Overcoming treatment resistance in chronic depression. The role of inpatient psychotherapy

被引：0
作者：
Koehler, Stephan [1 ]
Sterzer, Philipp [1 ]
Normann, Claus [2 ]
Berger, Mathias [2 ]
Brakemeier, Eva-Lotta [3 ]
机构：
[1] Charite, Klin Psychiat & Psychotherapie, Campus Charite Mitte,Charitepl 1, D-10117 Berlin, Germany
[2] Univ Klinikum Freiburg, Klin Psychiat & Psychotherapie, Freiburg, Germany
[3] PHB, Berlin, Germany
来源：
NERVENARZT | 2016年 / 87卷 / 07期
关键词：
Depression; Depressive disorder; treatment-resistant; Psychotherapy; Inpatients; Psychotropic drugs; BEHAVIORAL-ANALYSIS SYSTEM; RANDOMIZED CONTROLLED-TRIAL; COGNITIVE THERAPY; INTERPERSONAL PSYCHOTHERAPY; ANTIDEPRESSANT MEDICATIONS; ELECTROCONVULSIVE-THERAPY; MAJOR DEPRESSION; RISK-FACTORS; LONG-TERM; DISORDER;
D O I：
10.1007/s00115-015-0034-4
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Background. Chronic depression poses a particular challenge for the psychiatric and psychotherapeutic care system. Owing to high rates of psychiatric comorbidities and multiple pharmacological and psychotherapeutic treatment resistance, novel treatment strategies are urgently required. Aim. In this article, we describe the clinical characteristics of chronic and treatment-resistant depression and review the pharmacological and psychotherapeutic treatment options currently available. We focus on the Cognitive Behavioral Analysis System of Psychotherapy (CBASP), the first specific psychotherapy approach to chronic depression. Finally, we discuss the role of psychotherapeutic inpatient programs and stepped care concepts in chronic and treatment-resistant depression.
引用
收藏
页码：701 / 707
页数：7
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