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Behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of major depression.

机译:行为激活,认知疗法和抗抑郁药可用于严重抑郁症的急性治疗。

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摘要

Antidepressant medication is considered the current standard for severe depression and cognitive therapy is the most widely investigated psychosocial treatment for depression. However, not all patients want to take medication and cognitive therapy has not demonstrated consistent efficacy across trials. Moreover, dismantling designs have suggested that behavioral components may account for the efficacy of cognitive therapy. The present study tested the efficacy of behavioral activation by comparing it to cognitive therapy and antidepressant medication in a placebo-controlled design. In addition, it examined the importance of initial severity as a moderator of treatment outcome. Among more severely depressed patients, behavioral activation was comparable to antidepressant medication, and both significantly outperformed cognitive therapy. The implications of these findings for the evaluation of current treatment guidelines and dissemination are discussed.
机译:抗抑郁药被认为是当前重度抑郁症的标准,而认知疗法是研究最广泛的抑郁症社会心理疗法。但是,并非所有患者都想服用药物,认知疗法并未在所有试验中显示出一致的疗效。此外,拆除设计表明行为成分可能解释了认知疗法的功效。本研究通过在安慰剂对照设计中将其与认知疗法和抗抑郁药进行比较来测试行为活化的功效。此外,它检查了初始严重程度作为治疗结果调节剂的重要性。在重度抑郁症患者中,行为激活与抗抑郁药相当,并且两者均明显优于认知疗法。讨论了这些发现对评估当前治疗指南和传播的意义。

著录项

  • 作者

    Dimidjian, Sona.;

  • 作者单位

    University of Washington.;

  • 授予单位 University of Washington.;
  • 学科 Clinical psychology.;Mental health.
  • 学位 Ph.D.
  • 年度 2005
  • 页码 88 p.
  • 总页数 88
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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