Abstract:
:Psychiatric clinicians frequently prescribe biologic treatments such as antidepressant medication in combination with psychologic treatments such as psychotherapy. In the present article we propose a model integrating antidepressant treatment with Beck's cognitive therapy, a form of psychotherapy with established efficacy in the acute treatment of depression. We argue for adding cognitive therapy following successful pharmacological treatment, i.e., for spending cognitive therapy resources in the continuation phase of treatment, where they are most likely to make a unique and separate contribution to patient well-being, particularly in the areas of relapse prevention and treating residual symptoms. We encourage researchers to compare this treatment strategy to other approaches in terms of its ability to (1) prevent relapses and recurrences of depressive episodes, and (2) to impact positively on the overall quality of life in recovered depressed patients.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Pava JA,Fava M,Levenson JAdoi
10.1159/000288892subject
Has Abstractpub_date
1994-01-01 00:00:00pages
211-9issue
3-4eissn
0033-3190issn
1423-0348journal_volume
61pub_type
杂志文章,评审abstract:BACKGROUND:The relative efficacy of supplemental psychotherapy in the treatment of depression is still a matter of debate. Moreover, the superiority of brief dynamic therapy (BDT) over supportive psychotherapies is not well established. The aim of this study is to compare the efficacy of BDT added to medication with th...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000104706
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Psychiatric disorders are frequent in dermatology patients, and many studies pointed out complex, mutual relationships between psyche and skin. Our aim was to provide a systematic psychosocial evaluation of a large and heterogeneous population of patients with skin diseases, including assessments of quality ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000086323
更新日期:2005-01-01 00:00:00
abstract::Many child and adolescent psychotherapists are asked to work in specialized institutions (where the children are either interns or externs), with children presenting behaviour problems, learning difficulties, mental handicap or important psychosocial problems. They learn through diverse treatment forms, or parent acco...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288344
更新日期:1990-01-01 00:00:00
abstract::The author discusses the development of the psychosomatic asthma theory as a paradigm of theory formation in psychomatic medicine. The first formulation of the theory was based on clinical and psychiatric observations. It was tested by psychological, physiological and experimental methods and as a result was reformula...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287312
更新日期:1979-01-01 00:00:00
abstract::In addition to the diagnosis of symptoms we recently proposed the empirical analysis of psychodynamic levels; this paper aims at an empirical study of a third, and most essential, problem area: disturbances and/or regulatory processes of the self-system. Based on Deneke's newly developed questionnaire, 30 anorexia ner...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288103
更新日期:1988-01-01 00:00:00
abstract::A special strategy of psychotherapeutic approach to psychosomatic patients is described including a 3-month period of inpatient and a 2-year period of outpatient group psychotherapy. Additional therapeutic procedures applied during the time of hospitalization are a special kind of sensitivity training ('sensual awaren...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000286935
更新日期:1975-01-01 00:00:00
abstract::Previous research has indicated a tendency among type A individuals to report less subjective arousal than type B individuals. Differences in attentional style between type A and type B individuals have been suggested to account for this tendency. The present paper describes a study which employed adult male subjects ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288021
更新日期:1987-01-01 00:00:00
abstract::The author describes the development of the research activity at a psychiatric clinic near Oslo, Modum Bads Nervesanatorium, a psychotherpeutic-oriented institution treating patients with neuroses, substance abuse and character disorders. In 1985 an institute for clinical research was built as an independent unit with...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288367
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:Clinicians and researchers synthesize data from randomized controlled trials (RCTs) of antidepressants to make conclusions about the efficacy of medications for depression. All treatments include nonspecific factors in addition to the specific effects of drugs, and study design may influence patient outcomes...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000209348
更新日期:2009-01-01 00:00:00
abstract::Clinical and laboratory observations of alexithymia suggest that a neurophysiologic hypothesis may be more useful than the traditional psychodynamic explanations for understanding psychosomatic processes. Current data support the concept of a functional disconnection between the two cerebral hemispheres. A mechanism f...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287557
更新日期:1982-01-01 00:00:00
abstract:BACKGROUND:It is still unknown whether anxiety disorders observed in Graves' disease are a consequence of increased thyroid hormone levels or precede the onset of Graves' disease. METHODS:Two case reports are described. RESULTS:In 2 patients Graves' disease occurred in the setting of previously established euthyroid ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289088
更新日期:1996-01-01 00:00:00
abstract::A retrospective chart review of 600 general hospital patients, of whom 200 had been admitted to a medical-psychiatric unit, 200 to a conventional psychiatric unit and 200 to medical-surgical units, and for whom psychiatric consultation had been requested, disclosed significant differences in the patient populations of...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287879
更新日期:1985-01-01 00:00:00
abstract:BACKGROUND:There is growing evidence that cardiovascular diseases are relatively more prevalent in subjects who feel anxious. An increased clotting diathesis might subject anxious individuals to an elevated arterial thrombotic risk. We investigated whether panic-like anxiety would relate to a hypercoagulable state. ME...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000080388
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:In the present study the authors evaluated the relationship between personality traits (according to DSM-III-R) and poor metabolic control in an adult onset insulin-dependent diabetes mellitus sample (n = 77). METHODS:Personality traits were assessed with the Personality Diagnostic Questionnaire--Revised. M...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289153
