Effect of Cognitive Behavioral Therapy after Treatment for Adults with Major Depression
Main Article Content
Abstract
In Brazil, little is known about the maintenance of results after treatment of cognitive-behavioral therapy (CBT) for major depressive disorder (MDD). The objective of this study was to verify the effectiveness of individual psychotherapeutic treatment from CBT for depressive symptoms within 6 and 12 months after the intervention. We evaluated 94 participants with MDD from the Beck Depression Inventory (BDI-II). There was significant posttreatment response (p <0.001), with no difference between the end of treatment and symptom assessment at 6 (p = 0.486) and 12 months (p = 0.098). A significant positive correlation was observed between the intensity of depressive symptoms at baseline and the reduction of initial symptoms for 12-month follow-up (r = 0.49; p <0.001). CBT significantly reduces depressive symptoms by maintaining this condition up to 12 months post-intervention without significant influence of other characteristics beyond the intensity of depressive symptoms at the beginning of the therapeutic process.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright to articles published in The Journal Of Psychology: Theory and Practice belongs to the authors, who grant Mackenzie Presbyterian University the not exclusive rights to publish the content.
References
Amorim, P. (2000). Mini International Neuropsychiatric Interview (MINI): Validação de entrevista breve para diagnóstico de transtornos mentais. Revista Brasileira de Psiquiatria, 22(3), 106–15. doi:10.1590/S1516-44462000000300003
Azevedo Marques, J. M. de, & Zuardi, A. W. (2008). Validity and applicability of the Mini International Neuropsychiatric Interview administered by family medicine residents in primary health care in Brazil. General Hospital Psychiatry, 30(4), 303–310. doi:10.1016/j.genhosppsych.2008.02.001
Barth, J., Munder, T., Gerger, H., Nüesch, E., Trelle, S., Znoj, H., Jüni P., & Cuijpers, P. (2016). Comparative efficacy of seven psychotherapeutic interventions for patients with depression: A network meta-analysis. Focus, 14(2), 229–243. doi:10.1371/journal.pmed.1001454
Beck, J. S. (2013). Terapia cognitivo-comportamental: Teoria e prática (S. Mallmannda Rosa, Trad.). Porto Alegre: Artmed.
Burcusa, S. L., & Iacono, W. G. (2007). Risk for recurrence in depression. Clinical Psychology Review, 27(8), 959–985. doi:10.1016/j.cpr.2007.02.005
Cuijpers, P., Berking, M., Andersson, G., Quigley, L., Kleiboer, A., & Dobson, K. S. (2013). A meta-analysis of cognitive-behavioural therapy for adult depression, alone and in comparison with other treatments. The Canadian Journal of Psychiatry, 58(7), 376– 385. doi:10.1177/070674371305800702
Cuijpers, P., Clignet, F., Meijel, B., van, Straten, A., van, Li, J., & Andersson, G. (2011). Psychological treatment of depression in inpatients: A systematic review and meta-analysis. Clinical Psychology Review, 31(3), 353–360. doi:10.1016/j.cpr.2011.01.002
Cuijpers, P., Karyotaki, E., Weitz, E., Andersson, G., Hollon, S. D., & Straten, A., van (2014). The effects of psychotherapies for major depression in adults on remission, recovery and improvement: A meta-analysis. Journal of affective disorders, 159, 118– 126. doi:10.1016/j.jad.2014.02.026
Glasman, D., Finlay, W. M. L., & Brock, D. (2004). Becoming a self-therapist: Using cognitive behavioural therapy for recurrent depression and/or dysthymia after completing therapy. Psychology and Psychotherapy: Theory, Research and Practice, 77(3), 335–351. doi:10.1348/1476083041839385
Gomes-Oliveira, M. H., Gorenstein, C., Lotufo, Neto, F., Andrade, L. H., & Wang, Y. P. (2012). Validation of the Brazilian Portuguese version of the Beck Depression Inventory-II in a community sample. Revista Brasileira de Psiquiatria, 34(4), 389–394. doi:10.1016/j.rbp.2012.03.005
Gorenstein, C., Pang, W. Y., Argimon, I. L., & Werlang, B. S. G. (2011). Inventário Beck de Depressão-II: Manual. São Paulo: Casa do Psicólogo.
