A randomised controlled trial of cognitive behaviour therapy <i>vs</i> treatment as usual in the treatment of mild to moderate late life depression

Laidlaw, Ken; Davidson, Kate; Toner, Hugh; Jackson, Graham; Clark, Stella Anne; Law, Jim; Howley, Mary; Bowie, Gillian; Connery, Hazel; Cross, Susan

doi:10.1002/gps.1993

Cited by 104 publications

(60 citation statements)

References 40 publications

(33 reference statements)

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“…Dans la revue de la littérature de l'APS (basée sur 3 revues systéma-tiques et 1 ECR), l'efficacité de la psychothérapie, et particulièrement de la thérapie cognitivo-comportementale (TCC), s'est avérée comparable à celle des antidépresseurs, lors de l'évaluation post-traitement, sur le plan de l'amélioration des symptômes cliniques (NICE, 2009) (Laidlaw, et al, 2008). Cependant, la TCC s'est avérée plus efficace que les antidépresseurs au suivi de 6 à 12 mois et présentait un taux de rechutes moindre (NICE, 2009) (Laidlaw, et al, 2008).…”

Section: Pour Les Troubles Dépressifsunclassified

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Efficacité de la psychothérapie comparativement à la pharmacothérapie dans le traitement des troubles anxieux et dépressifs chez l’adulte : une revue de la littérature

Fansi

Jehanno

Lapalme

et al. 2016

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Dans l’optique de l’amélioration d’une couverture de la psychothérapie au Québec, le ministère de la Santé et des Services sociaux a confié à l’Institut national d’excellence en santé et en services sociaux le mandat d’évaluer l’efficacité de la psychothérapie comparée à la pharmacothérapie dans le traitement des adultes souffrant de troubles anxieux et dépressifs. Une mise à jour d’une revue de la littérature récente et de bonne qualité a été effectuée grâce à une revue des revues systématiques traitant de la psychothérapie comparée à la pharmacothérapie dans le traitement des adultes anxieux et dépressifs avec un horizon temporel compris entre 2009 et 2013. Le niveau de l’ensemble de la preuve scientifique permet de dire que de manière générale, il n’y a pas de différence significative entre la psychothérapie et la pharmacothérapie sur le plan de la réduction des symptômes des patients souffrant de troubles anxieux ou dépressifs modérés, ce qui indique une efficacité comparable de ces deux modes de traitement. Cependant, les avantages de la psychothérapie sont maintenus plus longtemps après la fin du traitement que ceux des médicaments. La psychothérapie offre donc une meilleure protection contre la rechute. Par ailleurs, la combinaison de la psychothérapie et de la pharmacothérapie présente une efficacité supérieure à celle de la psychothérapie seule dans les cas chroniques ou graves.Introduction In Quebec, mental disorders affect one in five people in their lifetime. Anxiety and depressive disorders are the main common or moderate mental health disorders. They affect both the individuals with the disorder and the people around them and have substantial economic impact. Psychotropic drugs are the treatment option most often proposed to patients presenting with moderate mental health disorders. Psychotherapy is nevertheless a treatment that should be given consideration.Physical and financial access to psychotherapy remains limited because only one third of professionals qualified to offer it practise in the public sector, and the coverage and reimbursement policy for this service is very restricted. In order to improve such coverage, the Ministère de la Santé et des Services sociaux (MSSS) mandated the Institut national d’excellence en santé et en services sociaux (INESSS) to assess the evidence on the effectiveness of psychotherapy compared with those of pharmacotherapy for the treatment of adults with anxiety and depressive disorders.Methods An update of a review of recent and good quality literature was conducted through a review of systematic reviews dealing with psychotherapy compared to pharmacotherapy in the treatment of anxiety and depression in adults. The period covered included 2009 to 2013. The literature search strategy, modelled on that of the reference review, was applied to Medline, Cochrane Library, CINAHL, Web of Science and health technology assessment agencies. Exploration of the grey literature focused on information available on the websites of various health assessment organizations.Resu...

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Section: Pour Les Troubles Dépressifsunclassified

“…Cependant, la TCC s'est avérée plus efficace que les antidépresseurs au suivi de 6 à 12 mois et présentait un taux de rechutes moindre (NICE, 2009) (Laidlaw, et al, 2008). La TCC s'est avérée aussi efficace lorsqu'elle était administrée en format de groupe ou individuel (Oei & Dingle, 2008).…”

Section: Pour Les Troubles Dépressifsunclassified

Efficacité de la psychothérapie comparativement à la pharmacothérapie dans le traitement des troubles anxieux et dépressifs chez l’adulte : une revue de la littérature

Fansi

Jehanno

Lapalme

et al. 2016

smq

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“…I do not think psychotherapy is a panacea, but evidence supports the efficacy of certain forms of manualized psychotherapies for mild-to-moderate depression. [6][7][8] Although I identify myself as a psychopharmacologist, I think it is better to start with psychotherapy rather than drugs for those conditions. But the reality of health care is that psychotherapy is relatively more expensive than medication.…”

Section: Psychotherapy For Mild-to-moderate Depressionmentioning

confidence: 99%

“…However, a fundamental observation can be made about psychotherapy now-and that is that, although certain psychotherapies [6][7][8] have been shown to be beneficial in depression, most people do not receive the types with proven efficacy.…”

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confidence: 99%

The Current Crisis of Confidence in Antidepressants

2011

J. Clin. Psychiatry

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“…Two recent randomized controlled trials conducted in the UK and recruiting from primary care [9,10] have tended to correct these errors by recruiting older samples with mean ages in the mid-70s, utilising intention to treat designs. Nevertheless, there remains a need for more robust treatment trials examining CBT as an efficacious treatment for late life depression, and most especially with the oldest-old given the demographic transition evident across the globe.…”

Section: Psychotherapeutic Efficacy With Older Peoplementioning

confidence: 99%

A Deficit in Psychotherapeutic Care for Older People with Depression and Anxiety

Laidlaw¹

2013

Gerontology

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In this article, the current state of evidence for psychological therapy for depression and anxiety in later life is briefly reviewed and a number of deficits in psychotherapeutic care are outlined and discussed. Deficits are identified as important in preventing older people from accessing the range and types of psychological interventions that would potentially enhance quality of life. In the main, researchers have overlooked anxiety and, relatively speaking, focused more on late life depression even though this occurs less frequently than anxiety disorders and anxiety symptoms. Similarly, psychotherapists have not given due consideration to the global demographic change in lifespan, with the implications of this unprecedented and profound event for psychotherapists rarely discussed. With the current cohort of older people living beyond the expected lifespans of previous generations, most research in psychotherapy with older people recruits from the younger-old age group (60-74 years). As such it is not known how well existing models of psychotherapy will fit this new cohort of older people. This paper briefly reviews these issues.

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A randomised controlled trial of cognitive behaviour therapy vs treatment as usual in the treatment of mild to moderate late life depression

Cited by 104 publications

References 40 publications

Efficacité de la psychothérapie comparativement à la pharmacothérapie dans le traitement des troubles anxieux et dépressifs chez l’adulte : une revue de la littérature

Efficacité de la psychothérapie comparativement à la pharmacothérapie dans le traitement des troubles anxieux et dépressifs chez l’adulte : une revue de la littérature

The Current Crisis of Confidence in Antidepressants

A Deficit in Psychotherapeutic Care for Older People with Depression and Anxiety

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