Skip to main content
SpringerLink
Log in

Terugvalpreventie bij depressie

  • Beschouwing
  • Published:
Huisarts en wetenschap Aims and scope

Samenvatting

Elgersma HJ, Bockting CLH, Kok GD. Terugvalpreventie bij depressie. Huisarts Wet 2011;54(2):65–7.

Over twintig jaar zal depressie vermoedelijk gestegen zijn naar een tweede plaats op de ranglijst van ziektebeelden die het meeste lijden en kosten met zich meebrengen. Dat komt vooral doordat het een chronische aandoening is terwijl de behandeling zich vooralsnog sterk richt op de acute fase, op ‘cure’ dus. Om een volgende depressieve episode te voorkomen, zijn de meeste patiënten nog steeds aangewezen op een ‘onderhoudsbehandeling’ met antidepressiva, hoewel aangetoond is dat psychologische interventies soms meer bescherming bieden. Vanwege de toenemende persoonlijke en maatschappelijke kosten verdient de preventie van recidiverende depressies extra aandacht. Om de vereiste continuïteit van zorg te realiseren, moeten de eerste en de tweede lijn (de GGZ) meer en beter samenwerken. In dit artikel houden wij twee soorten psychologische interventies tegen het licht die ook in de eerste lijn prima toepasbaar zijn: preventieve cognitieve therapie (PCT) en interventies via internet, e-mental-health.

Abstract

Elgersma HJ, Bockting CLH, Kok GD. Relapse of depression. Huisarts Wet 2011;54(2):65–7.

In 20 years, major depressive disorder will probably be the second most burdensome disease in terms of suffering and costs. This is mainly because depression is a chronic disorder, whereas treatment is often given in the acute phase, as a “cure”. Most patients have to rely on maintenance doses of antidepressants to ward off further episodes of depression, even though there is evidence that psychological interventions offer more protection. Given the personal and societal cost of depression, more attention should be given to relapse prevention. Primary and secondary care need to work together to provide continuity of care. This article describes two types of psychological intervention that can be used in primary care: preventive cognitive therapy and E-mental health services and therapies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literatuur

  1. Smit F. Publieke geestelijke gezondheid: Analyse en synthese [oratie]. Amsterdam: Vrije Universiteit, 2009.

    Google Scholar 

  2. Layard R, Clark D, Bell S, Knapp M, Meacher B, Priebe S, et al. The depression report: A new deal for depression and anxiety disorders. London: London School of Economics and Political Science, Centre for Economic Performance, 2006.

    Google Scholar 

  3. Mueller TI, Leon AC, Keller MB, Solomon DA, Endicott JCW, Warshaw M, Maser JD. Recurrence after recovery from major depressive disorder during 15 years of observational follow-up. Am J Psychiatry 1999;156:1000–6.

    PubMed  CAS  Google Scholar 

  4. Eaton WW, Anthony JC, Gallo J, Cai G, Tien A, Romanoski A, et al. Natural history of Diagnostic Interview Schedule/DSM-IV major depression: The Baltimore Epidemiologic Catchment Area follow-up. Arch Gen Psychiatry 1997;54:993–9.

    Article  PubMed  CAS  Google Scholar 

  5. Van Weel-Baumgarten EM, Van Den Bosch WJ, Hekster YA, Van Den Hoogen HJ, Zitman FG. Treatment of depression related to recurrence: A 10-year follow-up in general practice. J. Clin Pharm Ther 2000;25:61–6.

    Article  PubMed  Google Scholar 

  6. Piccinelli M, Wilkinson G. Outcome of depression in psychiatric settings. Br J Psychiatry 1994;164:297–304.

    Article  PubMed  CAS  Google Scholar 

  7. Bockting CLH, Schene A, Spinhoven P, Koeter MWJ, Wouters LF, Huyser J, et al. Preventing relapse/recurrence in recurrent depression with cognitive therapy: A randomized controlled trial. J Consult Clin Psychol 2005;73:647–57.

    Article  PubMed  Google Scholar 

  8. Bockting CLH, Speckens A. Psychotherapie bij depressie. In: Huyser J, Schene AH, Sabbe B, Spinhoven Ph, redactie. Handboek voor depressie. Utrecht: Tijdstroom, 2009.

    Google Scholar 

  9. Fava GA, Ruini C, Rafanelli C, Finos L, Conti S, Grandi S. Six-year outcome of cognitive behavior therapy for prevention of recurrent depression. Am J Psychiatry 2004;161:1872–6.

    Article  PubMed  Google Scholar 

  10. Judd LL, Akiskal HS, Maser JD, Zeller PJ, Endicott J, Coryell W, et al. A prospective 12-year study of subsyndromal and syndromal depressive symptoms in unipolar major depressive disorders. Arch Gen Psychiatry 1998;55:694–700.

    Article  PubMed  CAS  Google Scholar 

  11. Kessing LV, Hansen MG, Andersen PK, Angst J. The predictive effect of episodes on the recurrence of depressive and bipolar disorders: A lifelong perspective. Acta Psychiatr Scand 2004;109:339–44.

