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COGNITIVE-BEHAVIOURAL THERAPY EFFICACY IN MAJOR DEPRESSION WITH ASSOCIATED AXIS II RISK FACTOR FOR NEGATIVE PROGNOSIS

机译:伴有AXIS II阴性预后的主要抑郁症的认知行为治疗功效

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Patients with major depressive disorders and personality disorders have a high incidence of refractory cases to either psychotherapeutic or pharmacologic therapy. We prospectively evaluated 12 patients, female, with dual diagnosis, treated with cognitive-behavioral therapy addressed to both disorders, for 6 months, with weekly sessions. We used Beck Depression Inventory (BDI)- 21 items form and Global Assessment of Functioning (GAF) initially and every two weeks until the endpoint. Results: There were 4 cases of discontinuation after a mean duration of 10.6 weeks. These patients presented at 6 months a higher score on BDI (+6.5) and a lower degree of social and professional level of functioning (-15 on GAF); a follow-up session (after one year from baseline) observed more residual symptoms or recurrence of depression than in patients that participated in all study sessions (mean BDI score 15.6vs.9.5, GAF 78vs.89, 2 vs.0.5 depressive episodes incidence). Addressing dysfunctional schemas of histrionic personality disorder improves the long term prognosis in depressed patients with dual diagnosis.
机译:患有严重抑郁症和人格障碍的患者在心理治疗或药物治疗中难治性病例的发生率很高。我们前瞻性评估了12例双重诊断的女性患者,接受针对这两种疾病的认知行为治疗,为期6个月,每周一次。我们最初使用Beck抑郁量表(BDI)-21项表格,并且每两周使用一次全球功能评估(GAF)直至终点。结果:平均持续时间为10.6周后,有4例中断治疗。这些患者在6个月时的BDI评分较高(+6.5),社交和专业功能水平较低(GAF评分为-15);随访(距基线一年后)观察到的残留症状或抑郁复发比参加所有研究的患者多(平均BDI评分15.6vs.9.5,GAF 78vs.89,2次抑郁症发生率vs.0.5) )。解决双重性诊断的抑郁症患者的组织功能障碍性人格失调,可改善长期预后。

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