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Psychotherapie bei chronischer Depression – Führen störungsspezifische Ansätze zu besseren Behandlungserfolgen?

Published Online:December 19, 2017https://doi.org/10.1024/1661-4747/a000338

Abstract

Zusammenfassung. Chronische Depressionen sind häufige und besonders beeinträchtigende Erkrankungen. Aufgrund der Dauer und einer Vielzahl von komplizierenden Faktoren gelten sie als schwierig zu behandeln. In den gängigen Leitlinien wird eine Kombination von Psychotherapie und Antidepressiva zur Therapie empfohlen. Dabei hat sich eine störungsspezifische Behandlung mit dem Cognitive Behavioral Analysis System of Psychotherapy (CBASP) anderen und unspezifischeren Ansätzen gegenüber als überlegen gezeigt. Bei dieser Therapieform wird gezielt auf die Besonderheiten chronischer Verlaufsformen wie auf frühe interpersonelle Traumatisierungen, hohe Komorbiditätsraten und ausgeprägtes Vermeidungsverhalten eingegangen. Eine längerfristige Behandlung mit CBASP führte zu besseren Behandlungserfolgen.


Psychotherapy of persistent depressive disorders – Are disorder-specific approaches more effective?

Abstract. Chronic depression is a highly prevalent and particularly disabling disorder. Due to the duration and a variety of complicating factors, chronic depression counts as difficult-to-treat. In treatment guidelines, a combination of psychotherapy and antidepressants is recommended for the treatment of persistent depressive disorders. Among different forms of psychotherapy, a disorder-specific treatment with the Cognitive Behavioral Analysis System of Psychotherapy (CBASP) proved superior over other and more unspecific approaches. CBASP focuses on the special needs of chronic forms of depression such as early trauma, high comorbidity rates, and marked avoidance behavior. A longer term treatment with CBASP led to better outcomes.

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