    Article  PubMed  CAS  Google Scholar 

  12. Paykel ES, Ramana R, Cooper Z, Hayhurst H, Kerr J, Barocka A. Residual symptoms after partial remission: An important outcome in depression. Psychol Med 1995;25:1171–80.

    Article  PubMed  CAS  Google Scholar 

  13. Bockting CLH, Ten Doesschate MC, Spijker J, Spinhoven P, Koeter MJW, Schene A, The DELTA study group. Continuation and maintenance use of antidepressants in recurrent depression. Psychother Psychosom 2008;77:17–26.

    Article  PubMed  Google Scholar 

  14. Ten Doesschate MC, Bockting CLH, Schene A. Adherence to continuation and maintenance antidepressant use in recurrent depression. J Affect Disord 2009;115:167–70.

    Article  PubMed  Google Scholar 

  15. Van Schaik DJ, Klijn AF, Van Hout HP, Van Marwijk HW, Beekman AT, De Haan M, et al. Patients’ preferences in the treatment of depressive disorder in primary care. Gen Hosp Psychiatry 2004;26:184–9.

    Article  PubMed  Google Scholar 

  16. Vittengl JR, Clark LA, Dunn TW, Jarret RB. Reducing relapse and recurrence in unipolar depression: A comparative meta-analyses of cognitive- behavioral therapy’s effects. J Conslt Clin Psychol 2007;75:475–88.

    Article  Google Scholar 

  17. Hollon SD, DeRubeis RJ, Shelton RC, Amsterdam JD, Salomon RM, O’Reardon JP, et al. Prevention of relapse following cognitive therapy vs. medications in moderate to severe depression. Arch of Gen Psychiatry 2005;62:417–22.

    Article  Google Scholar 

  18. Beck AT. Cognitive models of depression. J Cogn Psychoth 1987;1:5–37.

    Google Scholar 

  19. Bockting CLH. Preventieve cognitieve training bij terugkerende depressive. Houten: Bohn Stafleu van Loghum, 2009.

    Google Scholar 

  20. Bockting CLH. Niet meer depressief. Houten: Bohn Stafleu van Loghum, 2009.

    Book  Google Scholar 

  21. Bockting CLH, Spinhoven P, Koeter MWJ, Wouters LF, Huyser J, Schene A. Long term effect of preventive cognitive therapy in recurrent depression: 5,5-year follow-up. J Clin Psychiatry 2009;70:1621–8.

    Article  PubMed  Google Scholar 

  22. Kuyken W, Byford S, Taylor RS, Watkins E, Holden E, White K, et al. Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. J Consult Clin Psychol 2008;76:966–78.

    Article  PubMed  Google Scholar 

  23. Goddard L, Dritschel B, Burton A. Role of autobiographical memory in social problem- solving and depression. J Abnorm Psychol 1996;105:609–16.

    Article  PubMed  CAS  Google Scholar 

  24. Williams JMG, Scott J. Autobiographical memory in depression. Psychol Med 1988;18:689–95.

    Article  PubMed  CAS  Google Scholar 

  25. Pollock LR, Williams JMG. Effective problem solving in suicide attempters depends on specific autobiographical recall. Suicide Life Threat Behav 2001;31:386–96.

    Article  PubMed  CAS  Google Scholar 

  26. Peeters F, Wessel I, Merckelbach H, Boon-Vermeeren M. Autobiographical memory specificity and the course of major depressive disorder. Compr Psychiatry 2002;43:344–50.

    Article  PubMed  Google Scholar 

  27. Spek V, Cuijpers P, Nyklíček I, Riper H, Keyzer J, Pop V. Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychol Med 2007;37:319–28.

    Article  PubMed  Google Scholar 

  28. Griffiths KM, Christensen H. Review of randomised controlled trials of internet interventions for mental disorders and related conditions. Clinical Psychologist 2006;10:16–29.

    Article  Google Scholar 

  29. Carlbring P, Nilsson-Ihrfelt E, Waara J, Kollenstam C, Buhrman M, Kaldo V, et al. Treatment of panic disorder. Live therapy vs. self-help via the internet. Behav Res Ther 2005;43:1321–33.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. afdeling Emotionele Stoornissen/cc 40,Klinische en Ontwikkelingspsychologie, Rijksuniversiteit Groningen, Universitair Centrum Psychiatrie, 30.001, 9700 RB, Groningen, Netherlands

    Hermien Elgersma,  Claudi Bockting & Gemma Kok

Authors
  1. Hermien Elgersma
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Claudi Bockting
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Gemma Kok
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hermien Elgersma.

About this article

Cite this article

Elgersma, H., Bockting, C. & Kok, G. Terugvalpreventie bij depressie. HUISARTS WETENSCHAP 54, 65–67 (2011). https://doi.org/10.1007/s12445-011-0040-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12445-011-0040-0

Search

Navigation