What we know, what we do not know, and where are we heading? Efficacy and acceptability of psychological interventions for depression.
Publication Type | Academic Article |
Authors | Solomonov N, Barber J |
Journal | Epidemiol Psychiatr Sci |
Volume | 25 |
Issue | 4 |
Pagination | 301-8 |
Date Published | 09/28/2015 |
ISSN | 2045-7960 |
Keywords | Cognitive Behavioral Therapy, Depression, Depressive Disorder, Psychotherapy |
Abstract | In the past several decades, increasing evidence supports the efficacy of psychotherapies for depression. The vast majority of findings from meta-analyses, randomized clinical trials (RCTs) and naturalistic studies have demonstrated that well-established psychotherapies (behavioural activation, problem-solving therapy, psychodynamic therapy, cognitive-behavioural therapy, interpersonal therapy and emotion-focused therapy) are superior to no-treatment and control conditions, and are in most cases equally effective in treating depression. However, despite this abundant support for psychotherapies, studies have also consistently shown high drop-out rates, high percentages of non-respondent patients who experience treatment failures, and mixed findings regarding the enduring effects of psychotherapy. Thus, there is a need to develop more personalised treatment models tailored to patients' needs. A new integrative sequential stepwise approach to the treatment of depression is suggested. |
DOI | 10.1017/S2045796015000815 |
PubMed ID | 26411324 |
PubMed Central ID | PMC7137604 |