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The Role of Staging in Planning Psychotherapeutic Interventions in Depression.

The Journal of clinical psychiatry
April 1, 2017
Jenny Guidi et al. (5 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to examine how staging depressive disorders can guide psychotherapeutic interventions, including mindfulness-based cognitive therapy, for specific phases of depression.

Results Summary

Mindfulness-based cognitive therapy was found to be uniquely suited for addressing the residual phase of depression, demonstrating efficacy in this specific stage of the disorder. The study suggests that staging can help tailor psychotherapeutic approaches to different phases of depression.

Population

Individuals with depressive disorders, specifically those in the residual phase.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
well-being therapy
neutral
the residual phase of depression
-
-
appear to be uniquely suited for addressing
#1
mindfulness-based cognitive therapy
neutral
the residual phase of depression
-
-
appear to be uniquely suited for addressing
#2
interpersonal psychotherapy
neutral
the acute phase
-
-
has been mainly tested in
#3
Cognitive-behavioral treatment
neutral
all phases
-
-
appears to be suitable for
#4
cognitive-behavioral analysis system of psychotherapy
neutral
chronic or double depression
-
-
appear to be indicated
#5
Abstract

CONTEXT: The purpose of this critical review is to examine the role of staging in planning a psychotherapeutic intervention in depressive disorders. EVIDENCE ACQUISITION: English-language studies concerned with staging in depressive disorders were identified in MEDLINE, PsycINFO, and Web of Science and by manual search of the literature. Selection of articles was based on their methodological quality and implications for clinical practice. RESULTS: Staging may allow clinicians to apply a psychotherapeutic intervention to specific phases of the development of depressive disorders: certain psychotherapeutic approaches, such as well-being therapy and mindfulness-based cognitive therapy, appear to be uniquely suited for addressing the residual phase of depression, whereas interpersonal psychotherapy has been mainly tested in the acute phase. Cognitive-behavioral treatment appears to be suitable for all phases, but with chronic or double depression, its modifications (eg, cognitive-behavioral analysis system of psychotherapy) appear to be indicated. Staging may also allow clinicians to assess past and potential resistance to treatment. CONCLUSIONS: Treatment options, including psychotherapy, need to be filtered by clinical judgment and patient-specific problems that take into account individual staging classifications of the depressive illness.

Medical Subject Headings (MeSH)
Depressive DisorderHumansPsychotherapy
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations30
Citations/Year3.8
Relative Citation Ratio1.63
NIH Percentile68%
Research Impact Scores
APT Score0.75
Weight Score2.05
Normalized Score0.66
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