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"SPSP can be described as being on the supportive side of the traditional 'supportive-expressive' line dividing the two main schools of psychoanalytic psychotherapies. IPT is considered efficacious for patients who are socially well adapted, with short-term psychodynamic psychotherapy reserved for patients with accompanying personality disorders (41, 60). Consequently, this guideline evaluated and reviewed the evidence regarding these three psychotherapies to allow tailored treatment of individual patients in their respective conditions. "
[Show abstract][Hide abstract] ABSTRACT: Although pharmacological treatment constitutes the main therapeutic approach for depression, non-pharmacological treatments (self-care or psychotherapeutic approach) are usually regarded as more essential therapeutic approaches in clinical practice. However, there have been few clinical practice guidelines concerning self-care or psychotherapy in the management of depression. This study introduces the 'Evidence-Based, Non-Pharmacological Treatment Guideline for Depression in Korea.' For the first time, a guideline was developed for non-pharmacological treatments for Korean adults with mild-to-moderate depression. The guideline development process consisted of establishing several key questions related to non-pharmacologic treatments of depression, searching the literature for studies which answer these questions, assessing the evidence level of each selected study, drawing up draft recommendation, and peer review. The Scottish Intercollegiate Guidelines Network grading system was used to evaluate the quality of evidence. As a result of this process, the guideline recommends exercise therapy, bibliotherapy, cognitive behavior therapy, short-term psychodynamic supportive psychotherapy, and interpersonal psychotherapy as the non-pharmacological treatments for adult patients with mild-to-moderate depression in Korea. Hence, it is necessary to develop specific methodologies for several non-pharmacological treatment for Korean adults with depression.
Full-text · Article · Jan 2014 · Journal of Korean Medical Science
"It has not yet been studied to what extent the impact of these common factors influences treatment success, independent of the treatment method used. Process research results for IPT [Caspar et al., 2005; Crowe and Luty, 2005; Cutler et al., 2004; Coombs et al., 2002] and for CBASP [Manber et al., 2003; Arnow and Constantino, 2003; DiSalvo and McCullough , 2002] have often referred to different aspects of the therapeutic process, and are therefore difficult to compare. "
"It could be argued that interpersonal psychotherapy is not a psychodynamic intervention. Interpersonal psychotherapy has its theoretical roots in psychodynamic therapy but has integrated elements from other therapies , , . In spite of the integrative content of interpersonal psychotherapy we chose, as it's often done in the literature, to classify interpersonal psychotherapy as a form of psychodynamic therapy , . "
[Show abstract][Hide abstract] ABSTRACT: Major depressive disorder afflicts an estimated 17% of individuals during their lifetimes at tremendous suffering and costs. Interpersonal psychotherapy and other psychodynamic therapies may be effective interventions for major depressive disorder, but the effects have only had limited assessment in systematic reviews.
Cochrane systematic review methodology with meta-analysis and trial sequential analysis of randomized trials comparing the effect of psychodynamic therapies versus 'treatment as usual' for major depressive disorder. To be included the participants had to be older than 17 years with a primary diagnosis of major depressive disorder. Altogether, we included six trials randomizing a total of 648 participants. Five trials assessed 'interpersonal psychotherapy' and only one trial assessed 'psychodynamic psychotherapy'. All six trials had high risk of bias. Meta-analysis on all six trials showed that the psychodynamic interventions significantly reduced depressive symptoms on the 17-item Hamilton Rating Scale for Depression (mean difference -3.12 (95% confidence interval -4.39 to -1.86;P<0.00001), no heterogeneity) compared with 'treatment as usual'. Trial sequential analysis confirmed this result.
We did not find convincing evidence supporting or refuting the effect of interpersonal psychotherapy or psychodynamic therapy compared with 'treatment as usual' for patients with major depressive disorder. The potential beneficial effect seems small and effects on major outcomes are unknown. Randomized trials with low risk of systematic errors and low risk of random errors are needed.