Effectiveness of psychoeducation for depression: A systematic review

Tursi, Mariana Flávia De; Baes, Cristiane von Werne; Camacho, Fabio Ribeiro de Barros; Tofoli, Sandra Márcia de Carvalho; Juruena, Mário F.

doi:10.1177/0004867413491154

Cited by 121 publications

(97 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The relief from depressive symptoms and the improved perceived control of depressive symptoms are in line with findings in other studies of the effect of cognitive behavioral therapy (Barber and DeRubeis, 1989; Cuijpers, 1998; Clark et al, 2008; Tursi et al, 2013). It is assumed that psychological treatments operate through relatively specific therapeutic processes, but at the same time apparently diverse treatments often have similar effects.…”

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

Interventions for Subjects with Depressive Symptoms with or without Unhealthy Alcohol Use: Are There Different Patterns of Change?

et al. 2017

View full text Add to dashboard Cite

Background: It has been suggested that alcohol problems negatively affect therapeutic interventions for depression. This study examines the patterns of change in depressive symptoms following an intervention for depression, in participants with or without comorbid unhealthy alcohol use.Methods: Depressive symptoms (BDI–II), perceived control of depressive symptoms (UNCONTROL) and unhealthy alcohol use (AUDIT) were assessed in 116 patients before and after attending a cognitive behavioral psychoeducational intervention for depression. At pretest the mean score of AUDIT was 8.1, indicating a, on average, risk of harmful level of alcohol abuse. At pretest the majority of the total sample had a moderate degree of depressive symptoms, with a mean BDI–II score of 25.1 and 36.2% had a risky use of alcohol as measured with AUDIT score at 8 points or above. To assess the relationship between depressive symptoms, perceived uncontrollability of depression and alcohol use across time, a cross-lagged panel model was estimated.Results: A clinical significant reduction of depressive symptoms, and a parallel and statistically significant increase in the perceived control of depressive symptoms, was identified after attending a cognitive behavioral psychoeducational intervention for depression. At posttest, the mean BDI–II score was 17.8, demonstrating a statistically significant decrease of 7.3 points in depressive symptoms from before starting the course to 6 months later. The effect size (d-value) of 0.83 can be interpreted as a large decrease in depressive symptoms. In this sample alcohol use and depressive symptoms seemed to be unrelated. The cross-lagged correlation panel analysis indicated that a high degree of perceived control of depressive symptoms leads to a reduction in depressive symptoms, and not vice versa.Conclusion: We found that this intervention for depression were effective in reducing depressive symptoms. The patterns of change seemed to be independent of risky use of alcohol, although leaving the study was systematically associated with higher AUDIT-scores. As participants with or without unhealthy alcohol use show the same patterns of change regarding reduction of depressive symptoms and perceived control of depression, both groups could be offered the same cognitive behavioral psychoeducational interventions for depression.

show abstract

Section: Discussionsupporting

confidence: 89%

“…Cognitive behavioral therapy and psychoeducation may increase the awareness of early signs and symptoms of relapsing, and strengthen self-efficacy in coping with depression (Bockting et al, 2009; Tursi et al, 2013). It has been suggested that psychological treatments work through changes in perceived control of depressive symptoms.…”

Section: Introductionmentioning

confidence: 99%

Interventions for Subjects with Depressive Symptoms with or without Unhealthy Alcohol Use: Are There Different Patterns of Change?

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Relatively few trials have investigated the effect of FPE on major depression [18]. One recent randomized trial found that if relatives received a brief intervention consisting of FPE, the patients who had achieved full or partial remission from an acute depressive episode had a significantly lower relapse rate in a 9-month follow-up period compared to the control condition.…”

Section: Introductionmentioning

confidence: 99%

Family psychoeducation for major depressive disorder – study protocol for a randomized controlled trial

Timmerby

Austin

Ussing

et al. 2016

Trials

View full text Add to dashboard Cite

BackgroundMajor depressive disorder has been shown to affect many domains of family life including family functioning. Conversely, the influence of the family on the course of the depression, including the risk of relapse, is one reason for targeting the family in interventions. The few studies conducted within this area indicate that family psychoeducation as a supplement to traditional treatment can effectively reduce the risk of relapse in patients with major depression as well as being beneficial for the relatives involved. However, the evidence is currently limited. This study will investigate the effect of family psychoeducation compared to social support on the course of the illness in patients with major depressive disorder.Method/designThe study is designed as a dual center, two-armed, observer-blinded, randomized controlled trial. Relatives are randomized to participate in one of two conditions: either four sessions of manualized family psychoeducation or four sessions in a social support group led by a health care professional. Patients will not participate in the groups and will continue their treatment as usual. A total of 100 patients, each accompanied by one relative, will be recruited primarily from two outpatient clinics in the Capital Region of Denmark.The primary outcome is the occurrence of depressive relapse at 9-month follow-up defined as a score ≥7 on the Hamilton six-item subscale. Secondary outcomes will include time to relapse.DiscussionIt is hoped that the results from this study will help to clarify the mechanisms behind any beneficial changes due to family psychoeducation and provide information on the long-term effect of this intervention for both patient and relatives. If the results are positive, the family psychoeducation program may be suitable for implementation within a clinical setting.Trial registrationClinicalTrials.gov Identifier: NCT02348827, registered 5 January 2015.

show abstract

“…A large number of studies have shown this strategy to be effective in major depressive disorders (in particular relapse/recurrence prevention) [17, 18], bipolar disorders [19, 20], and schizophrenia [21] as well as for addiction [22] and anxiety disorder [23, 24]. …”

Section: Introductionmentioning

confidence: 99%

Balneotherapy Together with a Psychoeducation Program for Benzodiazepine Withdrawal: A Feasibility Study

Maricourt

Gorwood

Hergueta

et al. 2016

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

Benzodiazepines should be prescribed on a short-term basis, but a significant proportion of patients (%) use them for more than 6 months, constituting a serious public health issue. Indeed, few strategies are effective in helping patients to discontinue long-term benzodiazepine treatments. The aim of this study was to assess the feasibility and the impact of a program including cognitive behavioural therapy, psychoeducation, and balneotherapy in a spa resort to facilitate long-term discontinuation of benzodiazepines. We conducted a prospective multicentre cohort study. Patients with long-term benzodiazepine use were recruited with the aim of anxiolytic withdrawal by means of a psychoeducational program and daily balneotherapy during 3 weeks. The primary efficacy outcome measure was benzodiazepine use 6 months after the program, compared to use at baseline. A total of 70 subjects were enrolled. At 6 months, overall benzodiazepine intake had decreased by 75.3%, with 41.4% of patients completely stopping benzodiazepine use. The results also suggest a significantly greater improvement in anxiety and depression symptoms among patients who discontinued benzodiazepines compared to patients who only reduced their use. Our findings suggest that balneotherapy in association with a psychoeducative program is efficient in subjects with benzodiazepine addiction.

show abstract

Effectiveness of psychoeducation for depression: A systematic review

Cited by 121 publications

References 54 publications

Interventions for Subjects with Depressive Symptoms with or without Unhealthy Alcohol Use: Are There Different Patterns of Change?

Interventions for Subjects with Depressive Symptoms with or without Unhealthy Alcohol Use: Are There Different Patterns of Change?

Family psychoeducation for major depressive disorder – study protocol for a randomized controlled trial

Balneotherapy Together with a Psychoeducation Program for Benzodiazepine Withdrawal: A Feasibility Study

Contact Info

Product

Resources

About