Individualisierte Psychotherapie bei Major Depression

L. Winter; K. G. Kahl; A. Wells; U. Schweiger

doi:10.1055/s-0038-1628167

Nervenheilkunde, Table of Contents

Nervenheilkunde 2012; 31(05): 316-320
DOI: 10.1055/s-0038-1628167

Depression

Schattauer GmbH

Individualisierte Psychotherapie bei Major Depression

Neue Verfahren ermöglichen neue TherapienIndividual psychotherapy for patients with major depressionNew methods for new therapies

L. Winter

¹Klinik für Psychiatrie, Sozialpsychiatrie und Psychotherapie, Medizinische Hochschule Hannover

,

K. G. Kahl

¹Klinik für Psychiatrie, Sozialpsychiatrie und Psychotherapie, Medizinische Hochschule Hannover

,

A. Wells

²University of Manchester, School of Psychological Sciences, Division of Clinical Psychology

,

U. Schweiger

³Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Schleswig Holstein, Campus Lübeck

› Author Affiliations

Abstract

Zusammenfassung

Zur Psychotherapie der Depression haben besonders die kognitive Verhaltenstherapie und die interpersonelle Psychotherapie den empirischen Beleg liefern können. Aus der kognitiven Verhaltenstherapie sind in den vergangenen 20 Jahren Psychotherapiemethoden hervorgegangen, die unter dem Namen „3. Welle der Verhaltenstherapie“ zusammengefasst werden. Speziell die Psychotherapie der Depression profitiert sehr von dieser Entwicklung. Die metakognitive Therapie (MCT) zur Behandlung der akuten Depression, das Cognitive Behavioral Analysis System of Psychotherapy (CBASP) zum Einsatz bei der chronischen Depression und die achtsamkeitsbasierte kognitive Therapie (MBCT) zur Rückfallprophylaxe werden vorgestellt und Hinweise auf die Datenlage gegeben.

Summary

For psychotherapy of depression cognitive behavioural therapy and interpersonal psychotherapy provided good empirical evidence. Within the last 20 years the so called “3^rd wave of cognitive behavioural therapies” brought up new therapeutic methods. Especially the treatment of depression benefits from this development. Metacognitive therapy (MCT) for the treatment of acute major depression, the Cognitive Behavioural Analysis System of Psychotherapy (CBASP) for the treatment of chronic depression and mindfulnessbased cognitive therapy (MBCT) as a relapse prevention programme will be introduced and a summery concerning their empirical evidence will be given.

