{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T01:01:13Z","timestamp":1775869273278,"version":"3.50.1"},"reference-count":46,"publisher":"Elsevier BV","issue":"1-3","license":[{"start":{"date-parts":[[2010,6,1]],"date-time":"2010-06-01T00:00:00Z","timestamp":1275350400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2010,6,1]],"date-time":"2010-06-01T00:00:00Z","timestamp":1275350400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100000245","name":"Michael Smith Health Research BC","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000245","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014823","name":"VGH and UBC Hospital Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014823","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Affective Disorders"],"published-print":{"date-parts":[[2010,6]]},"DOI":"10.1016\/j.jad.2009.10.015","type":"journal-article","created":{"date-parts":[[2009,11,6]],"date-time":"2009-11-06T04:12:36Z","timestamp":1257480756000},"page":"243-248","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":21,"title":["Relief of Chronic or Resistant Depression (Re-ChORD): A pragmatic, randomized, open-treatment trial of an integrative program intervention for chronic depression"],"prefix":"10.1016","volume":"123","author":[{"given":"Greg","family":"Murray","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin E.","family":"Michalak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Auby","family":"Axler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Yaxley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brenda","family":"Hayashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c5sa","family":"Westrin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John S.","family":"Ogrodniczuk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edwin M.","family":"Tam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lakshmi N.","family":"Yatham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond W.","family":"Lam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"7","key":"10.1016\/j.jad.2009.10.015_bib1","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1001\/archpsyc.1980.01780200055006","article-title":"Characterological depressions. Clinical and sleep EEG findings separating 'subaffective dysthymias' from 'character spectrum disorders'","volume":"37","author":"Akiskal","year":"1980","journal-title":"Arch. Gen. Psychiatry"},{"key":"10.1016\/j.jad.2009.10.015_bib2","series-title":"Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR","year":"2000"},{"issue":"8","key":"10.1016\/j.jad.2009.10.015_bib3","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1002\/jclp.10181","article-title":"Effectiveness of psychotherapy and combination treatment for chronic depression","volume":"59","author":"Arnow","year":"2003","journal-title":"J. Clin. Psychol."},{"issue":"1\u20133","key":"10.1016\/j.jad.2009.10.015_bib4","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.jad.2006.06.017","article-title":"Dropouts versus completers among chronically depressed outpatients","volume":"97","author":"Arnow","year":"2007","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2009.10.015_bib5","first-page":"405","article-title":"Treatment of dysthmia and minor depression in primary care: a randomized trial in patients aged 18\u201359years","volume":"50","author":"Barrett","year":"2001","journal-title":"J. Fam. Pract."},{"key":"10.1016\/j.jad.2009.10.015_bib6","series-title":"Manual for the Beck Depression Inventory","author":"Beck","year":"1996"},{"issue":"6","key":"10.1016\/j.jad.2009.10.015_bib7","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1176\/appi.ajp.157.6.940","article-title":"Lost human capital from early-onset chronic depression","volume":"157","author":"Berndt","year":"2000","journal-title":"Am. J. Psychiatry"},{"issue":"2\u20133","key":"10.1016\/j.jad.2009.10.015_bib8","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/S0165-0327(01)00343-3","article-title":"Sertraline and\/or interpersonal psychotherapy for patients with dysthymic disorder in primary care: 6-month comparison with longitudinal 2-year follow-up of effectiveness and costs","volume":"68","author":"Browne","year":"2002","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2009.10.015_bib9","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1080\/10503300600756402","article-title":"Relative efficacy of psychotherapy and pharmacotherapy in the treatment of depression: a meta-analysis","volume":"16","author":"De Maat","year":"2006","journal-title":"Psychother. Res."