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Psychological management of unipolar depression

Lampe,L, Coulston,CM and Berk,L 2013, Psychological management of unipolar depression, Acta Psychiatrica Scandinavica, vol. 127, Supplement 443, pp. 24-37, doi: 10.1111/acps.12123.

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Title Psychological management of unipolar depression
Author(s) Lampe,L
Coulston,CM
Berk,LORCID iD for Berk,L orcid.org/0000-0002-3677-7503
Journal name Acta Psychiatrica Scandinavica
Volume number 127
Season Supplement 443
Start page 24
End page 37
Total pages 14
Publisher Wiley
Place of publication London, Eng.
Publication date 2013-05
ISSN 0001-690X
1600-0447
Keyword(s) Cognitive behaviour therapy
Depression
Interpersonal therapy
Postnatal
Postpartum
Pregnancy
Psychological therapy
Psychotherapy
Science & Technology
Life Sciences & Biomedicine
Psychiatry
PSYCHIATRY, SCI
PSYCHIATRY, SSCI
COGNITIVE-BEHAVIORAL THERAPY
RANDOMIZED CONTROLLED-TRIAL
COLLABORATIVE RESEARCH-PROGRAM
MENTAL-HEALTH-TREATMENT
LATE-LIFE DEPRESSION
PSYCHOTHERAPY PLUS PHARMACOTHERAPY
SEROTONIN REUPTAKE INHIBITORS
ROUTINE SPECIALIST CARE
2-YEAR FOLLOW-UP
MAJOR DEPRESSION
Summary Objective: To be used in conjunction with 'Pharmacological management of unipolar depression' [Malhi et al. Acta Psychiatr Scand 2013;127(Suppl. 443):6-23] and 'Lifestyle management of unipolar depression' [Berk et al. Acta Psychiatr Scand 2013;127(Suppl. 443):38-54]. To provide clinically relevant recommendations for the use of psychological treatments in depression derived from a literature review. Method: Medical databases including MEDLINE and PubMed were searched for pertinent literature, with an emphasis on recent publications. Results: Structured psychological treatments such as cognitive behaviour therapy and interpersonal therapy (IPT) have a robust evidence base for efficacy in treating depression, even in severe cases of depression. However, they may not offer benefit as quickly as antidepressants, and maximal efficacy requires well-trained and experienced therapists. These therapies are effective across the lifespan and may be preferred where it is desired to avoid pharmacotherapy. In some instances, combination with pharmacotherapy may enhance outcome. Psychological therapy may have more enduring protective effects than medication and be effective in relapse prevention. Newer structured psychological therapies such as mindfulness-based cognitive therapy and acceptance and commitment therapy lack an extensive outcome literature, but the few published studies yielding positive outcomes suggest they should be considered options for treatment. Conclusion: Cognitive behaviour therapy and IPT can be effective in alleviating acute depression for all levels of severity and in maintaining improvement. Psychological treatments for depression have demonstrated efficacy across the lifespan and may present a preferred treatment option in some groups, for example, children and adolescents and women who are pregnant or postnatal. © 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd.
Language eng
DOI 10.1111/acps.12123
Field of Research 110999 Neurosciences not elsewhere classified
Socio Economic Objective 920410 Mental Health
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Persistent URL http://hdl.handle.net/10536/DRO/DU:30069759

Document type: Journal Article
Collection: School of Medicine
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