Psychotherapy of depression. Implications for reform of the health care system.
This article reviews the empirical evidence supporting the role of psychotherapy and psychosocial interventions in the treatment of patients with depression. Treatment models and the evidence for their effectiveness in the acute-and maintenance-treatment phases are reviewed. Whereas the sophistication of research designs and data analysis for the study of psychotherapy have substantially improved, the review highlights current gaps in our knowledge. Most important for reform of the health care system is the need for studies of efficacy to lead to large-scale investigations of effectiveness.
Clarkin
J F
JF
Department of Psychiatry, New York Hospital-Cornell University Medical College Westchester Division, White Plains, USA.
Pilkonis
P A
PA
Magruder
K M
KM
D000328:Adult; D003131:Combined Modality Therapy; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D018166:Health Care Reform; D006801:Humans; D008329:Managed Care Programs; D008875:Middle Aged; D009310:National Health Insurance, United States; D011613:Psychotherapy / Q000592:standards / Q000706:statistics & numerical data / Q000639:trends; D011619:Psychotropic Drugs / Q000627:therapeutic use; D012107:Research Design / Q000592:standards; D012720:Severity of Illness Index; D013223:Statistics as Topic / Q000592:standards; D009626:Terminology as Topic; D016896:Treatment Outcome; D014481:United States
D011619:Psychotropic Drugs