标题：Psychological treatments are as effective as pharmacotherapies in the treatment of adult depression: a summary from Randomized Clinical Trials and neuroscience evidence
期刊名称：Research in Psychotherapy: Psychopathology, Process and Outcome
印刷版ISSN：2239-8031
出版年度：2017
卷号：20
页码：147-152
DOI：10.4081/ripppo.2017.273
语种：English
出版社：PAGEPress Publications
摘要：Several hundred randomized controlled trials have tested the effects of psychological treatments of depres?sion. Although most of these trials have focused on cog?nitive behavior therapies (Cuijpers et al., 2013; Furukawa et al., 2014), several other types of treatment have been found to be effective in the treatment of depression in dozens of randomized trials, including interpersonal psy?chotherapy (Churchill et al., 2010; Cuijpers, Donker, Weissman, Ravitz, & Cristea, 2016), behavioral activation (Ekers, Richards, & Gilbody, 2008; Shinohara et al., 2013), problem-solving treatment (Malouff, Thorsteinsson, & Schutte, 2007), life review therapy in older adults (Lan, Xiao, & Chen, 2017), non-directive counseling (Cuijpers et al., 2012), psychodynamic therapies (Driessen et al., 2015; Leichsenring & Rabung, 2008) and third wave therapies (Churchill et al., 2013). What has this large body of research shown about the effects of these therapies? In this Commentary we will give a brief overview of a series of meta-analyses of these randomized trials (Cuijpers, 2017). Because in routine practice most patients still receive antidepressant medication, while the majority of patients prefer psychotherapy (McHugh, Whitton, Peckham, Welge, & Otto, 2013), we will focus specifically on the comparative effects of psychotherapy and pharmacotherapy evaluating the available randomized clinical trials. We also evaluate their comparative effects on brain activity. Given the relatively larger amount of studies on CBT most of the researches are related to this type of therapy. However, when we use the term psycho?logical interventions, especially in meta-analysis it means that different approaches were considered.