},{"key":"10.1016\/j.jad.2009.10.015_bib10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/bs.3830190102","article-title":"The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory","volume":"19","author":"Derogatis","year":"1974","journal-title":"Behav. Sci."},{"key":"10.1016\/j.jad.2009.10.015_bib11","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1177\/000841749806500303","article-title":"The client-centred evidence-based practice of occupational therapy","volume":"65","author":"Egan","year":"1998","journal-title":"Can. J. Occup. Ther."},{"issue":"11","key":"10.1016\/j.jad.2009.10.015_bib12","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1001\/archpsyc.1989.01810110013002","article-title":"National Institute of Mental Health Treatment of Depression Collaborative Research Program. General effectiveness of treatments","volume":"46","author":"Elkin","year":"1989","journal-title":"Arch. Gen. Psychiatry"},{"issue":"8","key":"10.1016\/j.jad.2009.10.015_bib13","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1016\/S0006-3223(02)01971-6","article-title":"Randomized, placebo-controlled trial of nefazodone maintenance treatment in preventing recurrence in chronic depression","volume":"54","author":"Gelenberg","year":"2003","journal-title":"Biol. Psychiatry"},{"issue":"3","key":"10.1016\/j.jad.2009.10.015_bib14","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1037\/0893-3200.18.3.420","article-title":"Decreasing effect sizes for effectiveness studies\u2014 implications for the transport of evidence-based treatments: comment on Curtis, Ronan, and Borduin (2004)","volume":"18","author":"Henggeler","year":"2004","journal-title":"J. Fam. Psychol."},{"issue":"2","key":"10.1016\/j.jad.2009.10.015_bib15","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/S0006-3223(01)01291-4","article-title":"Does psychosocial functioning improve independent of depressive symptoms? A comparison of nefazodone, psychotherapy, and their combination","volume":"51","author":"Hirschfeld","year":"2002","journal-title":"Biol. Psychiatry"},{"issue":"3","key":"10.1016\/j.jad.2009.10.015_bib16","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.jad.2008.03.018","article-title":"A meta-analysis of psychotherapy and medication in unipolar depression and dysthymia","volume":"110","author":"Imel","year":"2008","journal-title":"J. Affect. Disord."},{"issue":"11","key":"10.1016\/j.jad.2009.10.015_bib17","doi-asserted-by":"crossref","first-page":"1484","DOI":"10.1176\/appi.ps.54.11.1484","article-title":"Integrating psychotherapy and pharmacotherapy to improve outcomes among patients with mood disorders","volume":"54","author":"Jindal","year":"2003","journal-title":"Psychiatr. Serv."},{"issue":"11","key":"10.1016\/j.jad.2009.10.015_bib35","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1001\/archpsyc.1997.01830230015002","article-title":"The clinical course of unipolar major depressive disorders","volume":"54","author":"Judd","year":"1997","journal-title":"Arch. Gen. Psychiatry"},{"issue":"6","key":"10.1016\/j.jad.2009.10.015_bib18","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1176\/ajp.152.6.843","article-title":"Results of the DSM-IV mood disorders field trial","volume":"152","author":"Keller","year":"1995","journal-title":"Am. J. Psychiatry"},{"issue":"20","key":"10.1016\/j.jad.2009.10.015_bib19","doi-asserted-by":"crossref","first-page":"1462","DOI":"10.1056\/NEJM200005183422001","article-title":"A comparison of nefazodone, the cognitive behavioral-analysis system of psychotherapy, and their combination for the treatment of chronic depression","volume":"342","author":"Keller","year":"2000","journal-title":"N. Engl. J. Med."