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:Depression is one of the most frequent and costly mental disorders. While there is increasing evidence for the efficacy of online self-help to improve depression or prevent relapse, there is little evidence in blended care settings, especially combined with inpatient face-to-face psychotherapy. Therefore, we...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000481177
更新日期:2017-01-01 00:00:00
abstract::Nurses make up a considerable proportion of the Swedish health care staff. Few nationally representative studies of their work environment and health, however, have been published. The present questionnaire study on work conditions, skill utilization, health and well-being of a national representative sample of 3,500 ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288987
更新日期:1995-01-01 00:00:00
abstract::The relationship between depressed mood and alexithymia, measured by the Toronto Alexithymia Scale (TAS) was investigated in a group of psychiatric inpatients (n = 81) and outpatients (n = 97). In both cohorts correlations between the TAS and obsessoid personality style were significant when controlled for mood. The o...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288373
更新日期:1990-01-01 00:00:00
abstract::The aim of short-term dynamic psychotherapy is, through working with a central conflict and transference reactions, to obtain lasting changes based on cognitive and emotional understanding of the main dynamics of the central conflict, called insight. The aim of the present study was to construct a follow-up form that ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287850
更新日期:1985-01-01 00:00:00
abstract::Based on the situation in the Federal Republic of Germany, this article reviews the development, organization and theoretical framework of in-patient and ward psychosomatic psychotherapy. Indications for treating psychosomatic patients in hospital, the effects of treatment and some results on the process of in-patient...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000288658
更新日期:1993-01-01 00:00:00
abstract::The introduction of DSM-III/DSM-III-R and ICD-10 implies fundamental innovations to the diagnostic process. The changes relate both to formal aspects (e.g. symptom and time-related criteria) and to content (e.g. the abandonment of the concept of neurosis). Additionally, specific assessment instruments are introduced. ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000288944
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:Families can have considerable influence on the health of a patient with a chronic physical disease, and attempts have been made to optimise treatment by involving family members. This meta-analysis aimed to systematically assess the effects of family-oriented interventions on adults with chronic physical di...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,meta分析
doi:10.1159/000286958
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Concerns about the risk-benefit ratio of treatment with antidepressants in the light of recent evidence pointing to a risk of suicide induction during the course of treatment with antidepressants. These concerns have led to a series of recent studies exploring national rates of suicide and correlating these ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000112884
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Patients with medically unexplained symptoms (MUS) are difficult to treat and cause high health-care costs. Psychological interventions might be a beneficial option for treating patients with MUS, but evidence is inconsistent. This meta-analysis compares the effectiveness of psychological interventions for M...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,meta分析,评审
doi:10.1159/000380914
更新日期:2015-01-01 00:00:00
abstract::The impact of the loss of the breast in women undergoing surgical treatment for breast cancer is subordinated to the confrontation with the diagnosis of a malignancy in causing depression. The equal distribution of depression in mastectomy and in lumpectomy patients supports the hypothesis that it is the confrontation...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288153
更新日期:1989-01-01 00:00:00
abstract::This study investigates the possibilities to identify, within a group of acute low-back pain patients, individuals with psychogenic etiology to pain. 26 acute back pain patients and 25 healthy control subjects were tested with the Minnesota Multiphasic Personality Inventory Hysteria: (Hs), Hypochondria (Hy), Depressio...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288546
更新日期:1991-01-01 00:00:00
abstract::Thirteen alexithymic patients and 13 panic disorder patients were compared with matched controls regarding their use of self-solacing strategies. Whereas the panic disorder group used significantly more (p less than 0.001) solacing objects, activities and sounds than normals, the alexithymic subjects used significantl...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288141
更新日期:1989-01-01 00:00:00
abstract::The studies described in this paper provide evidence for the importance of social factors in determining the response of the hypothalamic-pituitary-adrenal (H-P-A) system to stress. The presence of familiar social partners can reduce or eliminate the cortisol response to either loss of a significant social relationshi...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288677
更新日期:1993-01-01 00:00:00
abstract::The borderline has deficiencies in the capacity to maintain stable self and object representations and in establishing 'emotional separateness' from others. In order to create and maintain a 'propitious treatment situation' and a 'therapeutic alliance' the therapist must work with unusual sensitivity and repetitivenes...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287017
更新日期:1976-01-01 00:00:00
abstract::The results of several studies on sleep EEG and dreams in patients with eating disorders are presented and compared with the data obtained in patients with a major depression. The sleep pattern, which is characteristic of depression, could not be found in the eating disorder group. Regarding the cholinergic REM induct...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288048
更新日期:1987-01-01 00:00:00
abstract::Some patients become grossly disorganized during a hospital stay for medical illness. In the midst of a confusing medical picture, the unpredictable behavior of such patients causes great consternation among the medical or surgical staff. Families also become particularly anxious; their concern about the medical probl...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287284
更新日期:1978-01-01 00:00:00