Introduction. Art therapy is one of the least studiedmethods of psychotherapy. Aims. Studied the effectiveness of art therapy in thecomplex treatment of patients with major depressive disorder (DDR). Objectives. Thestudy involved 150 patients of both sexes (87 women, 63 men) aged 18 to 55years, with major depressive disorder of varying degrees of severity.
IntroductionAccording to studies done in recent years regarding the treatment of patients with recurrent depressive disorder, a shift of interest from studies evaluating the effectiveness of therapy to the study of remission is seen. According to the literature, complete remission occurs in only 40–50% of patients, in other cases there is residual symptoms.AimsEvaluating the effectiveness of art therapy in treatment in patients with recurrent depressive disorder on the quality of remission.MethodsThe study involved 135 patients: 60 male and 75 female patients aged from 18 to 30 years old. The main group of patients apart the combined treatment also participated in group art therapy with the use of drawing techniques, while the control group – statutory standard therapy. We used clinical, psychopathological, psychodiagnostic and statistical methods.ResultsThe results of the effectiveness of art therapy in complex treatment in patients with recurrent depressive disorder is detected primarily in reducing of the level of anxiety at the early stages of treatment, as well as in reducing of the severity of anhedonia and improving the quality of life in remission period.ConclusionThese results support the use of art therapy in treatment in patients with recurrent depressive disorder during period of active treatment, and after achieving clinical remission contributes to achieving and maintaining high-quality and stable remission with full restoration of quality of life and social functioning.Disclosure of interestThe authors have not supplied their declaration of competing interest.
IntroductionRelevance of the topic is due to the difficulty of understanding the true causes of the own experiences of patients with depressive disorder, as well as providing the opportunity to work deeply with these factors as for the patient and therapist.AimsThe role of art therapy (AT) in the treatment of patients with depressive disorder.Objectives40 patients - men and women aged 18 – 30 years.Tasks: note the extent to which an objective interpretation of the content of the picture with his patient's subjective experience: comparison of results of treatment between patients who had sessions of AT and patients who didn’t have it; determine the regressing symptoms after sessions of AT.MethodsClinico-diagnostical method; picturesque method, Hamilton Depression scale; Hamilton anxiety scale.Results90% of patients have drawn interpretation of the content of their subjective experiences, 70% of patients reduced the level of anxiety, 75% of patients experienced improvement in mood between sessions, 77% of patients self-esteem has increased, 80% of patients had sustained remission, and 68% - a positive outlook for the future has appeared. Thus, this study indicates that AT is a powerful aide in treatment of depression, helps patients cope with depression, returning to their lives a sense of internal control and order, and facilitating the psychodiagnostic work of physician, allowing him to carry out the appropriate psycho-correction, which improves the quality of treatment and rehabilitation of patients with depressive disorder.
IntroductionAccording to studies done in recent years regarding the treatment of patients with melancholy in major depressive disorder, a shift of interest from studies evaluating the effectiveness of therapy to the study of remission is seen. Despite significant progress in the development of pharmacotherapy of depressive disorders, difficulty in achieving rapid reduction in depressive symptoms and stable remission in patients with melancholic depression necessitated the search for new approaches to the treatment of this pathology.AimsEvaluating the effectiveness of art therapy in treatment in patients with melancholy in major depressive disorder on the quality of remission.MethodsThe study involved 135 patients – 60 male and 75 female patients aged from 18 to 30 years old. The main group of patients apart the combined treatment also participated in group art therapy with the use of drawing techniques, while the control group – statutory standard therapy.ResultsThe results of the use of art therapy in complex treatment in patients with major depressive disorder is detected primarily in reducing of the level of anxiety at the early stages of treatment (60% of patients have noticed decreasing of melancholic state), as well as improving the quality of life in remission period.ConclusionThese results support the use of art therapy in treatment in patients with melancholy in major depressive disorder during period of active treatment, and after achieving clinical remission contributes to achieving and maintaining high-quality and stable remission with full restoration of quality of life and social functioning.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Objective:To estimate the efficacy of lamotrigine as add-on therapy in patients with recurrent depression resistant to antidepressive pharmacotherapy.Object:The study included 55 patients of both sexes aged 18-65 years with recurrent depressive disorder. At the time of inclusion in the study, patients received antidepressive pharmacotherapy for 2 months with a reduction in depressive symptoms less than 25%.Results:According to the results of clinical observations, patients with atypical variants of depressive symptoms have been isolatedAnxious or agitated depression with dominance or significant share of anxiety affect, ideational and motor excitation, high suicide risk;Apathetic depression - lack of desire and motivation to work, intolerance to intellectual and physical activities;Adynamic or anergic depression dominated by slackness, weakness in the presence of the desire for activity;Dysphoric depression with an angry, irritable background mood, a tendency to auto-and getero-agressive actions.In patients with atypical depression and (anxious and dysphoric), lamotrigine adjunctive therapy, a significantly more positive dynamic state was observed than in patients with classical clinical picture of depression.On the Hamilton depression scale decreased to 13 points or less (no anxiety-depressive symptoms) with 25 points or more (clinical symptoms of anxiety depression) at the beginning of the research;Conclusion:The efficacy of lamotrigine to overcome treatment resistance in recurrent depression. The most expedient is to use it for additional therapy in combination with antidepressants in recurrent depression with atypical clinical picture of depression - anxious and dysphoric.
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