},{"issue":"Suppl 1","key":"10.1016\/j.jad.2009.10.015_bib20","doi-asserted-by":"crossref","first-page":"38S","DOI":"10.1177\/070674372001460101004","article-title":"Clinical guidelines for the treatment of depressive disorders. IV. Medications and other biological treatments","volume":"46","author":"Kennedy","year":"2001","journal-title":"Can. J. Psychiatry"},{"key":"10.1016\/j.jad.2009.10.015_bib21","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1001\/archpsyc.1994.03950010008002","article-title":"Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the national comorbidity survey","volume":"51","author":"Kessler","year":"1994","journal-title":"Arch. Gen. Psychiatry"},{"issue":"3","key":"10.1016\/j.jad.2009.10.015_bib22","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1037\/0021-843X.117.3.552","article-title":"Classification of depressive disorders in the DSM-V: proposal for a two-dimension system","volume":"117","author":"Klein","year":"2008","journal-title":"J. Abnorm. Psychology"},{"key":"10.1016\/j.jad.2009.10.015_bib23","series-title":"Interpersonal Psychotherapy for Depression","author":"Klerman","year":"1984"},{"issue":"8","key":"10.1016\/j.jad.2009.10.015_bib24","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1002\/jclp.10180","article-title":"Pharmacotherapy for chronic depression","volume":"59","author":"Kocsis","year":"2003","journal-title":"J. Clin. Psychol."},{"key":"10.1016\/j.jad.2009.10.015_bib25","series-title":"Paper presented at the Annual Meeting of the Canadian Psychiatric Association","article-title":"Choosing the right antidepressant: a matter of therapeutic profiling","author":"Lam","year":"2001"},{"issue":"8","key":"10.1016\/j.jad.2009.10.015_bib26","doi-asserted-by":"crossref","first-page":"685","DOI":"10.4088\/JCP.v63n0805","article-title":"Combining antidepressants for treatment-resistant depression: a review","volume":"63","author":"Lam","year":"2002","journal-title":"J. Clin. Psychiatry"},{"issue":"3","key":"10.1016\/j.jad.2009.10.015_bib37","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1037\/0022-006X.76.3.459","article-title":"Faster remission of chronic depression with combined psychotherapy and medication than with each therapy alone","volume":"76","author":"Manber","year":"2008","journal-title":"J. Consult. Clin. Psychol."},{"issue":"8","key":"10.1016\/j.jad.2009.10.015_bib27","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.1176\/ajp.151.8.1114","article-title":"Psychotherapy of dysthymia","volume":"151","author":"Markowitz","year":"1994","journal-title":"Am. J. Psychiatry"},{"issue":"1\u20133","key":"10.1016\/j.jad.2009.10.015_bib28","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.jad.2005.10.001","article-title":"A comparative trial of psychotherapy and pharmacotherapy for \"pure\" dysthymic patients","volume":"89","author":"Markowitz","year":"2005","journal-title":"J. Affect. Disord."},{"issue":"1","key":"10.1016\/j.jad.2009.10.015_bib29","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1177\/000841740006700105","article-title":"Validity and community utility of the Canadian Occupational Performance Measure","volume":"67","author":"McColl","year":"2000","journal-title":"Can. J. Occup. Ther."},{"issue":"8","key":"10.1016\/j.jad.2009.10.015_bib30","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1002\/jclp.10176","article-title":"Treatment for chronic depression using Cognitive Behavioral Analysis System of Psychotherapy (CBASP)","volume":"59","author":"McCullough","year":"2003","journal-title":"J. Clin. Psychol."},{"issue":"4","key":"10.1016\/j.jad.2009.10.015_bib31","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1037\/0021-843X.112.4.614","article-title":"Group comparisons of DSM-IV subtypes of chronic depression: validity of the distinctions, part 2","volume":"112","author":"McCullough","year":"2003","journal-title":"J. Abnorm. Psychology"},{"key":"10.1016\/j.jad.2009.10.015_bib32","first-page":"117","article-title":"A randomized controlled trial comparing moclobemide and moclobemide plus interpersonal psychotherapy in the treatment of dysthymic disorder","volume":"10","author":"Mello","year":"2001","journal-title":"J. Psychother. Pract. Res."