Skip to main content Accessibility help
×
Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-22T21:08:48.653Z Has data issue: false hasContentIssue false

Chapter 3.4 - Psychological and Social Treatment of Depression

Published online by Cambridge University Press:  04 April 2024

David Kingdon
Affiliation:
University of Southampton
Paul Rowlands
Affiliation:
Derbyshire Healthcare NHS foundation Trust
George Stein
Affiliation:
Emeritus of the Princess Royal University Hospital
Get access

Summary

Psychosocial intervention, in its broadest sense, is a vital component in the management of all types of depression, from mild depressive reactions to psychotic episodes. Even if pharmacological therapy or ECT is the main treatment, the way in which the clinician assesses, engages the patient, gives information about the illness and its treatment, and provides support contributes significantly to a successful outcome. In addition to this basic level of supportive work, many patients will benefit from more structured forms of psychotherapy. This chapter will consider the psychological and social therapies available for depression and the evidence for their effectiveness. Some general principles of psychological management for the depressed patient will be described.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2024

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Burcusa, SL, Iacono, WG. Risk for recurrence in depression. Clinical Psychological Review 2007;27(8):959–85. www.sciencedirect.com/science/article/abs/pii/S027273580700058X (accessed 13 Feb 2021).CrossRefGoogle ScholarPubMed
Kupfer, DJ, Frank, E, Wamhoff, J, et al. Mood disorders: update on prevention of recurrence. In: Mundt, C, Goldstein, MJ, Hahlweg, K, et al. (eds.) Interpersonal Factors in the Origin and Course of Affective Disorders. London: Gaskell; 1996: 289302.Google Scholar
Rush, AJ, Beck, AT, Kovacs, M, et al. Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients. Cognitive Therapy and Research 1977;1(1):1737.CrossRefGoogle Scholar
Beck, AT, Rush, AJ, Shaw, B, et al. Cognitive Therapy of Depression. New York: Guilford Press; 1979.Google Scholar
Butler, AC, Chapman, JE, Forman, EM, et al. The empirical status of cognitive-behavioral therapy: a review of meta-analyses. Clinical Psychology Review. 2006;26(1):1731.CrossRefGoogle ScholarPubMed
Cuijpers, P, Berking, M, Andersson, G, et al. A meta-analysis of cognitive-behavioural therapy for adult depression, alone and in comparison with other treatments. Canadian Journal of Psychiatry 2013;58(7):376–85. search.proquest.com/docview/1426313762?accountid=136549.CrossRefGoogle ScholarPubMed
Cuijpers, P, Donker, T, Weissman, MM, et al. Interpersonal psychotherapy for mental health problems: a comprehensive meta-analysis. American Journal of Psychiatry 2016;173(7):680–7. ajp.psychiatryonline.org/doi/abs/10.1176/appi.ajp.2015.15091141 (accessed 6 January 2021).CrossRefGoogle ScholarPubMed
Cuijpers, P, Sijbrandij, M, Koole, SL, et al. Adding psychotherapy to antidepressant medication in depression and anxiety disorders: a meta-analysis. World Psychiatry 2014;13(1):5667.CrossRefGoogle ScholarPubMed
Cuijpers, P, Noma, H, Karyotaki, E, et al. A network meta-analysis of the effects of psychotherapies, pharmacotherapies and their combination in the treatment of adult depression. World Psychiatry 2020;19(1):92107.CrossRefGoogle ScholarPubMed
Luty, SE, Carter, JD, McKenzie, JM, et al. Randomised controlled trial of interpersonal psychotherapy and cognitive-behavioural therapy for depression. British Journal of Psychiatry 2007;190(June):496502.CrossRefGoogle ScholarPubMed
