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A Randomized Controlled Trial in Routine Clinical Practice Comparing Acceptance and Commitment Therapy with Cognitive Behavioral Therapy for the Treatment of Major Depressive Disorder.
A-Tjak, Jacqueline G L; Morina, Nexhmedin; Topper, Maurice; Emmelkamp, Paul M G.
Afiliación
  • A-Tjak JGL; PsyQ Alkmaar, Zaandam, the Netherlands.
  • Morina N; Department of Psychology, University of Münster, Münster, Germany.
  • Topper M; GGZ-Noord-Holland-Noord, Hoorn, the Netherlands.
  • Emmelkamp PMG; Department of Clinical Psychology, University of Amsterdam, Amsterdam, the Netherlands.
Psychother Psychosom ; 87(3): 154-163, 2018.
Article en En | MEDLINE | ID: mdl-29566394
BACKGROUND: Since current therapies for depression are effective but not for all patients alike, we need to further improve available treatments. Existing research suggests that acceptance and commitment therapy (ACT) may effectively treat major depressive disorder (MDD). We compared ACT with cognitive behavioral therapy (CBT) for depression, testing the hypothesis that CBT would outperform ACT. METHODS: We conducted a randomized controlled trial with 82 patients suffering from MDD. Data were collected before and after treatment and at the 6-month follow-up, assessing diagnosis, symptom levels of depression, and quality of life. RESULTS: After treatment, the rates of remission from depression were 75 and 80% for the ACT and CBT conditions, respectively. Patients in both conditions further reported significant and large reductions in depressive symptoms and improvement in quality of life from before to after treatment as well as at the follow-up. Our findings indicated no significant differences between the two intervention groups. CONCLUSION: Our results indicate that CBT is not more effective in treating depression than ACT. Further research is needed to investigate whether ACT and CBT work differently for different groups of patients with depression.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Cognitivo-Conductual / Evaluación de Resultado en la Atención de Salud / Trastorno Depresivo Mayor / Terapia de Aceptación y Compromiso Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies Aspecto: Patient_preference Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Psychother Psychosom Año: 2018 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Cognitivo-Conductual / Evaluación de Resultado en la Atención de Salud / Trastorno Depresivo Mayor / Terapia de Aceptación y Compromiso Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies Aspecto: Patient_preference Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Psychother Psychosom Año: 2018 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Suiza