},{"issue":"7","key":"10.1016\/j.jad.2009.10.015_bib33","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1177\/070674370204700705","article-title":"Breaking the myths: new treatment approaches for chronic depression","volume":"47","author":"Michalak","year":"2002","journal-title":"Can. J. Psychiatry"},{"issue":"5","key":"10.1016\/j.jad.2009.10.015_bib34","doi-asserted-by":"crossref","DOI":"10.2165\/00023210-200822050-00003","article-title":"Burden of bipolar depression: impact of disease and medications on quality of life","volume":"22","author":"Michalak","year":"2008","journal-title":"CNS Drugs"},{"issue":"10","key":"10.1016\/j.jad.2009.10.015_bib36","doi-asserted-by":"crossref","first-page":"1608","DOI":"10.1176\/ajp.156.10.1608","article-title":"Treatment of primary dysthymia with group cognitive therapy and pharmacotherapy: clinical symptoms and functional impairments","volume":"156","author":"Ravindran","year":"1999","journal-title":"Am. J. Psychiatry"},{"key":"10.1016\/j.jad.2009.10.015_bib38","series-title":"Evidence-Based Counselling and Psychological Therapies","author":"Rowland","year":"2000"},{"issue":"11","key":"10.1016\/j.jad.2009.10.015_bib39","doi-asserted-by":"crossref","first-page":"1905","DOI":"10.1176\/ajp.2006.163.11.1905","article-title":"Acute and longer-term outcomes in depressed outpatients requiring one or several treatment steps: a STAR\u204eD report","volume":"163","author":"Rush","year":"2006","journal-title":"Am. J. Psychiatry"},{"issue":"1\u20132","key":"10.1016\/j.jad.2009.10.015_bib40","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.jad.2007.10.013","article-title":"Efficacy of Interpersonal Psychotherapy plus pharmacotherapy in chronically depressed inpatients","volume":"109","author":"Schramm","year":"2008","journal-title":"J. Affect. Disord."},{"issue":"Suppl 1","key":"10.1016\/j.jad.2009.10.015_bib41","doi-asserted-by":"crossref","first-page":"29S","DOI":"10.1177\/070674372001460101003","article-title":"Clinical guidelines for the treatment of depressive disorders. III. Psychotherapy","volume":"46","author":"Segal","year":"2001","journal-title":"Can. J. Psychiatry"},{"issue":"Suppl. 20","key":"10.1016\/j.jad.2009.10.015_bib42","first-page":"22","article-title":"The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10","volume":"59","author":"Sheehan","year":"1998","journal-title":"J. Clin. Psychiatry"},{"issue":"5","key":"10.1016\/j.jad.2009.10.015_bib43","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1177\/000841749506200503","article-title":"The clinical utility of the Canadian Occupational Performance Measure","volume":"62","author":"Toomey","year":"1995","journal-title":"Can. J. Occup. Ther."},{"issue":"Suppl 18","key":"10.1016\/j.jad.2009.10.015_bib44","first-page":"25","article-title":"Using treatment algorithms for the effective management of treatment-resistant depression","volume":"62","author":"Trivedi","year":"2001","journal-title":"J. Clin. Psychiatry"},{"key":"10.1016\/j.jad.2009.10.015_bib45","series-title":"Interpersonal Psychotherapy for Group","author":"Wilfley","year":"2000"},{"key":"10.1016\/j.jad.2009.10.015_bib46","series-title":"Structured Interview Guide for the Hamilton Depression Rating Scale\u2014Seasonal Affective Disorder Version (SIGH-SAD)","author":"Williams","year":"1988"}],"container-title":["Journal of Affective Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032709004753?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032709004753?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T01:08:24Z","timestamp":1759021704000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0165032709004753"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,6]]},"references-count":46,"journal-issue":{"issue":"1-3","published-print":{"date-parts":[[2010,6]]}},"alternative-id":["S0165032709004753"],"URL":"https:\/\/doi.org\/10.1016\/j.jad.2009.10.015","relation":{},"ISSN":["0165-0327"],"issn-type":[{"value":"0165-0327","type":"print"}],"subject":[],"published":{"date-parts":[[2010,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Relief of Chronic or Resistant Depression (Re-ChORD): A pragmatic, randomized, open-treatment trial of an integrative program intervention for chronic depression","name":"articletitle","label":"Article Title"},{"value":"Journal of Affective Disorders","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jad.2009.10.015","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2009 Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}