Combinación de psico y farmacoterapia en los trastornos depresivos.
DOI:
https://doi.org/10.33898/rdp.v9i36.753Palabras clave:
terapia cognitiva, terapia interpersonal, tratamientos combinados, psicofarmacología, depresiónResumen
Presentamos en este trabajo una revisión del modelo de combinación de psicofármacos y psicoterapia en general y aplicado especificamente a la depresion, asumiendo las recomendaciones de los grupos más importantes a nivel internacional sobre este tema. Hacemos una breve revisión de la psicoterapia como tratamiento utilizado en los trastornos mentales y como destreza adquirible, haciendo un análisis más detallado de la efectividad de los tratamientos combinados con psicofarmacos, buscando en ello la complementariedad, y dejando atras las actitudes basadas en la confrontación que han resultado inútiles y estériles. Terminamos con la conclusión de que si en algunos casos parece que está demostrada la superioridad de los tratamientos combinados, en otros no parece quedar esto claro, pero desde luego lo que sí cabe decir, es que la combinación de psicofarmacos y psicoterapia, a priori, no es negativa.
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Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive treatment of depresion: a treatment manual. New York: Guilford. (Trad cast: Terapia cognitiva de la depresión. Bilbao: Desclée de Bouwer, 1983)
Beck, A.T., & Emery, G. (1985). Anxiety disorders and phobias: a cognitive perspective. New York: Basic Books.
Beck, A.T., & Freeman, A. (1990). Cognitive therapy of personality disorders. New York: Guilford.
Bellack, A.S., Hersen, M., & Himmelhoch, J. (1981). Social skills training with pharmacotherapy and psychotherapy in the treatment of unipolar depression. American Journal of Psychiatry, 138, 1562-1567.
Blackburn, I.N., Bishop, S., Glen, A.I.M., Whaley, L.J., & Christie, J.E. (1981). The efficacy of cognitive therapy of depression: A treatment trial using cognitive therapy and pharmacotherapy, each alone and in combination. British Journal of Psychiatry, 139, 181-189.
Cherry, S., & Markowitz, J.C. (1996). Interpersonal psychotherapy. En J.S. Kantor (Ed.), Clinical depression during addition recovery: Process, diagnosis and treatment (pp. 165-185). New York: Marcel Dekker.
Clark, D.M. (1986). Cognitive therapy to panic. Behavior Research and Therapy, 24, 461-470
Clark, D.M., & Salkovskis, P.M. (1991). Cognitive therapy with panic and hypocondriasis. New York: Pergamon.
Covi, L., Lipman, R.S., & Smith, J.E. (1990). Group psychotherapy and pharmacotherapy of depression. En D.W. Manning & A.J. Frances (Eds.), Combined Pharmacotherapy and Psychotherapy for depression (pp. 65-112). Washington: American Psychiatric Press.
Dobson, K.S. (1989). A meta-analysis of the efficacy of cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 57, 414-419.
Elkin, I. (1994). The NIMH treatment of depression collaborative research program: where we began and where we are. En A.E. Bergin & S.L. Garfield (Eds.), Handbook of psychotherapy and behavior change (pp. 114- 142) (IVth edition). New York: Wiley.
Evans, M.D., Hollon, S.D., Derubies, R.J., Piaseki, J.M., Grove, W.N., Garvey, M.J., & Tuason, V.B. (1992). Differential relapse following cognitive therapy and pharmacotherapy for depression. Archives of General Psychiatry, 49, 309-324.
Eysenck, H.J. (1952). The effects of psychotherapy: An evaluation. Journal of Consulting Psychology, 16, 319- 324.
Fairnburn, C.G. (1981). A cognitive behavioral approach to the treatment of bulimia. Psychological Medicine, 11, 707-711.
Fairburn, C.G. (1993). Interpersonal psychotherapy for bulimia nervosa. En G.L. Klerman & M.M. Weissman (Eds.), New aplications of interpersonal psychotherapy (pp. 353-378). Washington: American Psychiatric Press.
Fairburn, C.G, Jones, R., Pevler, R.C., Carr, S.J., Solomon, R.A., O´connor, M.E., Burton, J., & Hope, R.A. (1991). Three psychological treatments for bulimia nervosa. Arch. Gen. Psychiatry, 48, 463-469.
Fernández Liria, A., Hernández Monsalve, M., Rodríguez Vega, B., Benito Cano, T., & Mas Hesse, J. (1997). Teoría y práctica de la psicoterapia en la atención pública a la salud mental. En A. Fernández Liria, M. Hernández Monsalve, & B. Rodríguez Vega (Eds.), Psicoterapias en el sector público: un marco para la integración (pp. 143-162). Madrid: Asociación Española de Neuropsiquiatría.
Frank, E., Kupfer, B.D.J., & Levenson, J. (!990). Continuation treatment for unipolar depression. The case for combined treatment. En D.W. Manning & A.J. Frances (Eds.), Combined Pharmacotherapy and Psychotherapy for depression (pp. 133-150). Washington: American Psychiatric Press.
Frank, E., Kupfer, D.J., Cornes, C., & Morris, S.M. (1993). Maintenance interpersonal psychotherapy for recurrent depression. En G.L. Klerman & M.M. Weissman (Eds.), New aplications of interpersonal psychotherapy. (pp. 75-102). Washington: American Psychiatric Press.
