Psychotherapy for Depression in Adults: A Meta-Analysis of Comparative Outcome Studies
Psychotherapy for Depression in Adults: A Meta-Analysis of Comparative Outcome Studies
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DOI：
10.1037/a0013075
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发表时间：
2008-12-01
影响因子：
5.9
通讯作者：
van Oppen, Patricia
中科院分区：
文献类型：
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作者：
Cuijpers, Pim;van Straten, Annemieke;van Oppen, Patricia
尽管这个问题已经被争论和研究了30多年，但仍然不清楚所有的心理治疗是否同样有效。作者进行了7项荟萃分析（共53项研究），其中7种主要类型的轻中度成人抑郁症的心理治疗（认知行为治疗，非指导性支持治疗，行为激活治疗，心理动力学治疗）。问题解决疗法、人际关系心理疗法和社会技能训练）与其他心理治疗进行直接比较。每种主要的治疗类型都在至少5项随机对照试验中进行了检查。没有迹象表明I治疗是更有效或更不有效，除了人际心理治疗（有点更有效; d = 0.20）和非指导性支持治疗（有点不如其他治疗有效：d = -0.13）。认知行为疗法的辍学率显着高于其他疗法，而解决问题疗法的辍学率显着低于其他疗法。这项研究表明，对于轻度至中度抑郁症，主要的心理治疗方法之间的疗效没有很大差异。
Although the subject has been debated and examined for more than 3 decades, it is si ill not clear whether all psychotherapies are equally efficacious. The authors conducted 7 meta-analyses (with a total of 53 studies) in which 7 major types of psychological treatment for mild to moderate adult depression (cognitive-behavior therapy, nondirective supportive treatment, behavioral activation treatment, psychodynamic treatment. problem-solving therapy, interpersonal psychotherapy, and social skills training) were directly compared with other psychological treatments. Each major type of treatment had been examined in at least 5 randomized comparative trials. There was no indication that I of the treatments was more or less efficacious, with the exception of interpersonal psychotherapy (which was somewhat more efficacious; d = 0.20) and nondirective supportive treatment (which was somewhat less efficacious than the other treatments: d = -0.13). The drop-out rate was significantly higher in cognitive-behavior therapy than in the other therapies, whereas it was significantly lower in problem-solving therapy. This study suggests that there are no large differences in efficacy between the major psychotherapies for mild to moderate depression.