
Standard care |
HADS; GHQ-12; MSIS; MSSE; SF-36 |
Lincoln (2011) [44] |
Diagnosis of MS > 12 months; HADS ≥ 8 or GHQ-12 ≥ 3. Diagnosis of MS confirmed by a neurologist |
Six fortnightly 120 minute group therapy sessions based on cognitive-behavioural and psycho-educational framework |
Standard care |
BDI-II; HADS; GHQ-12; MSIS; MSSE; EQ-5D |
Cooper (2011) [30] | BDI-II ≥ 14 but < 29; EDSS < 8.5; MMSE < 24; No psychological co-morbidities; Low suicide risk; No treatment from psychologist, psychotherapist or psychiatrist within last 3 months. Confirmed diagnosis of MS (McDonald criteria) | Eight 50 minute computerised cognitive behavioural therapy sessions | Standard care | BDI-II; MSIS; SF-36; PHQ-9; GAD-7 |
BDI: Beck Depression Inventory; EDSS: Expanded Disability Status Scale; GAD-7: Generalised Anxiety Disorder 7-item; GHQ-12: General Health Questionnaire 12-item; GNDS: Guy’s Neurological Disability Scale; HADS: Hospital Anxiety and Depression Scale; HRSD: Hamilton Rating Scale for Depression; MDD: Major Depressive Disorder; MMSE: Mini Mental State Examination; MSIS: Multiple Sclerosis Impact Scale; MSSE: Multiple Sclerosis Self-Efficacy Scale; PANAS-PA: Positive Affect subscale of the Positive and Negative Affect Scale; PHQ-9: Patient Health Questionnaire 9-item; POMS-DS: Profile of Mood States - Depression-Dejection Scale; SCID: Structured Clinical Interview for DSM-IV; SF-36: Short Form Health Survey.