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Fortschr Neurol Psychiatr 2019; 87(03): 172-180
DOI: 10.1055/a-0849-9838
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Selbstmanagement Interventionen in der Behandlung depressiver Störungen: reif für die klinische Praxis?

Self-management interventions in the treatment of depressive disorders: ready for clinical practice?
Jan Philipp Klein
1   Klinik für Psychiatrie und Psychotherapie, Universität zu Lübeck, Lübeck
,
Thomas Berger
2   Abteilung Klinische Psychologie und Psychotherapie, Universität Bern, Bern
,
Martin Hautzinger
3   Eberhard Karls Universität Tübingen, Fachbereich Psychologie Klinische Psychologie und Psychotherapie
,
Wolfgang Lutz
4   Abteilung für Klinische Psychologie und Psychotherapie, Universität Trier, Trier
,
Matthias Rose
5   Klinik für Psychosomatik und Psychotherapie, Charité Universitätsmedizin Berlin, Campus Mitte, Berlin
,
Christina Späth
1   Klinik für Psychiatrie und Psychotherapie, Universität zu Lübeck, Lübeck
,
Johanna Schröder
6   Klinik für Psychiatrie und Psychotherapie und Institut für Sexualforschung und Forensische Psychiatrie, Universitätsklinikum Eppendorf, Hamburg
,
Fritz Hohagen
1   Klinik für Psychiatrie und Psychotherapie, Universität zu Lübeck, Lübeck
,
Steffen Moritz
7   Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Eppendorf, Hamburg
› Author Affiliations
Further Information

Publication History

eingereicht 12 October 2018

akzeptiert 30 January 2019

Publication Date:
19 March 2019 (online)

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Zusammenfassung

Nur etwa die Hälfte derjenigen, die an einer depressiven Störung leiden, sucht auch eine Behandlung auf. Selbstmanagement Interventionen sind eine Möglichkeit, diese Behandlungslücke zu reduzieren. Diese Interventionen basieren meist auf evidenzbasierten Techniken der Kognitiven Verhaltenstherapie, welche statt durch einen Therapeuten durch ein Computerprogramm vermittelt werden. Zahlreiche Studien belegen die Wirksamkeit dieser Interventionen. Diese Studien werfen allerdings auch eine Reihe an Fragen auf. Diese betreffen die Wirksamkeit sowohl im Fremdrating als auch im Langzeitverlauf und die Wirksamkeit bei schwerer depressiver Symptomatik oder in der Kombination mit antidepressiver Medikation. Schließlich stellt sich die Frage nach dem Einsatz dieser Interventionen bei Patienten in der klinischen Praxis und bei Menschen, die nicht besonders internetaffin sind. Diese Fragen haben wir im Rahmen einer großen randomisiertenStudie adressiert (EVIDENT-Studie). In dieser Studie wurde die Wirksamkeit Intervention deprexis® untersucht. Die Ergebnisse dieser Studie werden in dieser Übersicht zusammengefasst und in den Kontext anderer in Deutschland verfügbarer Interventionen gestellt.

Abstract

Only about half of those suffering from a depressive disorder seek treatment. Self-management interventions are one way to reduce this treatment gap. These interventions are mostly based on evidence-based techniques of cognitive behavioural therapy, which are taught by a computer program instead of a therapist. Numerous studies have shown the effectiveness of these interventions. However, these studies also raise a number of questions. These concern the efficacy both in the external rating and in the long-term course and the efficacy in severe depressive symptoms or in combination with antidepressant medication. Finally, the question arises as to the use of these interventions in patients in clinical practice and in people who are not particularly Internet-savvy. We addressed these questions in a large randomized study (EVIDENT study). This study investigated the efficacy of Intervention deprexis®. The results of this study are summarised in this overview and placed in the context of other interventions available in Germany.

Schlüsselwörter

depressive Störung - Selbstmanagement - Internet - randomisierte kontrollierte Studie - klinische Praxis

Key words

depressive disorder - self-management - internet - randomized controlled trial - clinical practice
 

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