They provide instructions for arts and crafts, music, drama, reminiscence, movement and relaxation, cognitive
, and life skills activities like gardening, preparing food, and washing and dressing.
The cognitive-behavioral therapy (CBT) group received 10 sessions of training in relaxation, cognitive
restructuring, and eliminating negative automatic thoughts and dysfunctional attitudes.
The importance of regular exercise for lowering heart rate and reducing stress are examined; progressive relaxation, cognitive
thinking, visualization and imagery techniques also are reviewed.
Individuals randomly received a tricyclic antidepressant (amitriptyline hydrochloride, up to 100 mg/day, or nortriptyline hydrochloride, up to 75 mg/day) medication (n = 53), a placebo (n = 48), stress management (eg, relaxation, cognitive
coping) therapy (three sessions and two telephone contacts) plus a placebo (n = 49), or stress management therapy plus an antidepressant medication (n = 53).