Psychotherapy and psychological assessment

Journal/Book: Curr Opin Psychiatry. 1997; 10: 2-6 Boundary Row, London, England SE1 8NH. Rapid Science Publishers. 486-493.

Abstract: Developments related to psychotherapy and psychological assessments of depressive disorders are reviewed. Results of several more recent studies of cognitive behavior therapy (CBT) have yielded relatively unimpressive results. Interpersonal psychotherapy (IPT), on the other hand, was both comparable with nortriptyline and significantly more effective than a treatment as usual comparison group in a well-controlled study conducted in primary care clinics. Some evidence is accumulating to suggest that both CBT and IBT are less effective when patients manifest neurobiologic disturbances suggestive of CNS hyperarousal. Studies utilizing measures of therapeutic alliance and patients personality characteristics and interpersonal difficulties also better define the boundaries to psychotherapy response in the depressive disorders.

Note: Article Thase ME, Univ Pittsburgh, Sch Med, Western Psychiat Inst & Clin, 3811 Ohara St, Pittsburgh,PA 15213 USA

Keyword(s): COLLABORATIVE RESEARCH-PROGRAM; 2 PRACTICE GUIDELINES; COGNITIVE-BEHAVIORAL TREATMENT; MENTAL-HEALTH TREATMENT; MAJOR DEPRESSION; INTERPERSONAL PSYCHOTHERAPY; GENERAL EFFECTIVENESS; PERCEPTUAL ASYMMETRY; CEREBRAL LATERALITY; NATIONAL-INSTITUTE

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