Depression among cancer patients: A randomised controlled trial comparing standard care with short psychodynamic psychotherapy
| Autor: | S. Leyvraz, Friedrich Stiefel, Sonia Krenz, D. Stagno, C. Zdrojewski, François Luthi |
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| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
education.field_of_study Psychodynamic psychotherapy business.industry Standard treatment Adjustment disorders Population medicine.disease law.invention Psychiatry and Mental health Clinical Psychology Randomized controlled trial Quality of life law medicine Major depressive disorder Psychiatry education business Applied Psychology Depression (differential diagnoses) |
| Zdroj: | PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie. 57 |
| ISSN: | 1439-1058 0937-2032 2005-2006 |
| DOI: | 10.1055/s-2007-970720 |
| Popis: | About 40% of the cancer patients suffer from depressive disorders which are seldom identified and even more rarely treated. Depression leads to a reduction in quality of life, diminished medical treatment compliance, prolonged hospital stays, and a reduction of global functioning. Aim of the study: The aim of the study is to compare the effectiveness of a standard treatment based on the guidelines for the management of major depression in the medically ill [1] with a short psychodynamic psychotherapy in cancer patients with major depression (MD) and adjustment disorders (AD) with depressive symptoms in an oncology population [2]. Methods: Cancer patients fulfilling the DSM-IV criteria for a MD and AD are randomly assigned to two groups. The first group receives standard treatment (pharmacotherapy, regular consultations by an oncologist) and the second a short psychodynamic psychotherapy of 16 sessions. Evaluation of effectiveness consists of pre and post intervention results, as well as intermediary and follow-up outcomes. Results: A total of 30 patients were included in the study, to date. Preliminary results indicate an improvement of depressive symptoms after 8 and 16 weeks in both groups, with a difference, though not statistically significant, favouring the psychotherapy; limitations of the study have to be addressed. Literatur: 1. Voellinger, R., et al., Major depressive disorder in the general hospital: adaptation of clinical practice guidelines. Gen Hosp Psychiatry, 2003. 25(3): p. 185-93. 2. Stiefel. F., Stagno, D. Intervention psychotherapeutique aupres des patients cancereux souffrant d'une symptomatologie depressive ; une etude clinique randomisee. Fondation Kisane 2005-2006. |
| Databáze: | OpenAIRE |
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