COMBINED COGNITIVE-BEHAVIORAL THERAPY (CBT) AND PSYCHOPHARMACOTHERAPY IN THE TREATMENT OF DEPRESSION
Palavras-chave:Depression. Cognitive-behavioral. Psychopharmacotherapy. Antidepressants.
This study aims to investigate the combined use of cognitive behavioral therapy (CBT) and the Psychopharmacotherapy in depression treatment. A bibliographic review that was carried out, looking for original works, bibliographic reviews, meta-analysis, and specialized textbooks. The combination of both therapies has been the first choice as a depression treatment in both mild and moderate patients and hospitalized patients classified with severe depression. The isolated use of antidepressants can lead to a discontinuation because of its side effects. The combine treatment increased the adherence and decreased the discontinuation rate of the therapy. The CBT as a solo treatment or combined with medication displayed superior efficiency rate than Psychopharmacological treatment alone. This research data suggests that CBT is essential in treatments with patients with chronic depression and with childhood traumas.
AMERICAN PSYCHIATRIC ASSOCIATION et al. Diagnostic and statistical manual of mental disorders: revised text (DSM 5). Artmed, 2014.
ANTONUCCIO, D. Psychotherapy for depression: No stronger medicine. 1995. American Psychologist, v. 50, p.450-452, 1995.
ANTONUCCIO, et al., Psychotherapy versus medication for depression: challenging the conventional wisdom with data. Professional Psychology: Research and Practice, v. 26, n. 6, p. 574, 1995.
BAHLS, S. C. Depression: a brief review of the biological and cognitive foundations. Interaction in Psychology, v. 3, n. 1, 1999.
BECK, A. T. Thinking and depression: I. Idiosyncratic content and cognitive distortions. Archives of general psychiatry, v. 9, n. 4, p. 324-333, 1963.
BECK, A. T. Cognitive therapy and the emotional disorders. New York: International Universities Press; 1976.
BECK, A. T. et al. Cognitive therapy of depression. New York: Guilford Press Google Scholar, 1979.
BECK, A. T. Cognitive Therapy: Past, Present and Future. Journal of Consulting and Clinical Psychology, v. 61, n. 2, p. 194-198, 1993
BECK, A. T. Cognitive Depression Therapy. 1ª ed., Porto Alegre, Medical Arts, 316 p. 1997.
BECK, A. T. The current state of cognitive therapy: a 40-year retrospective. Archives of General Psychiatry, v. 62, n. 9, p. 953-959, 2005.
BECK, J. S. Cognitive therapy: Basics and beyond. New York: Guilford Press; 1995.
BECK, J. S. Introduction to cognitive-behavioral therapy. BECK, J. Cognitive-Behavioral Therapy: Theory and Practice, p. 21-23, 2013.
BOTTI, N. C. L. et al. Prevalence of depression among adult men living on the streets in Belo Horizonte. J Bras Psiquiatr, v. 59, n. 1, p. 10-16, 2010.
CAMARGO, J.; ANDRETTA, I. Cognitive-behavioral therapy for depression: a clinical case. Clinical Contexts, v. 6, n. 1, p. 25-32, 2013.
DASKALOPOULOU, M. et al. Depression as a risk factor for the initial presentation of twelve cardiac, cerebrovascular, and peripheral arterial diseases: data linkage study of 1.9 million women and men. PLoS One, v. 11, n. 4, p. e0153838, 2016.
De JONGHE, F. et al. Combining psychotherapy and antidepressants in the treatment of depression. Journal of Affective disorders, v. 64, n. 2, p. 217-229, 2001.
De OLIVEIRA, I. R. The treatment of unipolar major depression: pharmacotherapy, cognitive behaviour therapy or both? Journal of clinical pharmacy and therapeutics, v. 23, n. 6, p. 467-475, 1998.
DOBSON, K. S. A meta-analysis of the efficacy of cognitive therapy for depression. Journal of Consulting and Clinical Psychology, v.57, n.3, p. 414-419, 1989.
DUAILIBI, K., SILVA, A. S. M. D. Depression: DSM-5 criteria and treatment. Brazilian Journal of Clinic and Therapeutics, v. 40, n. 1, p. 27-32, 2014.
ELKIN, I. et al. National Institute of Mental Health treatment of depression collaborative research program: General effectiveness of treatments. Archives of general psychiatry, v. 46, n. 11, p. 971-982, 1989.
FERREIRA, R. A. et al. Depression: Viewpoint and knowledge of nurses from the Family Health Program of São Sebastião do Paraíso. Libertas Scientific Initiation Journal, v. 5, n. 2, 2016.
GREVET, E. H.; KNIJNIK, L. Diagnosis of major depression and dysthymia. Rev. AMRIGS, v. 45, n. 3-4, p. 108-110, 2001.
HARRINGTON, R. et al. Systematic review of efficacy of cognitive behaviour therapies in childhood and adolescent depressive disorder. Bmj, v. 316, n. 7144, p. 1559-1563, 1998.
KATON, W.; LIN, E. H. B; KROENKE, K. The association of depression and anxiety with medical symptom burden in patients with chronic medical illness. General hospital psychiatry, v. 29, n. 2, p. 147-155, 2007.
KESSEL, J.B; SIMPSON, G. M. Tryciclic and Tetracyclic Drugs. In: Kaplan HI, Sadock B.J, editors. Comprehensive Textbook of Psychiatry. 6th ed. Baltimore: Williams e Wilkins; 1995. p. 2096-112
KNAPP, P. et al. Cognitive-behavioral therapy in psychiatric practice. Artmed Publisher, 2004.
