Rational Emotive Behavior Therapy, Cognitive Therapy, and Medication in the Treatment of Major Depressive Disorder: A Randomized Clinical Trial, Posttreatment Outcomes, and Six-Month Follow-Up

Rational Emotive Behavior Therapy, Cognitive Therapy, and Medication in the Treatment of Major Depressive Disorder: A Randomized Clinical Trial, Posttreatment Outcomes, and Six-Month Follow-Up
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DOI:
10.1002/jclp.20487
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发表时间:
2008-06-01
影响因子:
3
通讯作者:
Cosman, Doina
Cosman, Doina
中科院分区:
心理学4区
文献类型:
--
作者:
David, Daniel;Szentagotai, Aurora;Cosman, Doina

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通过随机临床试验,探讨理性情绪行为疗法(REBT)、认知疗法(CT)和药物疗法治疗170例门诊非精神病性重度抑郁症的相对疗效。患者被随机分配到以下一组:14周的REBT, 14周的CT或14周的药物治疗(氟西汀)。结果测量采用汉密尔顿抑郁评定量表和贝克抑郁量表。后测时各处理条件间无差异。在6个月的随访中,仅在汉密尔顿抑郁评定量表上发现REBT(显著)和CT(不显著)比药物治疗的效果更大。(C) 2008 Wiley期刊有限公司
A randomized clinical trial was undertaken to investigate the relative efficacy of rational-emotive behavior therapy (REBT), cognitive therapy (CT), and pharmacotherapy in the treatment of 170 outpatients with nonpsychotic major depressive disorder. The patients were randomly assigned to one of the following: 14 weeks of REBT, 14 weeks of CT, or 14 weeks of pharmacotherapy (fluoxetine). The outcome measures used were the Hamilton Rating Scale for Depression and the Beck Depression Inventory. No differences among treatment conditions at posttest were observed. A larger effect of REBT (significant) and CT (nonsignificant) over pharmacotherapy at 6 months follow-up was noted on the Hamilton Rating Scale for Depression only. (C) 2008 Wiley Periodicals, Inc.