Comparative effects of cognitive-behavioral and brief psychodynamic psychotherapies for depressed family caregivers.

Abstract

Clinically depressed family caregivers (N = 66) of frail, elderly relatives were randomly assigned to 20 sessions of either cognitive-behavioral (CB) or brief psychodynamic (PD) individual psychotherapy. At posttreatment, 71% of the caregivers were no longer clinically depressed according to research diagnostic criteria (RDC), with no differences found between the 2 outpatient treatments. The results suggested therapy specificity; there was an interaction between treatment modality and length of caregiving on symptom-oriented measures. Clients who had been caregivers for a shorter period showed improvement in the PD condition, whereas those who had been caregivers for at least 44 months improved with CB therapy. These findings suggest that patient-specific variables should be considered when choosing treatment for clinically depressed family caregivers.

Short-Term Effects of a Gain-Focused Reappraisal Intervention for Dementia Caregivers: A Double-Blind Cluster-Randomized Controlled Trial

“…12,13 Although the two approaches were similar in the sense that they both aim at thought modification, our approach, though providing a background about the thought-emotion-behavior maintenance cycle and the role of dysfunctional beliefs in engendering negative emotions, does not attempt to tackle person-specific dysfunctional beliefs.…”

Depressive disorders in caregivers of dementia patients: A systematic review

“…Furthermore, it is generally assumed that depressive disorders can be treated adequately in many cases, both with psychological (Churchill et al, 2001) and pharmacological (Anderson, 2001;Thase, 2003) interventions. And intervention studies have shown that major depression in caregivers can be treated effectively (Adkins, 1999;Gallagher-Thompson & Steffen, 1994;Lovett & Gallagher, 1988). As the number of caregivers of dementia patients will increase considerably over the next decades, it is important to assess the prevalence and incidence of depressive disorders in this population.…”

Fatores associados a abandono precoce do tratamento em psicoterapia de orientação analítica

“…Entretanto, variações nos resultados têm sido apontadas quando levamos em consideração as características individuais dos pacientes, como tempo de doença, comorbidades, traços de personalidade, severidade, diagnóstico psiquiátrico, existência de foco, qualidade das relações de objeto, funcionamento defensivo, estado civil, entre outros. Esses resultados, porém, ainda são incipientes, e não há um consenso que permita definir qual o tipo de tratamento mais adequado para um paciente em particular, a partir de evidências científicas [1][2][3][4][5][6][7][8][9] . Diversos autores vêm confrontando o mito de que todos os pacientes podem ser tratados e curados com psicoterapia de orientação analítica, ou análise, como um equívoco que pode desacreditar a técnica e levar a gastos e sofrimentos desnecessários 10 .…”