Psychotherapie depressiver Störungen

• Verfasst von: Härter, Martin [VerfasserIn]
• Verfasst von: Kühner, Christine [VerfasserIn]
• Verfasst von: Schauenburg, Henning [VerfasserIn]
• Titel: Psychotherapie depressiver Störungen
• Titelzusatz: Evidenz bei chronischer Depression und bei Komorbidität
• Verf.angabe: M. Härter, A. Jansen, M. Berger, H. Baumeister, T. Bschor, T. Harfst, M. Hautzinger, L. Kriston, C. Kühner, H. Schauenburg, S.G. Schorr, F. Schneider, R. Meister
• E-Jahr: 2018
• Jahr: 05 February 2018
• Umfang: 11 S.
• Fussnoten: Gesehen am 20.08.2019
• Weitere Titel: Titel der englischsprachigen Zusammenfassung: Psychotherapy of depressive disorders : evidence in chronic depression and comorbidities
• Titel Quelle: Enthalten in: Der Nervenarzt
• Ort Quelle: Berlin : Springer, 1996
• Jahr Quelle: 2018
• Band/Heft Quelle: 89(2018), 3, Seite 252-262
• ISSN Quelle: 1433-0407
• DOI: doi:10.1007/s00115-018-0485-5
• Datenträger: Online-Ressource
• Sprache: ger
• Sach-SW: „Double Depression“
• Sach-SW: Behandlungsresistenz
• Sach-SW: Double depression
• Sach-SW: Dysthymia
• Sach-SW: Dysthymie
• Sach-SW: Guidelines
• Sach-SW: Leitlinien
• Sach-SW: Mental comorbidities
• Sach-SW: Psychische Komorbidität
• Sach-SW: Somatic comorbidities
• Sach-SW: Somatische Komorbidität
• Sach-SW: Treatment resistance
• K10plus-PPN: 1671636287

Abstract

BackgroundPsychotherapy has been shown to be an effective treatment option for depressive disorders; however, its effectiveness varies depending on patient and therapist characteristics and the individual form of the depressive disorder.ObjectivesThe aim of this article is to present the current evidence for psychotherapeutic antidepressive treatments for patients with chronic and treatment-resistant depression as well as for patients with mental and somatic comorbidities.Material and methodsDuring the revision of the currently valid German S3- and National Disease Management Guideline (NDMG) on unipolar depression published in 2015, a comprehensive and systematic evidence search including psychotherapy for specific patient groups was conducted. The results of this search along with a systematic update are summarized.ResultsPsychotherapy has been shown to be effective in reducing depressive symptoms in patients suffering from chronic and treatment-resistant depression and in patients with mental and somatic comorbidities. The evidence is insufficient particularly for patients with mental comorbidities.ConclusionBased on the current evidence and clinical expertise the NDMG recommends psychotherapy alone or in combination with pharmacotherapy to treat most of these depressive patient groups. Evidence gaps were identified, which highlight the need for further research.