Is there a role for continuation phase cognitive therapy for depressed outpatients?

Autor: Jarrett RB; Department of Psychiatry, University of Texas Southwestern Medical Center at Dallas 75235-9149, USA. rjarr1@mednet.swmed.edu, Basco MR, Risser R, Ramanan J, Marwill M, Kraft D, Rush AJ
Jazyk: angličtina
Zdroj: Journal of consulting and clinical psychology [J Consult Clin Psychol] 1998 Dec; Vol. 66 (6), pp. 1036-40.
DOI: 10.1037//0022-006x.66.6.1036
Abstrakt: Two pilot studies evaluated the rate of relapse or recurrence (i.e., major depressive disorder) after cognitive therapy (CT). Two sequential cohorts included outpatients who responded to acute phase CT (A-CT) and who agreed to monthly, treatment-free follow-up. In Study 1, the Kaplan-Meier technique estimated relapse and recurrence rates of 40% at 6 months, 45% at 8 months, 50% at 12 months, 67% at 18 months, and 74% at 24 months. In Study 2, responders to A-CT received 8 months (10 sessions) of continuation phase CT (C-CT). In Study 2, relapse or recurrence was 20% at 6 and 8 months, 27% at 12 months, and 36% at 18 and 24 months after A-CT. An exploratory log-rank test showed that relapse or recurrence-free survival was greater in Study 2 than in Study 1. If replicated, this result suggests that C-CT can reduce depressive relapse or recurrence. Alternative explanations are presented.
Databáze: MEDLINE