کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
903734 916588 2011 12 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Relapse and recurrence prevention in depression: Current research and future prospects
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی روانپزشکی و بهداشت روانی
پیش نمایش صفحه اول مقاله
Relapse and recurrence prevention in depression: Current research and future prospects
چکیده انگلیسی

There is a growing body of literature which indicates that acute phases of psychotherapy are often ineffective in preventing relapse and recurrence in major depression. As a result, there is a need to develop and evaluate therapeutic approaches which aim to reduce the risk of relapse. This article provides a review of the empirical studies which have tested the prophylactic effects of therapy (cognitive-behavioral, mindfulness-based, and interpersonal psychotherapy) targeting relapse and recurrence in major depression. For definitional clarity, relapse is defined here as a return to full depressive symptomatology before an individual has reached a full recovery, whereas recurrence in defined as the onset of a new depressive episode after a full recovery has been achieved. Psychotherapeutic efforts to prevent relapse and recurrence in depression have been effective to varying degrees, and a number of variables appear to moderate the success of these approaches. A consistent finding has been that preventive cognitive-behavioral and mindfulness-based therapies are most effective for patients with three or more previous depressive episodes, and alternative explanations for this finding are discussed. It is noted, however, that a number of methodological limitations exist within this field of research, and so a set of hypotheses that may guide future studies in this area is provided.


► We review relapse and recurrence prevention efforts in depression.
► Highlight the limitations of this research (e.g., lack of definitional consensus).
► Psychotherapy seems to work for those with a more extensive history of depression.
► We provide a set of guiding hypothesis for future research.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Psychology Review - Volume 31, Issue 8, December 2011, Pages 1349–1360
نویسندگان
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