DeRubeis, RJ, Hollon, SD, Amsterdam, JD, et al. Cognitive therapy vs medications in the treatment of moderate to severe depression. Archives of General Psychiatry 2005;62(4):409–16.CrossRefGoogle ScholarPubMed
Chiang, KJ, Tsai, JC, Liu, D, et al. Efficacy of cognitive-behavioral therapy in patients with bipolar disorder: a metaanalysis of randomized controlled trials. PLoS ONE 2017;12(5):e0176849.CrossRefGoogle Scholar
Miklowitz, DJ, Efthimiou, O, Furukawa, TA, et al. Adjunctive psychotherapy for bipolar disorder: a systematic review and component network meta-analysis. JAMA Psychiatry 2020;78(2):141–50.Google Scholar
Hofman, J, Pollitt, A, Broeks, M, et al. Review of computerised cognitive behavioural therapies: products and outcomes for people with mental health needs. Rand Health Quarterly 2017;6(4):12.Google ScholarPubMed
Andersson, G, Cuijpers, P. Internet-based and other computerized psychological treatments for adult depression: a meta-analysis. Cognitive Behaviour Therapy 2009;38(4):196205. www.tandfonline.com/doi/abs/10.1080/16506070903318960 (accessed 1 December 2020).CrossRefGoogle ScholarPubMed
Farrer, L, Christensen, H, Griffiths, KM, et al. Internet-based CBT for depression with and without telephone tracking in a national helpline: randomised controlled trial. PLoS ONE 2011;6(11):e28099. dx.plos.org/10.1371/journal.pone.0028099 (accessed 10 February 2021).CrossRefGoogle Scholar
Castro, A, García-Palacios, A, García-Campayo, J, et al. Efficacy of low-intensity psychological intervention applied by ICTs for the treatment of depression in primary care: a controlled trial. BMC Psychiatry 2015;15(1):106. bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888–015-0475-0 (accessed 10 February 2021).CrossRefGoogle ScholarPubMed
Gili, M, Castro, A, García-Palacios, A, et al. Efficacy of three low-intensity, internet-based psychological interventions for the treatment of depression in primary care: randomized controlled trial. Journal of Medical Internet Research 2020;22(6):e15845. www.jmir.org/2020/6/e15845 (accessed 10 February 2021).CrossRefGoogle ScholarPubMed
Cuijpers, P, Noma, H, Karyotaki, E, et al. Effectiveness and acceptability of cognitive behavior therapy delivery formats in adults with depression: a network meta-analysis. JAMA Psychiatry 2019;76(7):700–7. jamanetwork.com/journals/jamapsychiatry/fullarticle/2730724 (accessed 10 February 2021).CrossRefGoogle ScholarPubMed
Simons, AD, Murphy, GE, Levine, JL, et al. Cognitive therapy and pharmacotherapy for depression: sustained improvement over one year. Archives of General Psychiatry 1986;43(1):43–8.CrossRefGoogle ScholarPubMed
Evans, MD, Hollon, SD, DeRubeis, RJ, et al. Differential relapse following cognitive therapy and pharmacotherapy for depression. Archives of General Psychiatry 1992;49(10):802–8.CrossRefGoogle ScholarPubMed
Cuijpers, P, Hollon, SD, van Straten, A, et al. Does cognitive behaviour therapy have an enduring effect that is superior to keeping patients on continuation pharmacotherapy? A meta-analysis. BMJ Open 2013;3(4):e002542.CrossRefGoogle ScholarPubMed
Hollon, SD, DeRubeis, RJ, Shelton, RC, et al. Prevention of relapse following cognitive therapy vs medications in moderate to severe depression. Archives of General Psychiatry 2005;62(4):417–22.CrossRefGoogle ScholarPubMed