Greenberg, P. E., Fournier, A. A., Sisitsky, T., Pike, C. T., & Kessler, R. C. (2015). The economic burden of adults with major depressive disorder in the United States (2005 and 2010). The Journal of Clinical Psychiatry, 76(2), 155–162. doi:10.4088/ JCP.14m09298
Hollon, S. D., DeRubeis, R. J., Fawcett, J., Amsterdam, J. D., Shelton, R. C., Zajecka, J., Young P.R., & Gallop, R. (2014). Effect of cognitive therapy with antidepressant medications vs antidepressants alone on the rate of recovery in major depressive disorder: A randomized clinical trial. JAMA Psychiatry, 71(10), 1157–1164. doi:10.1001/ jamapsychiatry.2014.1054
Kessler, R. C., Nelson, C. B., McGonagle, K. A., Edlund, M. J., Frank, R. G., & Leaf, P. J. (1996). The epidemiology of co-occurring addictive and mental disorders: Implications for prevention and service utilization. American Journal of Orthopsychiatry, 66(1), 17–31. doi:10.1037/h0080151
Koster, E. H., Hoorelbeke, K., Onraedt, T., Owens, M., & Derakshan, N. (2017). Cognitive control interventions for depression: A systematic review of findings from training studies. Clinical Psychology Review, 53, 79–92. doi:10.1016/j.cpr.2017.02.002
Lang, U. E., & Borgwardt, S. (2013). Molecular mechanisms of depression: Perspectives on new treatment strategies. Cellular Physiology and Biochemistry, 31(6), p.761–777. doi:10.1159/000350094
Marcus, S. C., & Olfson, M. (2010). National trends in the treatment for depression from 1998 to 2007. Archives of General Psychiatry, 67(12), 1265–1273. doi:10.1001/archgenpsychiatry.2010.151
Nakagawa, A., Mitsuda, D., Sado, M., Abe, T., Fujisawa, D., Kikuchi, T., Iwashita S., Mimura M., & Ono, Y. (2017). Effectiveness of supplementary cognitive-behavioral therapy for pharmacotherapy-resistant depression: A randomized controlled trial. The Journal of Clinical Psychiatry, 78(8), 1126–1135. doi:10.4088/JCP.15m10511
Rocha, H. R., Rodrigues P. D., Sousa, H. K. C. D., Alchieri, J. C., Sales, E. D. A., & Alencar, J. C. N. D. (2011). Estudos de adaptação do Millon Clinical Multiaxial Inventory-III para avaliação de aspectos psicopatológicos da personalidade no Brasil. Jornal Brasileiro de Psiquiatria, 60(1), 34–39. doi:10.1590/S0047-20852011000100007
Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., ... Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (MINI): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry, 59, 211–232.
Vittengl, J. R., Clark, L. A., Dunn, T. W., & Jarrett, R. B. (2007). Reducing relapse and recurrence in unipolar depression: A comparative meta-analysis of cognitive- -behavioral therapy’s effects. Journal of Consulting and Clinical Psychology, 75(3), 475–488. doi:10.1037/0022-006X.75.3.475
Wiles, N. J., Thomas, L., Turner, N., Garfield, K., Kounali, D., Campbell, J., Kessler D., Kuyken W., Lewis G., Morrison J., Williams C., Peters T. J., & Williams, C. (2016). Long-term effectiveness and cost-effectiveness of cognitive behavioural therapy as an adjunct to pharmacotherapy for treatment-resistant depression in primary care: Follow-up of the CoBalT randomised controlled trial. The Lancet Psychiatry, 3(2), 137–144. doi:10.1016/S2215-0366(15)00495-2