R Meister1, A Jansen1,2, M Berger3, H Baumeister4, T Bschor5,6, T Harfst2, M Hautzinger7, L Kriston1, C Kühner8, H Schauenburg9, S G Schorr10, F Schneider11,12, M Härter13,14. 1. Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland. 2. Bundespsychotherapeutenkammer (BPtK), Berlin, Deutschland. 3. Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Freiburg, Freiburg, Deutschland. 4. Abteilung Klinische Psychologie und Psychotherapie, Universität Ulm, Ulm, Deutschland. 5. Abteilung für Psychiatrie, Schlosspark-Klinik Berlin, Berlin, Deutschland. 6. Klinik und Poliklinik für Psychiatrie und Psychotherapie, Technische Universität Dresden, Dresden, Deutschland. 7. Fachbereich für Psychologie, Klinische Psychologie und Psychotherapie, Eberhard Karls Universität Tübingen, Tübingen, Deutschland. 8. Klinik für Psychiatrie und Psychotherapie, Zentralinstitut für Seelische Gesundheit Mannheim, Mannheim, Deutschland. 9. Klinik für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Heidelberg, Deutschland. 10. Ärztliches Zentrum für Qualität in der Medizin (ÄZQ), Berlin, Deutschland. 11. Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Uniklinik RWTH Aachen, Aachen, Deutschland. 12. Institut für Neurowissenschaften und Medizin (INM 10), Forschungszentrum Jülich, Jülich, Deutschland. 13. Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland. m.haerter@uke.de. 14. Ärztliches Zentrum für Qualität in der Medizin (ÄZQ), Berlin, Deutschland. m.haerter@uke.de.
Abstract
BACKGROUND: 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. OBJECTIVE: The aim of this article is to present the current evidence for antidepressive psychotherapeutic treatments. MATERIAL AND METHODS: 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. RESULTS: 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. CONCLUSION: 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.
BACKGROUND: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. OBJECTIVE: The aim of this article is to present the current evidence for antidepressive psychotherapeutic treatments. MATERIAL AND METHODS: 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. RESULTS: 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. CONCLUSION: 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.
Authors: Halle R Amick; Gerald Gartlehner; Bradley N Gaynes; Catherine Forneris; Gary N Asher; Laura C Morgan; Emmanuel Coker-Schwimmer; Erin Boland; Linda J Lux; Susan Gaylord; Carla Bann; Christiane Barbara Pierl; Kathleen N Lohr Journal: BMJ Date: 2015-12-08
Authors: M Härter; A Jansen; M Berger; H Baumeister; T Bschor; T Harfst; M Hautzinger; L Kriston; C Kühner; H Schauenburg; S G Schorr; F Schneider; R Meister Journal: Nervenarzt Date: 2018-03 Impact factor: 1.214