Summary
New forms of psychotherapy have been developed in North America specifically focused on the treatment of depressed patients, usually “neurotic depressives” treated on an ambulatory basis. The widely studied treatments have been cognitive behavioral therapy and interpersonal therapy (IPT). The theoretical background and empirical basis of IPT is reviewed along with the available evidence for efficacy based on studies of acute treatment and maintenance treatment. The recently completed NIMH multi-center study provides evidence for the overall efficacy of treatment of outpatient depressives, whether by drugs or by brief psychotherapy. Future developments will likely increase the focus of psychotherapy for depression alone and in combination with medication.
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References
Arieti S, Bemporad J (1979) Severe-mild depression: the psychotherapeutic approach. Basic Books, New York
Beck AT, Rush AJ, Shaw BF, Emery G (1979) Cognitive theory of depression. Guilford, New York
Bowlby J (1969) Attachment and loss. Hogarth Press, London Brown G, Bhrokhain M, Harris T (1975) Social class and psychiatric disturbance among women in an urban population. Sociology 9:225–254
Covi L, Lipman RS (1987) Cognitive behavioral group psychotherapy combined with imipramine in major depression: a pilot study. Psychopharmacol Bul 23:173–176
Darwin C (1872) The expression of the emotions in man and animals. Murray, London
DiMascio A, Weissman MM, Prusoff BA, Neu C, Zwilling M, Klerman GL (1979) Differential symptom reduction by drugs and psychotherapy in acute depression. 1979. Arch Gen Psychiatry 36:1450–1456
Elkin I, Parloff M, Hadley S, Autry J (1985) The NIMH Treatment of Depression Collaborative Research Program: background and research plan. Arch Gen Psychiatry 42:305–316
Eysenck H (1965) The effects of psychotherapy. Int J Psychiatry 1:99
Friedman AS (1975) Interaction of drug therapy with marital therapy in depressive patients. Arch Gen Psychiatry 32:619–637
Glass GV, Smith ML, Miller TI (1980) The berits of psychotherapy. Johns Hopkins Press, Baltimore
Henderson S, Byrne DS, Duncan-Jones P, Adcock S, Scott R, Steele GP (1978) Social bonds in the epidemiology of neurosis. Br J Psychiatry 132:463–466
Hersen M (ed) (1986) Pharmacological and behavioral treatment: an integrative approach. Wiley, New York
Ilfeld FW (1977) Current social stressors and symptoms of depression. Am J Psychiatry 134:161–166
Keller MB, Merman GL, Lavori PW, Fawcett J, Coryell W, Endicott J (1982) Treatment received by depressed patients. JAMA 248:1848–1855
Klerman GL (1974) Depression and adaptation. In: Friedman RJ, Katz MM (eds) Psychology of depression: contemporary theory and research. Winston-Wiley, Washington, DC, pp 127–156
Klerman GL (1978) Drugs and psychotherapy. In: Garfield SL, Bergin AE (eds) Handbook of psychotherapy and behavior change. Wiley, New York
Klerman GL (1983) Psychotherapies and somatic therapies in affective disorders. In: Akiskal H (ed) Psychiatric clinics of North America, vol 6. Saunders, Philadelphia, pp 85–103
Klerman GL, DiMascio A, Weissman MM, Prusoff B, Paykel ES (1974) Treatment of depression by drugs and psychotherapy. Am J Psychiatry 131:186–191
Merman GL (1986a) Drugs and psychotherapy. In: Garfield SB, Bergen AE (eds) Handbook of psychotherapy and behavior change. Wiley, New York, pp 773–814
Klerman GL (1986b) Historical perspectives on contemporary schools of psychopathology. In: Millon T, Klerman GL (eds) Contemporary directions in Psychopathology: toward the DSM-IV. Guilford Press, New York
Klerman GL, Weissman MM, Rounsaville B, Chevron ES (1984) Interpersonal Psychotherapy for depression. Basic Books, New York
Merman GL, Weissman MM (1987) Interpersonal psychotherapy (IPT) and drugs in the treatment of depression. Pharmacopsychiatry 20:3–8
Lewinsohn PM (1974) A behavioral approach to depression. In: Friedman RJ, Katz MM (eds) The psychology of depression: contemporary theory and research. Wiley, Washington
Luborsky L (1984) Principles of psychoanalytic psychotherapy. Basic Books, New York
Parloff MB, Wolfe BE, Waskow IE, Hadley S (1978) Assessment of psychosocial treatment of mental disorders: current status and prospects. Institute of Medicine, Washington, DC
Pearlin LI, Lieberman MA (1977) Social sources of emotional distress. In: Simmons R (ed) Research in community and mental health. JAI Press, Greenwich, CT
Rush AJ (1982) Short-term psychotherapies for depression. Guilford Press, New York
Shaw B (1977) A comparison of cognitive therapy and behavior therapy in the treatment of depression. J Consult Clin Psychol 45:543–551
Shea MT, Elkin I, Hirschfeld RMA (1988) Psychotherapeutic treatment of depression. In: Frances AJ, Hales RE (eds) American Psychiatric Association review of psychiatry, vol 7. American Psychiatric Press, Washington DC, pp 235–255
Strupp HH, Binder JL (1984) Psychotherapy in a new key. Basic Books, New York
Sullivan HS (1956) Clinical studies in psychiatry. Norton, New York
Weissman MM (1987) In: Melzer HY (ed) Psychopharmacology: the third generation of progress. Raven Press, New York
Weissman MM (1979) The psychological treatment of depression: research evidence for the efficacy of psychotherapy alone, in comparison, and in combination with pharmacotherapy. Arch Gen Psychiatry 36:1261–1269
Weissman MM, Lipton MA (1978) Psychotherapy and its relevance to the pharmacotherapy of affective disorders: from ideology to evidence. In: DiMascio A, Killam KF (eds) Psychopharmacology: a generation of progress. Raven Press, New York
Weissman MM, Klerman GL, Paykel ES, Prusof B, Hanson B (1974) Treatment effects on the social adjustment of depressed patients. Arch Gen Psychiatry 30:771–778
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Supported in part by grants R-01-MH-43044 and U-01-MH43077 from the National Institute of Mental Health; Alcohol, Drug Abuse, and Mental Health Administration; Public Health Service; Department of Health and Human Services. Rockville, Maryland, USA
Parts of this article were presented on the occasion of the inauguration ceremony of the Department of Psychiatry of the University of Mainz on April 2 and 3, 1987
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Klerman, G.L. Evaluating the efficacy of psychotherapy for depression: the USA experience. Eur Arch Psychiatr Neurol Sci 238, 240–246 (1989). https://doi.org/10.1007/BF00449804
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DOI: https://doi.org/10.1007/BF00449804