期刊
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY
卷 75, 期 3, 页码 475-488出版社
AMER PSYCHOLOGICAL ASSOC
DOI: 10.1037/0022-006X.75.3.475
关键词
depression; relapse and recurrence; cognitive-behavioral therapy; continuation and maintenance treatment; meta-analysis
资金
- NATIONAL INSTITUTE OF MENTAL HEALTH [K24MH001571, R01MH058397, K02MH001571] Funding Source: NIH RePORTER
- NIMH NIH HHS [MH-01571, R01 MH058397, K24 MH001571, K24 MH001571-07, R01 MH058397-07, K02 MH001571, MH-58397] Funding Source: Medline
Relapse and recurrence following response to acute-phase treatment for major depressive disorder (MDD) are prevalent and costly. In a meta-analysis of 28 studies including 1,880 adults, the authors reviewed the world's published literature on cognitive-behavioral therapies (CT) aimed at preventing relapse-recurrence in MDD. Results indicate that after discontinuation of acute-phase treatment, many responders to CT relapse-recur (29% within 1 year and 54% within 2 years). These rates appear comparable to those associated with other depression-specific psychotherapies but lower than those associated with pharmacotherapy. Among acute-phase treatment responders, continuation-phase CT reduced relapse-recurrence compared with assessment only at the end of continuation treatment (21% reduction) and at follow-up (29% reduction). Continuation-phase CT also reduced relapse-recurrence compared with other active continuation treatments at the end of continuation treatment (12% reduction) and at follow-up (14% reduction). The authors discuss implications for research and patient care and suggest directions, with methodological refinements, for future studies.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据