A study published in the October issue of the American Journal of Psychiatry by an Italian group of investigators headed by Professor Giovanni A. Fava (University of Bologna) suggests, that with appropriate psychosocial interventions, half of the patients with recurrent depression could be still well and drug free six years after termination of treatment, instead of being linked to long term drug treatment.
A number of controlled trials have suggested that cognitive behavior strategies may decrease the risk of relapse in major depressive disorders. The risk of relapse in depression is strongly related to the number of depressive episodes and to the amount of residual symptoms. There is a paucity of studies use nonpharmacological strategies for preventing recurrence in depression. In one of this study, cognitive behavior treatment of residual symptoms was found to yield a significantly lower relapse rate than clinical management in recurrent depression at a 2-year follow-up.
The objective of this investigation was to provide a 6-year follow-up of cognitive behavior treatment versus clinical management. Forty patients with recurrent major depression who had been successfully treated with antidepressant drugs were randomly assigned to either cognitive behavior treatment of residual symptoms (supplemented by lifestyle modification and well-being therapy) or clinical management. In both groups, antidepressant drugs were tapered and discontinued. A 6-year follow-up was undertaken. During this period, no antidepressant drugs were used unless a relapse ensued. Cognitive behavior treatment resulted in a significantly lower relapse rate (40%) at a 6-year follow-up than did clinical management (90%). When multiple recurrences were considered, the group that received cognitive behavior treatment had a significantly lower number of relapses in comparison with the clinical management group. Cognitive behavior treatment was found to be effective in decreasing the residual symptoms of depression. By deferring the psychotherapeutic intervention until after pharmacotherapy, psychotherapy could concentrate only on the symptoms that did not abate after pharmacotherapy. The fact that most of the residual symptoms of depression are also prodromal and that prodromal symptoms of relapse tend to mirror those of the initial episode provides explanation for the protective effect of this targeted treatment. Cognitive behavior treatment may act on those residual symptoms of major depression that progress to become prodromal symptoms of relapse.
Giovanni Andrea Fava | alfa
Researchers simplify tiny structures' construction drip by drip
12.11.2018 | Princeton University, Engineering School
Mandibular movement monitoring may help improve oral sleep apnea devices
06.11.2018 | Elsevier
Biochips have been developed at TU Wien (Vienna), on which tissue can be produced and examined. This allows supplying the tissue with different substances in a very controlled way.
Cultivating human cells in the Petri dish is not a big challenge today. Producing artificial tissue, however, permeated by fine blood vessels, is a much more...
Faster and secure data communication: This is the goal of a new joint project involving physicists from the University of Würzburg. The German Federal Ministry of Education and Research funds the project with 14.8 million euro.
In our digital world data security and secure communication are becoming more and more important. Quantum communication is a promising approach to achieve...
On Saturday, 10 November 2018, the research icebreaker Polarstern will leave its homeport of Bremerhaven, bound for Cape Town, South Africa.
When choosing materials to make something, trade-offs need to be made between a host of properties, such as thickness, stiffness and weight. Depending on the application in question, finding just the right balance is the difference between success and failure
Now, a team of Penn Engineers has demonstrated a new material they call "nanocardboard," an ultrathin equivalent of corrugated paper cardboard. A square...
Physicists at ETH Zurich demonstrate how errors that occur during the manipulation of quantum system can be monitored and corrected on the fly
The field of quantum computation has seen tremendous progress in recent years. Bit by bit, quantum devices start to challenge conventional computers, at least...
09.11.2018 | Event News
06.11.2018 | Event News
23.10.2018 | Event News
14.11.2018 | Life Sciences
14.11.2018 | Earth Sciences
14.11.2018 | Medical Engineering