Dobson, KS, Hollon, SD, Dimidjian, S, et al. Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the prevention of relapse and recurrence in major depression. Journal of Consulting and Clinical Psychology 2008;76(3):468–77.CrossRefGoogle ScholarPubMed
Paykel, ES, Scott, J, Teasdale, JD, et al. Prevention of relapse in residual depression by cognitive therapy. Archives of General Psychiatry 1999;56(9):829–35.CrossRefGoogle ScholarPubMed
Paykel, ES, Scott, J, Cornwall, PL, et al. Duration of relapse prevention after cognitive therapy in residual depression: follow-up of controlled trial. Psychological Medicine 2005;35(1):5968. www.proquest.com/docview/57124896.CrossRefGoogle ScholarPubMed
Clarke, K, Mayo-Wilson, E, Kenny, J, et al. Can non-pharmacological interventions prevent relapse in adults who have recovered from depression? A systematic review and meta-analysis of randomised controlled trials. Clinical Psychology Review 2015;39:5870. pubmed.ncbi.nlm.nih.gov/25939032 (accessed 10 February 2021).CrossRefGoogle ScholarPubMed
Andrews, PW, Kornstein, SG, Halberstadt, LJ, et al. Blue again: perturbational effects of antidepressants suggest monoaminergic homeostasis in major depression. Frontiers in Psychology 2011;2(July):159.CrossRefGoogle ScholarPubMed
Hollon, SD, Cohen, ZD, Singla, DR, et al. Recent developments in the treatment of depression. Behavior Therapy 2019;50(2):257–69.CrossRefGoogle ScholarPubMed
Jacobson, NS, Dobson, KS, Truax, PA, et al. A component analysis of cognitive-behavioral treatment for depression. Journal of Consulting and Clinical Psychology 1996;64(2):295304.CrossRefGoogle ScholarPubMed
Martell, CR, Dimidjian, S, Herman-Dunn, R. Behavioral Activation for Depression: A Clinician’s Guide. New York: Guilford Press; 2013.Google Scholar
Ekers, D, Webster, L, van Straten, A, et al. Behavioural activation for depression; an update of meta-analysis of effectiveness and sub group analysis. PLoS ONE 2014;9(6):e100100.CrossRefGoogle ScholarPubMed
Ekers, DM, Dawson, MS, Bailey, E. Dissemination of behavioural activation for depression to mental health nurses: training evaluation and benchmarked clinical outcomes. Journal of Psychiatric and Mental Health Nursing 2013;20(2):186–92.CrossRefGoogle ScholarPubMed
Piet, J, Hougaard, E. The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clinical Psychology Review 2011;31(6):1032–40.CrossRefGoogle ScholarPubMed
Wells, A. Metacognitive Therapy for Anxiety and Depression. New York: Guilford Press; 2011.Google Scholar
Normann, N, van Emmerik, AAP, Morina, N. The efficacy of metacognitive therapy for anxiety and depression: a meta-analytic review. Depression and Anxiety 2014;31(5):402–11.CrossRefGoogle ScholarPubMed
Watkins, ER. Rumination-Focused Cognitive-Behavioral Therapy for Depression. New York: Guilford Publications; 2018.Google Scholar
Watkins, ER, Mullan, E, Wingrove, J, et al. Rumination-focused cognitive-behavioural therapy for residual depression: phase II randomised controlled trial. British Journal of Psychiatry 2011;199(4):317–22. www.cambridge.org/core/services/aop-cambridge-core/content/view/8A7837A95E24712C034EB101FD53F41A/S0007125000258352a.pdf/div-class-title-rumination-focused-cognitive-behavioural-therapy-for-residual-depression-phase-ii-randomised-controlled-trial-div.pdf (accessed 1 December 2020).CrossRefGoogle ScholarPubMed
Brown, GW, Harris, T. Social Origins of Depression: A Study of Psychiatric Disorder in Women. New York: Free Press; 1978.Google Scholar
Weissman, MM, Markowitz, JC, Klerman, GL. The Guide to Interpersonal Psychotherapy: Updated and Expanded Edition. Oxford: Oxford University Press; 2017.CrossRefGoogle Scholar
