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Effectiveness of psychotherapy and combination treatment for chronic depression.
J Clin Psychol. 2003 Aug; 59(8):893-905.JC

Abstract

Although considerable research has been conducted on the efficacy of psychotherapy for depression, with and without medication, relatively few studies have focused on chronic forms of depression. Approximately 20% of individuals with depression experience episodes that last for two years or longer. We review the controlled research on the effectiveness of treatments separately for dysthymia and chronic major depression, focusing on the practical implications of the research for clinicians. In trials conducted with dysthymics, medication has been superior to psychotherapy, with limited evidence that combined treatment has advantages over medication or psychotherapy alone. In chronic major depression, combined treatment has demonstrated significant superiority over medication or psychotherapy alone. Possible explanations for the discrepant findings among dysthymics and those with chronic major depression are discussed.

Authors+Show Affiliations

Department of Psychiatry and Behavioral Sciences, Stanford University Medical Center, CA 94305-5722, USA. Arnow@stanford.eduNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

12858430

Citation

Arnow, Bruce A., and Michael J. Constantino. "Effectiveness of Psychotherapy and Combination Treatment for Chronic Depression." Journal of Clinical Psychology, vol. 59, no. 8, 2003, pp. 893-905.
Arnow BA, Constantino MJ. Effectiveness of psychotherapy and combination treatment for chronic depression. J Clin Psychol. 2003;59(8):893-905.
Arnow, B. A., & Constantino, M. J. (2003). Effectiveness of psychotherapy and combination treatment for chronic depression. Journal of Clinical Psychology, 59(8), 893-905.
Arnow BA, Constantino MJ. Effectiveness of Psychotherapy and Combination Treatment for Chronic Depression. J Clin Psychol. 2003;59(8):893-905. PubMed PMID: 12858430.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effectiveness of psychotherapy and combination treatment for chronic depression. AU - Arnow,Bruce A, AU - Constantino,Michael J, PY - 2003/7/15/pubmed PY - 2003/11/13/medline PY - 2003/7/15/entrez SP - 893 EP - 905 JF - Journal of clinical psychology JO - J Clin Psychol VL - 59 IS - 8 N2 - Although considerable research has been conducted on the efficacy of psychotherapy for depression, with and without medication, relatively few studies have focused on chronic forms of depression. Approximately 20% of individuals with depression experience episodes that last for two years or longer. We review the controlled research on the effectiveness of treatments separately for dysthymia and chronic major depression, focusing on the practical implications of the research for clinicians. In trials conducted with dysthymics, medication has been superior to psychotherapy, with limited evidence that combined treatment has advantages over medication or psychotherapy alone. In chronic major depression, combined treatment has demonstrated significant superiority over medication or psychotherapy alone. Possible explanations for the discrepant findings among dysthymics and those with chronic major depression are discussed. SN - 0021-9762 UR - https://www.unboundmedicine.com/medline/citation/12858430/Effectiveness_of_psychotherapy_and_combination_treatment_for_chronic_depression_ L2 - https://doi.org/10.1002/jclp.10181 DB - PRIME DP - Unbound Medicine ER -