Reducing relapse and recurrence in unipolar depression: a comparative meta-analysis of cognitive-behavioral therapy's effects.

Reducing relapse and recurrence in unipolar depression: a comparative meta-analysis of cognitive-behavioral therapy's effects. Research Abstract Details 

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Reducing relapse and recurrence in unipolar depression: a comparative meta-analysis of cognitive-behavioral therapy's effects. Abstract Text:

Jeffrey R Vittengl,Lee Anna Clark,Todd W Dunn,Robin B Jarrett,

Relapse and recurrence following response to acute-phase treatment for major depressive disorder (MDD) are prevalent and costly. In a meta-analysis of 28 studies including 1,880 adults, the authors reviewed the world's published literature on cognitive-behavioral therapies (CT) aimed at preventing relapse-recurrence in MDD. Results indicate that after discontinuation of acute-phase treatment, many responders to CT relapse-recur (29% within 1 year and 54% within 2 years). These rates appear comparable to those associated with other depression-specific psychotherapies but lower than those associated with pharmacotherapy. Among acute-phase treatment responders, continuation-phase CT reduced relapse-recurrence compared with assessment only at the end of continuation treatment (21% reduction) and at follow-up (29% reduction). Continuation-phase CT also reduced relapse-recurrence compared with other active continuation treatments at the end of continuation treatment (12% reduction) and at follow-up (14% reduction). The authors discuss implications for research and patient care and suggest directions, with methodological refinements, for future studies.

Reducing relapse and recurrence in unipolar depression: a comparative meta-analysis of cognitive-behavioral therapy's effects. Publishing Authors By Initials

JR Vittengl,LA Clark,TW Dunn,RB Jarrett,

For similar pathological conditions, signs and symptoms: pathologic processes: disease attributes: recurrence research abstracts see: pathological conditions, signs and symptoms: pathologic processes: disease attributes: recurrence research

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Reducing relapse and recurrence in unipolar depression: a comparative meta-analysis of cognitive-behavioral therapy's effects. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Journal of consulting and clinical psychology

VOLUME: 75

Page Numbers: 475-88

Journal Abbreviation:

ISSN: 0022-006X

DAY: 3

MONTH: Jun

YEAR: 2007

Reducing relapse and recurrence in unipolar depression: a comparative meta-analysis of cognitive-behavioral therapy's effects. Information

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LANGUAGE: eng

NlmUniqueID: 136553

Reducing relapse and recurrence in unipolar depression: a comparative meta-analysis of cognitive-behavioral therapy's effects. Keywords Mesh Terms:

KEYWORDS: Recurrence

MESH TERMS: therapy

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Grant and Affiliation Information for Reducing relapse and recurrence in unipolar depression: a comparative meta-analysis of cognitive-behavioral therapy's effects.

AFFILIATION: Department of Psychology, Truman State University, Kirksville, MO 63501-4221, USA. vittengl@truman.edu

Country: United States

AGENCY: United States NIMH

GRANT: MH-58397

ACRONYM: MH

MEDLINETA: J Consult Clin Psychol

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