KNAPP, P. et al. Cognitive-behavioral therapy of addictive behaviors. In: A.V. CORDIOLI (ed.), Psychotherapies: Current Approaches. Porto Alegre, Artmed, p. 616-640, 2008
LEAHY, R. L. Cognitive therapy techniques: A practitioner's guide. Guilford Publications, 2017.
MARTINS, S. B.; AGUIAR, J. E. Depression in old age: depression is more common in the elderly, why? How to get out of it? Revista Cesumar – Applied Human and Social Sciences, v. 11, n. 1, p. 101-113, 2007.
MCPHERSON, S. et al. The effectiveness of psychological treatments for treatment‐resistant depression: a systematic review. Acta Psychiatrica Scandinavica, v. 111, n. 5, p. 331-340, 2005.
MORENO, D. H.; MORENO, R. A. Treatment-resistant depressions: proposed approach. J. bras. psiquiatr, v. 42, n. supl. 1, p. 41-5s, 1993.
MORENO, R. A.; MORENO, D. H.; SOARES, M. B. M. Psychopharmacology of antidepressants. Brazilian Journal of Psychiatry, v. 21, p. 24-40, 1999.
MÖSSNER, R. et al. Consensus paper of the WFSBP Task Force on Biological Markers: biological markers in depression. The world journal of biological psychiatry, v. 8, n. 3, p. 141-174, 2007.
NEMEROFF, C. B. et al. Differential responses to psychotherapy versus pharmacotherapy in patients with chronic forms of major depression and childhood trauma. Proceedings of the National Academy of Sciences, v. 100, n. 24, p. 14293-14296, 2003.
NEUFELD, C. B.; CAVENAGE, C. C. cognitive conceptualization of case: a proposal for systematization from clinical practice and training of cognitive-behavioral therapists. Brazilian journal of cognitive therapies, v. 6, n. 2, p. 3-36, 2010.
PAYKEL, E. S. Handbook of affective disorders. 2nd ed. New York: Guilford Press, 1992.
POWELL, V. B. et al. Cognitive-behavioral therapy of depression. Brazilian Journal of Psychiatry. v. 30, n. 2, p. 73-80, 2008.
ROZENTHAL, M.; LAKS, J.; ENGELHARDT, E. Neuropsychological aspects of depression. Journal of Psychiatry, v. 26, n. 2, p. 204-12, 2004.
RUPKE, S. J.; BLECKE, D; RENFROW, M. Cognitive therapy for depression. Am Fam Physician, v. 73, n. 1, p. 83-86, 2006.
RUSH, A. J. et al. Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients. Cognitive therapy and research, v. 1, n. 1, p. 17-37, 1977.
SEGAL, Z.; VINCENT, P.; LEVITT, A. Efficacy of combined, sequential and crossover psychotherapy and pharmacotherapy in improving outcomes in depression. Journal of Psychiatry and Neuroscience, v. 27, n. 4, p. 281, 2002.
SOUZA, A. E. C., et al. The effects of antidepressants on the body. UNILUS Teaching and Research, v. 12, n. 28, p. 146, 2015.
STAHL, S. M. Psychopharmacology of antidepressants. Taylor & Francis, 1997.
WEXLER, B. E.; CICCHETTI, D. V. The outpatient treatment of depression: Implications of outcome research for clinical practice. The Journal of nervous and mental disease, v. 180, n. 5, p. 277-286, 1992.
WORLD HEALTH ORGANIZATION (WHO). The World Health Report 2001: Mental health: new understanding, new hope. World Health Organization, 2001.
WORLD HEALTH ORGANIZATION (WHO) et al. Mental health: new understanding, new hope. Genova, WHO, 2009. Available in: http://www.who.int/whr/2001/en/whr01_po.pdf. Access in: 26/01/2018.
WORLD HEALTH ORGANIZATION (WHO) et al. Depression: A global public health concern. Last modified October, v. 5, p. 2012, 2012.
WHITE, J. R.; FREEMAN, A, S. Group cognitive-behavioral therapy for specific populations and problems. Roca, 2003.
Copyright (c) 2020 REVISTA DIREITOS, TRABALHO E POLÍTICA SOCIAL
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
1. O CEDENTE declara que é (são) autor(es) e titular(es) da propriedade dos direitos autorais da OBRA submetida.
2. O CEDENTE declara que a OBRA não infringe direitos autorais e/ou outros direitos de propriedade de terceiros, que a divulgação de imagens (caso as mesmas existam) foi autorizada e que assume integral responsabilidade moral e/ou patrimonial, pelo seu conteúdo, perante terceiros.
3. O CEDENTE cede e transfere todos os direitos autorais relativos à OBRA à CESSIONÁRIA, especialmente os direitos de edição, de publicação, de tradução para outro idioma e de reprodução por qualquer processo ou técnica. A CESSIONÁRIA passa a ser proprietária exclusiva dos direitos referentes à OBRA, sendo vedada qualquer reprodução, total ou parcial, em qualquer outro meio de divulgação, impresso ou eletrônico, sem que haja prévia autorização escrita por parte da CESSIONÁRIA.
4. A cessão é gratuita e, portanto, não haverá qualquer tipo de remuneração pela utilização da OBRA pela CESSIONÁRIA.