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Cognitive Therapy for Major Depressive Disorder: Current Status

  • John D. Teasdale
Chapter

Abstract

The view that psychological treatments have little to offer to the management of major depressive disorder is still not uncommon. A decade ago the evidence from clinical trials was broadly consistent with that view: The few trials that had been conducted generally indicated the relative ineffectiveness of traditional psychotherapies in producing symptomatic improvement in major depression. However, more recently encouraging evidence has been reported for the effectiveness of a new generation of highly structured psychological treatments, often incorporating a behavioral or cognitive-behavorial approach. Such evidence now convincingly demonstrates that in outpatients with major depressive disorder some of these treatments can achieve symptomatic reduction on average as great as that shown with tricyclic antidepressants. There is also some evidence to suggest that, compared to antidepressants, these psychological treatments can have a prophylactic effect in preventing relapse or recurrence following termination of treatment.

Keywords

Major Depressive Disorder Psychological Treatment Cognitive Therapy Hamilton Rate Scale Nitive Therapy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Beck AT, Rush AJ, Shaw BF, et al. Cognitive Therapy of Depression. New York: Guilford Press, 1979.Google Scholar
  2. 2.
    Rush AJ, Beck AT, Kovacs M, et al. Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed out-patients. Cognitive Ther Res 1977; 1: 17–38.CrossRefGoogle Scholar
  3. 3.
    Murphy GE, Simons AD, Wetzel RD, et al. Cognitive therapy and pharmacotherapy, singly and together in the treatment of depression. Arch Gen Psychiatry 1984; 41: 33–41.PubMedGoogle Scholar
  4. 4.
    Hollon SD, Evans MD, De Rubeis RJ. Final report of the cognitive-pharmacotherapy trial. Presented at World Congress on Behavior Therapy, Washington, DC, 1983.Google Scholar
  5. 5.
    Blackburn IM, Bishop S, Whalley LJ, et al. The efficacy of cognitive therapy in depression: a treatment trial using cognitive therapy and pharmacotherapy each alone and in combination. Br J Psychiatry 1981; 139: 181–189.PubMedCrossRefGoogle Scholar
  6. 6.
    Elkin I, Shea T, Watkins J, et al. NIMH Treatment of Depression Collaborative Research Program: comparative treatment outcome findings. Presented at the American Psychiatric Association Annual Meeting, 1986.Google Scholar
  7. 7.
    Simons A. Murphy GE, Levine JL, et al. Cognitive therapy and pharmacotherapy of depression: sustained improvement over one year. Arch Gen Psychiatry 1986; 43: 43–50.PubMedGoogle Scholar
  8. 8.
    Blackburn IM, Eunson KM, Bishop S. A two-year naturalistic follow-up of depressed patients treated with cognitive therapy, pharmacotherapy and a combination of both. J Affective Disord 1986; 10: 67–75.CrossRefGoogle Scholar
  9. 9.
    McLean PD, Hakstian AR. Clinical depression: comparative efficacy of out-patient treatments. J Consult Clin Psychol 1979; 47: 818–836.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1989

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  • John D. Teasdale

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