Behavioral Activation (BA) for Medication-responsive Chronically Depressed Patients With Impaired Social Functioning

Inclusion Criteria

• •adults aged 20-75 years
• •a primary diagnosis of Dysthymic Disorder, Chronic major depressive disorder or double depression
• •a \>50% decrease in 17 item Hamilton Rating Scale for Depression (HRSD-17) score and a final HRSD-17 score ≤ 10 with an adequate antidepressant medication (ADM) trial (\> 4 weeks on at least 50% Physician's Desk Reference maximum ADM dose)
• •a rating of 1 ("very much improved") or 2 ("much improved") on the Clinical Global Impressions-Improvement scale (CGI-I)
• •continued functional impairment, defined by scores \>1.9 on the Social Adjustment Scale (SAS)
• •unemployment (jobless, looking for work) according to the Bureau of Labor Statistics: jobless and looking and available for work, or underemployed.