Faster Remission of Chronic Depression with Combined Psychotherapy and Medication than with Each Therapy Alone

Autor/inn/en	Manber, Rachel; Kraemer, Helena C.; Arnow, Bruce A.; Trivedi, Madhukar H.; Rush, A. John; Thase, Michael E.; Rothbaum, Barbara O.; Klein, Daniel N.; Kocsis, James H.; Gelenberg, Alan J.; Keller, Martin E.
Titel	Faster Remission of Chronic Depression with Combined Psychotherapy and Medication than with Each Therapy Alone
Quelle	In: Journal of Consulting and Clinical Psychology, 76 (2008) 3, S.459-467 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/0022-006X.76.3.459
Schlagwörter	Rating Scales; Psychotherapy; Depression (Psychology); Anxiety; Drug Therapy; Outcomes of Treatment; Models; Predictor Variables; Profiles; Data Analysis; Regression (Statistics); Hamilton Rating Scale for Depression + Suchen Sie Ihr Suchwort? Rating-Skala; Psychotherapie; Angst; Analogiemodell; Prädiktor; Charakterisierung; Profilanalyse; Auswertung; Regression; Regressionsanalyse
Abstract	The main aim of the present novel reanalysis of archival data was to compare the time to remission during 12 weeks of treatment of chronic depression following antidepressant medication (n = 218), psychotherapy (n = 216), and their combination (n = 222). Cox regression survival analyses revealed that the combination of medication and psychotherapy produced full remission from chronic depression more rapidly than either of the single modality treatments, which did not differ from each other. Receiver operating characteristic curve analysis was used to explore predictors (treatment group, demographic, clinical, and psychosocial) of remission. For those receiving the combination treatment, the most likely to succeed were those with low baseline depression (24-item Hamilton Rating Scale for Depression [HRSD; M. Hamilton, 1967] score less than 26) and those with high depression scores but low anxiety (HRSD greater than or equal to 26 and Hamilton Anxiety Rating Scale [M. Hamilton, 1959] less than 14). Both profiles were associated with at least 40% chance of attaining full remission. The model did not identify predictors for those receiving medication or psychotherapy alone, and it did not distinguish between the 2 monotherapies. The authors conclude that combined antidepressant medications and psychotherapy result in faster full remission of chronic forms of major depressive disorder. (Contains 3 figures and 2 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10