Psychotherapy of depressive disorders. Procedures, evidence and perspectives

被引：6

作者：

Meister, R. ^{[1
]}

Jansen, A. ^{[1
,2
]}

Berger, M. ^{[3
]}

Baumeister, H. ^{[4
]}

Bschor, T. ^{[5
,6
]}

Harfst, T. ^{[2
]}

Hautzinger, M. ^{[7
]}

Kriston, L. ^{[1
]}

Kuehner, C. ^{[8
]}

Schauenburg, H. ^{[9
]}

Schorr, S. G. ^{[10
]}

Schneider, F. ^{[11
,12
]}

Haerter, M. ^{[1
,10
]}

机构：

[1] Univ Klinikum Hamburg Eppendorf, Inst & Poliklin Med Psychol, Martinistr 52, D-20246 Hamburg, Germany

[2] Bundespsychotherapeutenkammer BPtK, Berlin, Germany

[3] Univ Klinikum Freiburg, Klin Psychiat & Psychotherapie, Freiburg, Germany

[4] Univ Ulm, Abt Klin Psychol & Psychotherapie, Ulm, Germany

[5] Schlosspk Klin Berlin, Abt Psychiat, Berlin, Germany

[6] Tech Univ Dresden, Klin & Poliklin Psychiat & Psychotherapie, Dresden, Germany

[7] Eberhard Karls Univ Tubingen, Fachbereich Psychol Klin Psychol & Psychotherapie, Tubingen, Germany

[8] Zent Inst Seel Gesundheit Mannheim, Klin Psychiat & Psychotherapie, Mannheim, Germany

[9] Univ Klinikum Heidelberg, Klin Allgemeine Innere Med & Psychosomat, Heidelberg, Germany

[10] Arztliches Zentrum Qualitat Med AZQ, Berlin, Germany

[11] Uniklin RWTH Aachen, Klin Psychiat Psychotherapie & Psychosomat, Aachen, Germany

[12] Forschungszentrum Julich, Inst Neurowissensch & Med INM 10, Julich, Germany

来源：

NERVENARZT | 2018年 / 89卷 / 03期

关键词：

Cognitive behavioral therapy; Interpersonal therapy; Systemic therapy; Depression; Guidelines; Psychodynamic therapy; PRIMARY-CARE; METAANALYSIS;

D O I：

10.1007/s00115-018-0484-6

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Depressive disorders are associated with a high burden of suffering and significantly reduce the well-being and the self-esteem of affected patients. Psychotherapy is one of the main treatment options for depressive disorders. The aim of this article is to present the current evidence for antidepressive psychotherapeutic treatments. During the revision of the German S3- and National Disease Management Guideline (NDMG) on unipolar depression in 2015, a comprehensive and systematic evidence search was conducted. The results of this search along with a systematic update are summarized. The most intensively investigated psychotherapeutic method is cognitive behavioral therapy (CBT), which proved to be effective in many trials. Evidence also exists for psychodynamic psychotherapy and interpersonal therapy (IPT), followed by systemic therapy and client-centered psychotherapy; however, the evidence is less robust. Psychotherapy alone or in combination with pharmacotherapy was shown to be an effective treatment option. Psychotherapy represents a key element in the treatment of depressive disorders.

引用

页码：241 / 251

页数：11

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