Kind ears help some depressed patients.Kind ears help some depressed patients
Sympathetic attention may help moderately depressed people as much as treatment with the antidepressant antidepressant, any of a wide range of drugs used to treat psychic depression. They are given to elevate mood, counter suicidal thoughts, and increase the effectiveness of psychotherapy. drug imipramine imipramine /imip·ra·mine/ (i-mip´rah-men) a tricyclic antidepressant of the dibenzazepine class, used as i. hydrochloride or i. pamoate. or two major forms of psychotherapy, according to a multicenter study described in the November ARCHIVES OF GENERAL PSYCHIATRY Archives of General Psychiatry is a monthly professional medical journal published by the American Medical Association. Archives of General Psychiatry publishes original, peer-reviewed articles about psychiatry, mental health, behavioral science and related fields. . Severely depressed individuals in the study benefited most from the imipramine, although psychotherapy also showed positive effects in these individuals.
Psychologist Irene Elkin and her colleagues at the National Institute of Mental Health The National Institute of Mental Health (NIMH) is part of the federal government of the United States and the largest research organization in the world specializing in mental illness. in Rockville, Md., say their study is the first to compare interpersonal psychotherapy interpersonal psychotherapy Psychiatry A semistructured treatment in which the Pt is educated about depression and depressive Sx, and the Pt's relation to the environment, especially social functioning; unlike traditional psychotherapy, IP focuses on the present with cognitive behavior therapy behavior therapy or behavior modification, in psychology, treatment of human behavioral disorders through the reinforcement of acceptable behavior and suppression of undesirable behavior. . Cognitive behavior therapy aims to correct patients' overly negative, distorted views of themselves and the world. Interpersonal psychotherapy seeks to help patients identify and resolve problems with other people.
To standardize clinical care, psychotherapists in the study also provided "clinical management" to imipramine and placebo patients -- offering minimal support, encouragement and advice but not psychotherapeutic interventions. Elkin's group found that moderately depressed patients on the placebo improved just as much as those receiving imipramine or psychotherapy, suggesting that the sympathetic attention itself offered benefits in such patients.
The study involved 250 individuals diagnosed with moderate to severe depression but not psychosis or manic depression. The volunteers were randomly assigned for 16 weeks to one of the treatments or placebo. In combining results from all patients, the researchers found no statistically significant advantage for any one treatment, confirming preliminary results (SN:5/24/86, p.324). But Elkin says they did discern that in general, imipramine worked best and the placebo worked worst, with the two talk therapies falling in between.
"It's important to look at follow-up studies of those patients," says Elkin. "We don't know whether the improvements will carry forward." The researchers plan to conduct three evaluations at six-month intervals after the treatment period.
Aaron T. Beck Aaron Temkin Beck (born July 18, 1921) is an American psychiatrist and a professor emeritus at the department of psychiatry at the University of Pennsylvania. Beck is known as the father of Cognitive Therapy and inventor of the widely used Beck Scales, including the Beck Depression of the University of Pennsylvania (body, education) University of Pennsylvania - The home of ENIAC and Machiavelli.
Address: Philadelphia, PA, USA. in Philadelphia, who originated the concept of cognitive therapy, notes that the three main research sites (in Oklahoma City, Pittsburgh and Washington, D.C.) yielded different outcomes. These varitions, he argues, could have stemmed in part from differences in the training of therapists at each center. Beck also emphasizes the need for follow-up, noting that a recent analysis of 28 studies of cognitive therapy found it more effective than medication in the long run.