Schlüsselwörter

Metakognitive Therapie - CBASP - achtsamkeitsbasierte kognitive Therapie

Keywords

Metacognitive therapy - CBASP - mindfulnessbased cognitive therapy

Full Text

References

Literatur
1 Deutsche Gesellschaft für Psychiatrie, Psychotherapie und Nervenheilkunde (DGPPN). (Hrsg.). Nationale VersorgungsLeitlinie – Unipolare Depression. Berlin: Springer-Verlag; 2010
2 Keller MB. et al. A comparison of nefazodone, the cognitive behavioral-analysis system of psychotherapy, and their combination for the treatment of chronic depression. N Engl J Med 2000; 342: 1462-70.
3 Nemeroff CB. et al. Differential responses to psychotherapy versus pharmacotherapy in patients with chronic forms of major depression and childhood trauma. PNAS USA 2003; 100: 14293-6.
4 Kahl KG. et al. Die Dritte Welle der Verhaltenstherapie. Eine Übersicht über die Methoden und ihre Evidenzbasierung. Fortschr Neurol Psyiat 2011; 79: 330-9.
5 Hautzinger M. Psychotherapie der Depression. Bundesgesundheitsbl – Gesundheitsforsch – Gesundheitsschutz 2008; 51: 422-9.
6 Wells A. A metacognitive model and therapy for generalised anxiety disorder. Clinical Psychology and Psychotherapy 1999; 6: 86-95.
7 Wells A. Metakognitive Therapie bei Angststörungen und Depression. München: Beltz; 2011
8 Simons M, Schneider S, Herpertz-Dahlmann B. Metacognitive therapy versus exposure and response prevention for pediatric obsessive-compulsive disorder. A case series with randomized allocation. Psychother Psychosom 2006; 75: 257-64.
9 Wells A. et al. A pilot randomized trial of metacognitive therapy vs applied relaxation in the treatment of adults with generalized anxiety disorder. Behav Res Ther 2010; 48: 419-34.
10 Papageorgiou C, Wells A. Treatment of recurrent major depression with attention training. Cognitive and Behavioural Practice 2000; 7: 407-13.
11 Siegle GJ. et al. Neurobehavioral therapies in the 21st century: Summary of an emerging field and an extended example of cognitive control training for depression. Cognitive Therapy Research 2007; 31: 235-62.
12 McCullough JP. Behandlung von Depressionen mit dem Cognitive Behavioral Analysis System of Psychotherapy (CBASP). München: CIP-Medien; 2010
13 Piaget J. The language and thought of the child. New York: Harcourt, Brace: 1923/1926.
14 Piaget J. Intelligence and affectivity: their relationship during child development. Palo Alto, CA: Annual Reviews 1954/1981.
15 Piaget J, Warden M. The language and thought of the child. Alchester, England: Read Books; 2007
16 Kiesler DJ. The 1982 interpersonal circle: A taxonomy for complementarity in human transactions. Psychological Review 1983; 90: 185-214.
17 Kiesler DJ. Contemporary interpersonal theory and research: personality, psychopathology, and psychotherapy. New York: Wiley; 1996
18 Kanfer FH, Saslow G. Behavioral analysis: an alternative to diagnostic classification. Arch Gen Psychiatry 1965; 12: 529-38.
19 Schweiger U, Sipos V. Situationsanalyse nach dem Modell des Cognitive Behavioral Analysis System of Psychotherapy (CBASP). Verhaltenstherapie & Verhaltensmedizin 2009; 30: 56-68.
20 McCullough JP. Skills training manual for diagnosing and treating chronic depression: cognitive behavioural analysis system of psychotherapy. New York: Guilford Press; 2001
21 McCullough JP. SpringerLink (Online service).. Treating chronic depression with disciplined personal involvement cognitive behavioral analysis system of psychotherapy (CBASP). Boston, MA: 2006
22 Schatzberg AF. et al. Chronic depression: medication (nefazodone) or psychotherapy (CBASP) is effective when the other is not. Arch Gen Psychiatry 2005; 62: 513-20.
23 Kocsis JH. et al. Cognitive behavioral analysis system of psychotherapy and brief supportive psychotherapy for augmentation of antidepressant nonresponse in chronic depression: the REVAMP Trial. Arch Gen Psychiatry 2009; 66: 1178-88.
24 McCullough JP, Schramm E. Psychotherapie der chronischen Depression: cognitive behavioral analysis system of psychotherapy; CBASP. München: Elsevier, Urban und Fischer; 2006
25 Teasdale JD. et al. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol 2000; 68: 615-23.
26 Teasdale JD. et al. How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help?. Behaviour Research and Therapie 1995; 33: 25-39.
27 Segal ZV. et al. A cognitive science perspective on kindling and episode sensitization in recurrent affective disorder. Psychological Medicine 1996; 26: 371-80.
28 Kabat-Zinn J. Full catastrophe living: The program of the stress reduction clinic at the University of Massachusetts Medical Center. New York: Delta; 1990
29 Heidenreich T, Michalak J. Achtsamkeit (Mindfulness) als Therapieprinzip in Verhaltenstherapie und Verhaltensmedizin. Verhaltenstherapie 2003; 13: 264-74.
30 Godfrin KA, van Heeringen C. The effects of mindfulness-based cognitive therapy on recurrence of depressive episodes, mental health and quality of life: a randomized controlled study. Behav Res Ther 2010; 48: 738-46.
31 Bondolfi G. et al. Depression relapse prophylaxis with Mindfulness-Based Cognitive Therapy: replication and extension in the Swiss health care system. J Affect Disord 2010; 122: 224-31.
32 Kuyken W. et al. Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. J Consult Clin Psychol 2008; 76: 966-78.
33 Teasdale JD. et al. Metacognitive awareness and prevention of relapse in depression: empirical evidence. Journal of Consulting and Clinical Psychology 2002; 70: 275-87.
34 Piet J. et al. A randomized pilot study of mindfulness-based cognitive therapy and group cognitive-behavioral therapy for young adults with social phobia. Scand J Psychol 2010; 51: 403-10.
35 Evans S. et al. Mindfulness-based cognitive therapy for generalized anxiety disorder. J Anxiety Disord 2008; 22: 716-21.
36 Williams JM. et al. Mindfulness-based Cognitive Therapy (MBCT) in bipolar disorder: preliminary evaluation of immediate effects on between-episode functioning. J Affect Disord 2008; 107: 275-9.
37 Kim YW. et al. Effectiveness of mindfulness-based cognitive therapy as an adjuvant to pharmacotherapy in patients with panic disorder or generalized anxiety disorder. Depress Anxiety 2009; 26: 601-6.