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Fortschr Neurol Psychiatr 2021; 89(07/08): 385-394
DOI: 10.1055/a-1370-3103
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Rückfallprophylaxe der Depression: Traditionelle und neue Ansätze der Psychotherapie

Relapse Prevention of Depression: Traditional and New Approaches to Psychotherapy
Eva-Lotta Brakemeier
,
Anne Guhn
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Die Psychotherapie sollte in der Behandlung der Depression neben der akuten Symptomreduktion auch die Wahrscheinlichkeit eines erneuten Auftretens der Störung bzw. eines Rückfalls verringern. Der Patient soll lernen, erneuten Verschlechterungen eigenverantwortlich vorzubeugen und diese zu bewältigen. Im Beitrag werden bewährte und neuere Ansätze der psychotherapeutischen Rückfallprophylaxe praxisnah vorgestellt und diskutiert.

Abstract

In addition to acute symptom reduction, psychotherapy in the treatment of depression should also reduce the probability of a recurrence of the disorder or a relapse. The patient should learn to take responsibility for preventing and coping with renewed deterioration. In this article, proven and newer approaches to psychotherapeutic relapse prevention are presented and discussed in a practical way.

Schlüsselwörter

Depression - Rückfallprophylaxe - Psychotherapie

Key words

depression - relapse prevention - psychotherapy


Publication History

Article published online:
21 July 2021

© 2021. Thieme. All rights reserved.

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  • Literatur

  • 1 Cuijpers P, Noma H, Karyotaki E. et al. A network meta-analysis of the effects of psychotherapies, pharmacotherapies and their combination in the treatment of adult depression. World Psychiatry 2020; 19: 92-107. DOI: 10.1002/wps.20701.
    CrossrefPubMedGoogle Scholar
  • 2 Steinert C, Hofmann M, Kruse J. et al. Relapse rates after psychotherapy for depression – stable long-term effects? A meta-analysis. J Affect Disord 2014; 168: 107-118 DOI: 10.1016/j.jad.2014.06.043.
    CrossrefPubMedGoogle Scholar
  • 3 Vittengl JR, Clark LA, Dunn TW. et al. Reducing relapse and recurrence in unipolar depression: a comparative meta-analysis of cognitive-behavioral therapyʼs effects. J Consult Clin Psychol 2007; 75: 475-488. DOI: 10.1037/0022-006X.75.3.475.
    CrossrefPubMedGoogle Scholar
  • 4 DGPPN, BÄK, KBV, AWMF, Leitliniengruppe Unipolare Depression S3-Leitlinie/Nationale Versorgungs Leitlinie Unipolare Depression – Langfassung. 2. Auflage Version 5 2015. doi:10.6101/AZQ/000364 [cited: 2020-06-23] www. depression.versorgungsleitlinien.de
  • 5 Schramm E. Interpersonelle Psychotherapie. (3. Auflage) Stuttgart: Schattauer; 2019
    Google Scholar
  • 6 Weissman M, Markowitz JC, Klerman GL. Clinician’s quick guide to interpersonal psychotherapy. New York: Oxford University Press; 2007
    CrossrefGoogle Scholar
  • 7 Risch AK, Stangier U, Heidenreich T, Hautzinger M. Kognitive Erhaltungstherapie bei rezidivierender Depression. Rückfälle verhindern, psychische Gesundheit erhalten. Heidelberg: Springer; 2012
    CrossrefGoogle Scholar
  • 8 www.g-ba.de/richtlinien/20/
    PubMed
  • 9 Zarbock G. Praxisbuch Verhaltenstherapie. Grundlagen und Anwendungen biografisch-systemischer Verhaltenstherapie. Lengerich: Pabst; 2010
    CrossrefGoogle Scholar
  • 10 Clarke K, Mayo-Wilson E, Kenny J. et al. Can non-pharmacological interventions prevent relapse in adults who have recovered from depression?. A systematic review and metaanalysis of randomised controlled trials Clin Psychol Rev 2015; 39: 58-70
    PubMedGoogle Scholar
  • 11 Buckman JEJ, Underwood A, Clarke K. et al. Risk factors for relapse and recurrence of depression in adults and how they operate: A four-phase systematic review and meta-synthesis. Clin Psychol Rev 2018; 64: 13-38 DOI: 10.1016/j.cpr.2018.07.005.
    CrossrefPubMedGoogle Scholar
  • 12 McCullough JP. Treatment for Chronic Depression: Cognitive Behavioral Analysis System of Psychotherapy. New York: Guilford Press; 2000
    CrossrefGoogle Scholar
  • 13 Schramm E, Kriston L, Elsaesser M. et al. Two-Year Follow-Up after Treatment with the Cognitive Behavioral Analysis System of Psychotherapy versus Supportive Psychotherapy for Early-Onset Chronic Depression. Psychother Psychosom 2019; 88: 154-164. DOI: 10.1159/000500189.
    CrossrefPubMedGoogle Scholar
  • 14 Hautzinger M, de Jong-Meyer R. Depressionen. In: Reinecker H Lehrbuch der klinischen Psychologie. Modelle psychischer Störungen. 2. Auflage Göttingen: Hogrefe; 2003
  • 15 Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. Guilford Press; 2002
    CrossrefGoogle Scholar
  • 16 Fava GA. Well-Being Therapie. Eine Kurztherapie zur psychischen Stabilisierung (Übersetzung durch Brakemeier, E.L., Schamong, I., Bollmann, S). Stuttgart: Schattauer; 2018
  • 17 Brakemeier EL, Merkl A, Wilbertz G. et al. Continuation treatment after electroconvulsive therapy in patients with unipolar depression. Biol Psychiatry 2014; 76: 194-202. DOI: 10.1016/j.biopsych.2013.11.030.
    CrossrefPubMedGoogle Scholar
  • 18 Piet J, Hougaard E. The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clin Psychol Rev 2011; 31: 1032-1040
    CrossrefPubMedGoogle Scholar
  • 19 Guidi J, Rafanelli C, Fava GA. The clinical role of well-being therapy. Nord J Psychiatry 2018; 72: 447-453. DOI: 10.1080/08039488.2018.1492013.
    CrossrefPubMedGoogle Scholar
  • 20 Stangier U, Hilling C, Heidenreich T. et al. Maintenance cognitive-behavioral therapy and manualized psychoeducation in the treatment of recurrent depression: a multicenter prospective randomized controlled trial. Am J Psychiatry 2013; 170: 624-632
    CrossrefPubMedGoogle Scholar