Skip to main content
Log in

Psychotherapie bij depressie

  • Published:
Tijdschrift voor Psychotherapie

Abstract

In dit artikel worden de werkzaamheid, uitvoerbaarheid, toepasbaarheid en aanvaardbaarheid besproken van kortdurende, op symptoomverbetering gerichte psychotherapie van de depressieve stoornis. Verschillende vormen van psychotherapie worden met elkaar, met farmacotherapie en met gecombineerde therapie (psycho– en farmacotherapie) vergeleken. De psychotherapiemethoden, farmacotherapie en gecombineerde therapie vertonen een ongeveer gelijke werkzaamheid, en die is niet indrukwekkend groot. Op grond van de thans beschikbare gegevens lijkt de uitvoerbaarheid, toepasbaarheid en aanvaardbaarheid van psychotherapie, met name van steunende psychotherapie, groter te zijn dan die van farmacotherapie of gecombineerde therapie. Om deze reden is psychotherapie van de drie methoden de meest efficiënte.

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

Access this article

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

Instant access to the full article PDF.

Figuur 1
Figuur 2

Similar content being viewed by others

Literatuur

  • American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders, third edition – revised. Washington DC: American Psychiatric Association.

  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders, fourth edition. Washington DC: American Psychiatric Association.

  • Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry , 4, 561–571.

    CAS  PubMed  Google Scholar 

  • Dobson, K.S. (1989). A meta–analysis of the efficacy of cognitive therapy for depression. Journal of Consulting and Clinical Psychology , 57, 414–419.

    Article  CAS  PubMed  Google Scholar 

  • Elkin, I., Shea, M.T., Watkins, J.T., Imber, S.D., Sotsky, S.M., Collins, J.F., Glass, D.R., Pilkonis, P.A., Leber, W.R., Docherty, J.P., Fiester, S.J., & Parloff, M.B. (1989). National Institute of Mental Health Treatment of Depression Collaborative Research Program. General effectiveness of treatments. Archives of General Psychiatry, 46, 971–982.

    CAS  PubMed  Google Scholar 

  • George, M.S., Ketter, T.A., & Post, R.M. (1993). SPECT and PET imaging in mood disorders. Journal of Clinical Psychiatry, 54 (suppl), 6–13.

    PubMed  Google Scholar 

  • Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 56–62.

    Article  CAS  Google Scholar 

  • Hamilton, M. (1967). Development of a rating scale for primary depressive illness. British Journal of Social and Clinical Psychology, 6, 278–296.

    CAS  PubMed  Google Scholar 

  • Hollon, S.D., DeRubeis, R.J., Evans, M.D., Wiemer, M.J., Garvey, M.J., Grove, W.M., & Tuason, V.B. (1992). Cognitive therapy and pharmacotherapy for depression. Archives of General Psychiatry, 49, 774–781.

    CAS  PubMed  Google Scholar 

  • Kasper, S., Moller H.J., Montgomery, S.A., & Zondag, E. (1995). Antidepressant efficacy in relation to item analysis and severity of depression: A placebo–controlled trial of fluvoxamine versus imipramine. International Journal of Psychopharmacology, 9 (suppl), 3–12.

    Google Scholar 

  • Kohut, H. (1972). Thoughts on narcissism and narcissistic rage. The Psychoanalytic Study of the Child, 27, 360–400. New York: Quadrangle Books.

    Google Scholar 

  • Koster van Groos, G.A.S. (1995). Beknopte handleiding bij de Diagnostische Criteria van de DSM–IV . Amsterdam/Lisse: Swets & Zeitlinger. Vertaling van Quick reference to the diagnostic criteria from DSM–IV, Washington DC: American Psychiatric Association, 1994.

    Google Scholar 

  • Kris, A.O. (1990). Helping patients by analyzing self–criticism. Journal of the American Psychoanalytic Association, 38, 605–635.

    Article  CAS  PubMed  Google Scholar 

  • Kupfer, D.J., & Keller, M.B. (1993). Management of recurrent depression. Journal of Clinical Psychiatry, 54 (suppl), 29–35.

    PubMed  Google Scholar 

  • Luborsky, L., & Singer, B. (1975). Comparative studies of psychotherapies. Is it true that ‘Everyone has won and all must have prizes’? Archives of General Psychiatry, 32, 995–1008.

    CAS  Google Scholar 

  • Rozenzweig, S. (1936). Some implicit common factors in diverse methods of psychotherapy. American Journal of Orthopsychiatry, 6, 412–415.

    Article  Google Scholar 

  • Shapiro, D.A., Barkham, M.B., Rees, A., Hardy, G.E., Reynolds, S., Startup, M., Nocross, J.C., & Rossi, J.S. (1994). Effects of treatment duration and severity of depression on the effectiveness of cognitive–behavioral and psychodynamic–interpersonal psychotherapy. Journal of Consulting and Clinical Psychology, 62, 522–542.

    Article  CAS  PubMed  Google Scholar 

  • US Department of Health and Human Services (1993). Depression in Primary Care: volume 2. Treatment of major depression .

  • Wily, J.K., Cooper, J.E., & Sartorius, N. (1974). The measurement and classification of psychiatric symptoms. Cambridge: Cambridge University Press.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Psychotherapy for depressive disorders

The efficacy, feasibility, applicability and acceptability of short term psychotherapy for depressive disorders, aimed at symptom improvement, are discussed in this article. Several types of psychotherapy are compared with each other, with pharmacotherapy and with combined therapy (psychotherapy plus pharmacotherapy). Pharmacotherapy, combined therapy and the psychotherapy methods show similar efficacies, which are not exactly impressive. Based on data available it now seems that the feasibility, applicability and acceptability of psychotherapy, and supportive psychotherapy in particular, are greater than those of pharmacotherapy or combined therapy. This makes psychotherapy the most efficient method of the three.

F. de Jonghe, psychiater, is als A–opleider verbonden aan het Psychiatrisch Ziekenhuis Amsterdam en als hoogleraar aan de Universiteit van Amsterdam.

Mw. Mr. P. Wijn studeert psychologie aan de Universiteit van Amsterdam en is als research–medewerker verbonden aan het Psychiatrisch Ziekenhuis Amsterdam.

Correspondentieadres: Sociaal Psychiatrisch Diensten Centrum, Prof. dr. F. de Jonghe, 2e Constantijn Huygensstraat 37, 1054 AG Amsterdam.

About this article

Cite this article

de Jonghe, F., Wijn, P. Psychotherapie bij depressie. PSIE 22, 213–222 (1996). https://doi.org/10.1007/BF03079317

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03079317

Navigation