Positioning of psychodynamic psychotherapy in the treatment of depression: A comparison of the RANZCP 2020 and NICE 2022 guidelines

被引:3
|
作者
Malhi, Gin S. [1 ,2 ,3 ,9 ]
Bell, Erica [1 ,2 ]
Bassett, Darryl [4 ]
Boyce, Philip [5 ]
Hazell, Philip [5 ]
Hopwood, Malcolm [6 ]
Lyndon, Bill [5 ]
Mulder, Roger [7 ]
Porter, Richard [7 ]
Murray, Greg [8 ]
机构
[1] Univ Sydney, Northern Clin Sch, Fac Med & Hlth, Acad Dept Psychiat,Kolling Inst, Sydney, NSW, Australia
[2] Royal North Shore Hosp, CADE Clin & Mood T, St Leonards, NSW, Australia
[3] Univ Oxford, Dept Psychiat, Oxford, England
[4] Univ Western Australia, Fac Hlth & Med Sci, Perth, WA, Australia
[5] Univ Sydney, Fac Med & Hlth, Sydney Med Sch, Discipline Psychiat, Sydney, NSW, Australia
[6] Univ Melbourne, Dept Psychiat, Professorial Psychiat Unit, Melbourne, Vic, Australia
[7] Univ Otago, Dept Psychol Med, Christchurch, New Zealand
[8] Swinburne Univ Technol, Ctr Mental Hlth, Hawthorn, Vic, Australia
[9] Royal North Shore Hosp, Level 3,Main Hosp Bldg, St Leonards, NSW 2065, Australia
关键词
Guidelines; depression; psychodynamic psychotherapy; treatments;
D O I
10.1177/10398562231159329
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective To compare the 2022 NICE guidelines (NG222) and 2020 RANZCP clinical practice guidelines (MDcpg(2020)) recommendations for the treatment of depression using psychodynamic psychotherapy. Conclusions Both guidelines recommend psychological interventions first-line. However, only short-term psychodynamic psychotherapy (STPP) is recommended, and in the NG222 it is ranked last for less severe depression and 7th for more severe depression. In contrast, cognitive behavioural therapy and behavioural activation are deemed the more clinically effective and cost-effective psychological therapies. And antidepressants play a significant role - largely in more severe depression.
引用
收藏
页码:322 / 325
页数:4
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