Frank, E, Swartz, HA, Kupfer, DJ. Interpersonal and social rhythm therapy: managing the chaos of bipolar disorder. Biological Psychiatry 2000;48(6):593604.CrossRefGoogle ScholarPubMed
Freud, S. Mourning and Melancholia. Collected Papers, Vol. 4. London: The Hogarth Press; 1925.Google Scholar
Lemma, A, Target, M, Fonagy, P. Brief Dynamic Interpersonal Therapy: A Clinician’s Guide. Oxford: Oxford University Press; 2011.CrossRefGoogle Scholar
Luborsky, L, Crits-Christoph, P. Understanding Transference: The Core Conflictual Relationship Theme Method. Washington, DC: American Psychological Association; 1998.CrossRefGoogle Scholar
Kernberg, OF. Object relations theory in clinical practice. The Psychoanalytic Quarterly 1988;57(4):481504.CrossRefGoogle ScholarPubMed
Luyten, P, Blatt, SJ. Psychodynamic treatment of depression. Psychiatric Clinics 2012;35(1):111–29.Google ScholarPubMed
Fonagy, P, Lemma, A, Target, M, et al. Dynamic interpersonal therapy for moderate to severe depression: a pilot randomized controlled and feasibility trial. Psychological Medicine 2020;50(6):1010–9. doi.org/10.1017/S0033291719000928 (accessed 8 February 2021).CrossRefGoogle ScholarPubMed
Turner, EH, Matthews, AM, Linardatos, E, et al. Selective publication of antidepressant trials and its influence on apparent efficacy. New England Journal of Medicine 2008;358(3):252–60.CrossRefGoogle ScholarPubMed
Driessen, E, Hollon, SD, Bockting, CLH, et al. Does publication bias inflate the apparent efficacy of psychological treatment for major depressive disorder? A systematic review and meta-analysis of US National Institutes of health-funded trials. PLoS ONE. 2015;10(9):e0137864, journals.plos.org/plosone/article?id=10.1371/journal.pone.0137864.CrossRefGoogle ScholarPubMed
Cuijpers, P, Cristea, IA, Karyotaki, E, et al. How effective are cognitive behavior therapies for major depression and anxiety disorders? A meta-analytic update of the evidence. World Psychiatry 2016;15(3):245–58.CrossRefGoogle ScholarPubMed
Whitfield, G. Group cognitive-behavioural therapy for anxiety and depression. Advances in Psychiatric Treatment 2010;16(3):219–27. www.cambridge.org/core/journals/advances-in-psychiatric-treatment/article/group-cognitivebehavioural-therapy-for-anxiety-and-depression/458CD3360742FE9E90AEB107493E2F0C (accessed 10 February 2021).CrossRefGoogle Scholar
Huntley, AL, Araya, R, Salisbury, C. Group psychological therapies for depression in the community: systematic review and meta-analysis. British Journal of Psychiatry. 2012;200(3):184–90.CrossRefGoogle ScholarPubMed
Yalom, ID, Leszcz, M. The Theory and Practice of Group Psychotherapy. London: Hachette UK; 2020.Google Scholar
Whisman, MA, Johnson, DP, Be, D, et al. Couple-based interventions for depression. Couple and Family Psychology: Research and Practice 2012;1(3):185–98.CrossRefGoogle Scholar
Christensen, A, Atkins, DC, Yi, J, et al. Couple and individual adjustment for 2 years following a randomized clinical trial comparing traditional versus integrative behavioral couple therapy. Journal of Consulting and Clinical Psychology 2006;74(6):1180–91.CrossRefGoogle ScholarPubMed
Nagy, E, Moore, S. Social interventions: An effective approach to reduce adult depression? Journal of Affective Disorders 2017;218:131–52.CrossRefGoogle ScholarPubMed
Clark, DM. Realizing the mass public benefit of evidence-based psychological therapies: the IAPT program. Annual Review of Clinical Psychology 2018;14:159–83.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×