Reducing relapse and recurrence in unipolar depression: a comparative meta-analysis of cognitive-behavioral therapy's effects. Export

@article{citeulike:6086335, abstract = {Relapse and recurrence following response to acute-phase treatment for major depressive disorder (MDD) are prevalent and costly. In a meta-analysis of 28 studies including 1,880 adults, the authors reviewed the world's published literature on cognitive-behavioral therapies (CT) aimed at preventing relapse-recurrence in MDD. Results indicate that after discontinuation of acute-phase treatment, many responders to CT relapse-recur (29\% within 1 year and 54\% within 2 years). These rates appear comparable to those associated with other depression-specific psychotherapies but lower than those associated with pharmacotherapy. Among acute-phase treatment responders, continuation-phase CT reduced relapse-recurrence compared with assessment only at the end of continuation treatment (21\% reduction) and at follow-up (29\% reduction). Continuation-phase CT also reduced relapse-recurrence compared with other active continuation treatments at the end of continuation treatment (12\% reduction) and at follow-up (14\% reduction). The authors discuss implications for research and patient care and suggest directions, with methodological refinements, for future studies.}, author = {Vittengl, Jeffrey R. and Clark, Lee Anna A. and Dunn, Todd W. and Jarrett, Robin B.}, citeulike-article-id = {6086335}, citeulike-linkout-0 = {http://dx.doi.org/10.1037/0022-006X.75.3.475}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/17563164}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=17563164}, doi = {10.1037/0022-006X.75.3.475}, issn = {0022-006X}, journal = {Journal of consulting and clinical psychology}, keywords = {cbt, depression, meta-a, relapse}, month = {June}, number = {3}, pages = {475--488}, posted-at = {2009-11-08 15:48:05}, priority = {0}, title = {Reducing relapse and recurrence in unipolar depression: a comparative meta-analysis of cognitive-behavioral therapy's effects.}, url = {http://dx.doi.org/10.1037/0022-006X.75.3.475}, volume = {75}, year = {2007} }

TY - JOUR ID - citeulike:6086335 L3 - citeulike-article-id:6086335 N2 - Relapse and recurrence following response to acute-phase treatment for major depressive disorder (MDD) are prevalent and costly. In a meta-analysis of 28 studies including 1,880 adults, the authors reviewed the world's published literature on cognitive-behavioral therapies (CT) aimed at preventing relapse-recurrence in MDD. Results indicate that after discontinuation of acute-phase treatment, many responders to CT relapse-recur (29% within 1 year and 54% within 2 years). These rates appear comparable to those associated with other depression-specific psychotherapies but lower than those associated with pharmacotherapy. Among acute-phase treatment responders, continuation-phase CT reduced relapse-recurrence compared with assessment only at the end of continuation treatment (21% reduction) and at follow-up (29% reduction). Continuation-phase CT also reduced relapse-recurrence compared with other active continuation treatments at the end of continuation treatment (12% reduction) and at follow-up (14% reduction). The authors discuss implications for research and patient care and suggest directions, with methodological refinements, for future studies. IS - 3 JF - Journal of consulting and clinical psychology SN - 0022-006X EP - 488 TI - Reducing relapse and recurrence in unipolar depression: a comparative meta-analysis of cognitive-behavioral therapy's effects. VL - 75 SP - 475 KW - cbt KW - depression KW - meta-a KW - relapse AU - Vittengl, Jeffrey AU - Clark, Lee Anna AU - Dunn, Todd AU - Jarrett, Robin PY - 2007/06// UR - http://dx.doi.org/10.1037/0022-006X.75.3.475 ER -