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The treatment of psychotic major depression: is there a role for adjunctive psychotherapy?
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|Title: ||The treatment of psychotic major depression: is there a role for adjunctive psychotherapy?|
|Authors: ||Gaudiano, Brandon A.|
Miller, Ivan W.
Herbert, James D.
|Keywords: ||Major Depression;Psychosis;Cognitive Behavior Therapy;Combined Treatments;Hospitalized Patients;Depression|
|Issue Date: ||2007|
|Citation: ||Psychotherapy and Psychosomatics, 76(5): pp. 271-277.|
|Abstract: ||Background: Psychotic depression is a relatively prevalent
mood disorder associated with greater symptom severity, a
poorer course of illness and higher levels of functional impairment
compared with nonpsychotic depression. Separate
lines of investigation suggest that various forms of cognitive-
behavioral therapy are efficacious for treating severe
forms of nonpsychotic depression as well as primary psychotic
disorders. However, there currently are no empirically
supported psychotherapies specifically designed for treating
psychotic depression. Method: We review the efficacy of
current somatic treatments for the disorder and discuss the
limited data to date on potentially useful psychotherapeutic
approaches. In particular, we describe the clinical improvement
observed in a subgroup of hospitalized patients with
psychotic depression treated with Acceptance and Commitment
Therapy as part of a larger clinical trial. Results: Pilot
results demonstrated that Acceptance and Commitment
Therapy was associated with clinically significant reductions
in acute symptom severity and impairment compared with
treatment as usual. Conclusion: The findings suggest that
patients with psychotic depression can benefit from psychotherapy.
Clinical and research recommendations in this area
|Appears in Collections:||Faculty Research and Publications (Psychology)|
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