ﺑﺎﺯﮔﺸﺖ ﺑﻪ ﺻﻔﺤﻪ ﻗﺒﻠﯽ

خرید پکیج

تعداد آیتم قابل مشاهده باقیمانده : -70 مورد

Established psychotherapies for major depressive disorder

Established psychotherapies for major depressive disorder

Type of psychotherapy	Emphasis/objectives	Components
Cognitive-behavioral therapy (CBT)	Changes: Inaccurate, negative thoughts and beliefs Problematic behaviors	Includes: Education about depression-related thoughts, emotions, and behaviors Questioning inaccurate thoughts to develop alternative perspectives Identifying, evaluating, and challenging distorted beliefs Relaxation and exposure exercises Coping skills training Stress management Assertiveness training Homework between sessions
Interpersonal psychotherapy	Addresses interpersonal difficulties in at least 1 of the following: Grief Role disputes Role transitions General interpersonal deficits	Interventions are tailored to each problem area. As an example, if the patient and another individual are actively negotiating a role dispute unsuccessfully, therapy focuses on improving communication skills and modifying expectations.
Problem-solving therapy	Develops rational and effective problem-solving skills	Guides patients to: Identify and define the problem Describe the barriers to its resolution Set an achievable goal List and evaluate the advantages and disadvantages of all available solutions Choose 1 solution Develop and implement an action plan Evaluate the outcome
Behavioral activation	Behavioral activation is the behavioral component of CBT: Identify precursors and consequences of problematic behaviors Change problematic behaviors	Guides patients to identify and engage in activities that: Decrease social withdrawal and avoidance behavior Reduce disruption of basic life routines Encourage engagement with the environment Increase pleasure or mastery Establish routines
Family/couples therapy	Improves functioning of the entire family/couple by: Correcting distorted communication Addressing impaired relationships	Guides patients and their family members to: Improve communication and support among all members Fulfill their individual roles and responsibilities Understand depression and its effects on the patient's capabilities Discuss how the patient's social withdrawal, negativity, and dependence can elicit blame, criticism, and hostility from family members and help family to consider alternative responses
Short-term psychodynamic psychotherapy	Improves patient's awareness and insight regarding repetitive interpersonal and intrapsychic conflicts	Uses observation, interpretation, confrontation, clarification, empathic validation, education, and advice. Guides patients to: Remember and process formative childhood experiences Recognize parallels between childhood experiences and current relationships Develop insight into and change maladaptive behavioral patterns
Supportive psychotherapy	Provides support for addressing personal problems	Uses active listening, empathic validation, reassurance and encouragement, confrontation, and role modeling of adaptive behavior to promote healthy coping strategies. Identifies and changes: Problematic relationships Maladaptive patterns of behavior and emotional responses

Reference:

Barth J, Munder T, Gerger H, et al. Comparative efficacy of seven psychotherapeutic interventions for patients with depression: A network meta-analysis. PLoS Med 2013; 10:e1001454.

Graphic 145488 Version 1.0