Combining psychotherapy and antidepressants in the treatment of depression

Jonghe, Frans de; Kool, Simone; Aalst, Gerda van; Dekker, Jack; Peen, Jaap

doi:10.1016/s0165-0327(00)00259-7

Cited by 210 publications

(110 citation statements)

References 10 publications

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“…CBT was based on the principles described by Beck (19) and included behavioral activation and cognitive restructuring according to a session-bysession protocol with homework assignments. Short-term psychodynamic supportive psychotherapy (18,(20)(21)(22)(23)(24) was used to represent the psychodynamic intervention. This modality involved an open patient-therapist dialogue that used supportive and insight-facilitating techniques to address the emotional background of the depressive symptoms by discussing current relationships, internalized past relationships, and intrapersonal patterns.…”

Section: Interventionsmentioning

confidence: 99%

The Efficacy of Cognitive-Behavioral Therapy and Psychodynamic Therapy in the Outpatient Treatment of Major Depression: A Randomized Clinical Trial

Driessen

Van²,

Don³

et al. 2014

FOC

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Section: Interventionsmentioning

confidence: 99%

The Efficacy of Cognitive-Behavioral Therapy and Psychodynamic Therapy in the Outpatient Treatment of Major Depression: A Randomized Clinical Trial

Driessen

Van²,

Don³

et al. 2014

FOC

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“…Alguns pesquisadores questionam em qual tipo de depressão os medicamentos devem ser utilizados em conjunto com o tratamento psicoterápico (De Jonghe & et al, 2004;De Jonghe, Kool, Van Aalst, Dekker, & Peen, 2001;Greenberg & Goldman, 2009). Os tratamentos combinados (psicoterapia e medicamento) têm sido utilizados principalmente em depressões graves, com risco de vida, e/ou refratárias a um dos tratamentos (Tomba & Fava, 2008).…”

Section: Tratamentos Para Depressãounclassified

Psicoterapia psicodinâmica e tratamento biológico com fluoxetina: comparação de resposta cognitiva em pacientes deprimidos

Bastos

Trentini

2013

Psic.: Teor. e Pesq.

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RESUMO -A depressão é uma doença grave, com repercussões importantes no humor e na cognição. Tratamentos farmacológicos e/ou psicoterápicos estão comumente indicados. O presente estudo objetivou avaliar e comparar a cognição de pacientes deprimidos antes e após 12 meses de tratamento com fluoxetina ou psicoterapia psicodinâmica. Cento e oitenta pacientes foram divididos em dois grupos, e avaliados por meio da WAIS-III. Os resultados mostraram uma melhora significativa em diferentes subtestes da WAIS-III. A MANOVA indicou que há uma diferença significativa entre os grupos nas pontuações médias obtidas na reavaliação 12 meses após o início dos tratamentos. Os resultados sugerem que a psicoterapia psicodinâmica e a terapia com fluoxetina agem de forma diferente na cognição de pacientes deprimidos.Palavras-chave: psicoterapia psicodinâmica, fluoxetina, cognição, depressão Psychodynamic Psychotherapy and Biological Treatment with Fluoxetine: Comparison of Cognitive Response in Depressed PatientsABSTRACT -Depression is a serious illness with an important impact on humor and cognition. Pharmacological treatments and/or psychotherapy are commonly indicated. The present study aimed to compare cognition in adult patients diagnosed with depression before and after 12 months of treatment with fluoxetine or psychodynamic psychotherapy. One hundred and eighty depressed patients were divided into two treatment groups, and cognitively assessed with the WAIS-III. Results showed a significant improvement in different subtests of WAIS-III. MANOVA indicated that there is a significant difference between groups in the mean scores of the post-treatment assessment. The results suggest that psychodynamic psychotherapy and fluoxetine act differently on cognition of depressed patients.

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“…This finding has been supported in other studies, including one conducted in Amsterdam that found that 22% of patients receiving antidepressants and psychotherapy discontinued their medications by 24 weeks, compared to 40% of patients receiving only antidepressants. 44 It may be that patients with more severe depression were more likely to engage in therapy and adhere to their medications, but as noted above, we do not have measures of depression severity in this sample. In our population, we also found smaller positive effects for early adherence in patients who had previous antidepressant treatment or specialty mental healthcare.…”

Section: Discussionmentioning

confidence: 96%