Psychodramatic psychotherapy combined with pharmacotherapy in major depressive disorder: an open and naturalistic study

Abstract

Psychodramatic psychotherapy combined with pharmacotherapy in major depressive disorder:an open and naturalistic study Psicoterapia psicodramática combinada ao tratamento medicamentoso no transtorno depressivo maior: um estudo aberto e naturalístico A b s t r a c t Objective: Recent literature has highlighted the role of psychotherapy in the treatment of major depressive disorder. Combined therapies comprising both psychotherapy and pharmacotherapy have presented the best results. Although several kinds of psychotherapies have been studied in the treatment of depressive disorders, there remains a lack of data on psychodramatic psychotherapy in the treatment of major depressive disorder. The objective of this study was to evaluate the impact of psychodramatic psychotherapy (in a sample of major depressive disorder patients. Method: This is an open, naturalistic, controlled, non-randomized study. Twenty major depressive disorder patients (according to the DSM-IV criteria), under pharmacological treatment for depression, with Hamilton Depression Scale total scores between 7 and 20 (mild to moderate depression), were divided into two groups. Patients in the psychotherapeutic group took part in 4 individual and 24 structured psychodramatic group sessions, whilst subjects in the control group did not participate in this psychodramatic psychotherapy. Both groups were evaluated with the Social Adjustment Scale -Self Report and the Hamilton Depression Scale. Results: Psychotherapeutic group patients showed a significant improvement according to the Social Adjustment Scale -Self Report and the Hamilton Depression Scale scores at endpoint, compared to those of the control group. Conclusions: Results suggest that individual and group psychodramatic psychotherapy, associated to pharmacological treatment, provides good clinical benefits in the treatment of major depressive disorder.Keywords: Major depressive disorder; Psychotherapy; Psychodrama; Group practice; Social adjustment Resumo Objetivo: A literatura recente destaca o papel das psicoterapias no tratamento do transtorno depressivo maior. A combinação de psicoterapia e farmacoterapia apresenta os melhores resultados. Vários tipos de psicoterapias têm sido estudados no tratamento dos transtornos depressivos; no entanto, existem poucos dados sobre a psicoterapia psicodramática no tratamento do transtorno depressivo maior. O objetivo deste estudo foi o de avaliar o impacto da psicoterapia psicodramática em uma amostra de pacientes com transtorno depressivo maior. Método: Este estudo constituiu-se de um ensaio clínico controlado, naturalístico, não-randomizado e aberto. Vinte pacientes com transtorno depressivo maior (de acordo com os critérios do DSM-IV), em tratamento farmacológico para depressão, com escores na Escala

Psychodrama Group Therapy for Social Issues: A Systematic Review of Controlled Clinical Trials

“…Furthermore, previously structured interventions, e.g., [ 55 , 56 ], were excluded. By this, we mean any procedure in which the intervention was “rendered in a structured format which was repeated for each subject rather than the highly spontaneous manner which characterizes Moreno’s original method” (Kipper and Giladi [ 55 ], p. 501), along with those which failed to specify the three classic phases (i.e., warming up, action, and sharing), e.g., [ 57 , 58 ], and those that complemented group psychodrama psychotherapy with individual psychotherapy, e.g., [ 57 ].…”

The role of group psychotherapy and psychodrama in the treatment of depression

“…Hastalarla çalýþýrken sosyal roller ve sosyal iliþkiler üzerine odaklanýlmýþ ve tedavi sonrasý remisyon oranlarýna bakýlmýþtýr. Psikoterapi grubunun depresyon þiddetinde daha fazla azalma olduðu ve sosyal uyum ölçeðinde artýþýn daha fazla olduðu sonucuna varýlmýþtýr (12). Bir baþka çalýþmada, psikodramanýn hem depresyonun iyileþmesine hem de kiþisel geliþime katký saðladýðý bildirilmiþtir.…”

The Effectiveness of Trauma-Focused Psychodrama in the Treatment of PTSD in Inpatient Substance Abuse Treatment

“…The currently available literature related to psychodrama as a treatment modality supports its efficacy in improving emotional/psychological stability (Schmidt, 1978;Wood et al, 1979;White et al, 1982;Carpenter and Sandberg, 1985;Choi, 2003;Kang and Son, 2004) interpersonal relationships (Petzold, 1979;Shim, 2002;Gow and McVea, 2006;Gow et al, 2011;Bendel, 2017), improving conflict resolution skills (Karatas and Gokcakan, 2009;Karatas, 2011), reducing depression (Hall, 1977;Carbonell and Parteleno-Barehmi, 1999;Costa et al, 2006;Avinger and Jones, 2007;Wieser, 2007;Sharma, 2017;Souilm and Ali, 2017;Erbay et al, 2018), reducing anxiety and panic disorder systems (Hall, 1977;Schramski et al, 1984;Carbonell and Parteleno-Barehmi, 1999;Park and Lim, 2002;Avinger and Jones, 2007;Wieser, 2007;Sharma, 2017;Tarashoeva et al, 2017;Erbay et al, 2018), increased self-esteem (Carbonell and Parteleno-Barehmi, 1999;Gow et al, 2011), increasing empathy and self-awareness (Dogan, 2018), as well as treating PTSD and trauma (Baumgartner, 1986;Bannister, 1990Bannister, , 1991Bannister, , 1997…”