Frank, E., Frank, N., Cornes, C., Imber, S.D., Miller, M.D., Morris, S.M., & Reynolds, C.F. (1993). Interpersonal psychotherapy in the treatment of late-life depression. En G.L. Klerman & M.M. Weissman (Eds.), New aplications of interpersonal psychotherapy. (pp. 167-198). Washington: American Psychiatric Press.
Frank, E., Kupfer, D., Perel, J., Cornes, C., Jarret, D., Mallinger, A., Thase, M., Mceachran, A., & Grochocinski, V. (1994). Three-years outcomes for manteinance therapies in recurrent depresion. Arch. of Gen. Psychiatry, 47, 1093-1099.
Fuchs, C.Z., & Rehm, L.P. (1977). A self-control behavior therapy program for depression. Journal of Consulting and Clinical psychology, 45, 206-215.
Haaga, D.A., & Beck, A.T. (1993). Perspectiva constructivista del realismo depresivo: implicaciones para la teoría y terapia cognitivas. Revista de Psicoterapia, 13, 29-40.
Hollon, S.D., Derubies, R.J., & Evans, M.D. (1990). Combined cognitive therapy and pharmacotherapy in the vtreatment of depression. En D.W. Manning & A.J. Frances (Eds.), Combined Pharmacotherapy and Psychotherapy for depression (pp. 35-64). Washington: American Psychiatric Press.
Karasu, T.B. (1992). Wisdom in the practice of psychotherapy. New York: Basic Books.
Karasu, T.B. (1990a). Toward a clinical model of psychotherapy for depresion, I: Systematic comparison of three psychotherapies. American Jounal of Psychiatry,147, 133-147.
Karasu, T.B. (1990b). Toward a clinical model of psychotherapy for depresion, II: An integrative and selective treatment approach. American Journal of Psychiatry, 147, 269-278.
Klerman, G.L., Weissman, M.M., Markowitz, J.C., Glick, I., Wilner, P.J., Mason, B., & Snear, K. (1994). Medication and psychotherapy. En A.E. Bergin & S.L. Garfield (Eds.), Handbook of psychotherapy and behavior change (pp. 734-782) (IVth edition). New York: Wiley.
Klerman, G.L., Rousanville, B., Chevron, E., Neu, C., & Weissman, M.M. (1984). Interpersonal psychotherapy of depression (IPT). New York: Basic Books.
Kovacs, M., Rush, A.J., Beck, A.T., & Hollon, S.D. (1981). Depressed patients treated with cogniutive therapy or pharmacotherapy: A one-year follow-up. Archives of General Psychiatry, 38, 34-39.
Manning, D.W., & Frances, A.J. (1990). Combined therapy for depression: critical review of the literature. En D.W. Manning & A.J. Frances (Eds.), Combined Pharmacotherapy and Psychotherapy for depression (pp. 1-34). Washington: American Psychiatric Press.
Markowitz, J.C., Klerman, G.L., Perry, S.W., Clougherty, K.E., & Josephs, L.S. (1993). Interpersonal psychotherapy for depressed HIV-seropositive patients. En G.L. Klerman & M.M. Weissman (Eds.), New aplications of interpersonal psychotherapy (pp. 199-224). Washington: American Psychiatric Press.
Mason, B.J., Markowitz, J.C., & Klerman, G.L. (1993). Interpersonal depression for dystimyc disorders. En G.L. Klerman & M.M. Weissman (Eds.), New aplications of interpersonal psychotherapy (pp. 225-264). Washington: American Psychiatric Press.
Mufson, L.H., Moreau, D., Weissman, M.M., & Klerman, G.L. (1993). Interpersonal psychotherapy for adolescents with depression. En G.L. Klerman & M.M. Weissman (Eds.), New aplications of interpersonal psychotherapy (pp. 129-166). Washington: American Psychiatric Press.
Nietzel, M.T., Russell, R.L., Hemmings, K.A., & Gretter, M.L. (1987). Clínical significance of psychotherapy for unipolar depresión: A meta-analytic approach to social comparison. Journal of Consulting and Clinical Psychology, 55, 156-161.
Lambert, M.J., & Bergin, A.E. (1994). The effectiviness of psychotherapy. En A.E. Bergin & S.L. Garfield (Eds.), Handbook of psychotherapy and behavior change (pp. 143-189). New York: Wiley.
Luborsky, L., & Derubies, R.J. (1984). The use of psychotherapy treatment manuals: A small revolution in psychotherapy research stile. Clinical Psychology Review, 4, 5-14.
Luborsky, L. (1984). Principles of psychoanalitic psychotherapy; a manual for supportive-expressive treatment. New York: Basic Books.
Quality assurance proyect (1983). A treatment outline for depresive disordens. Australian and New Zealand Journal of Psychiatry, 17, 129-146.
Reynolds, C.F., Frank, E., Perel, J.M., Imber, S.D., Cornes, C., Morycz, R.K., Mazumdar, S., Miller, M.D., Pollock, B.K., Rifai, A.H., Stack, J.A., George, C.J., Houck, P.R., & Kupfer, D.J. (1992). Combined pharmacotherapy ans psychotherapy in the acute and continuation treatment of elderly patients with recurrent major depresion: a preliminary report. American Journal of Psychiatry, 149, 555-558.
Robinson, L.A., Berman, J.S., & Neimeyer, R.A. (1990). Psychotherapy for the treatment of depression: A comprehensive review of controlled outcome rearch. Psychological Bulletin, 100, 30-49.
Rousanville, B.J., & Carroll, K. (1993). Interpersonal psychotherapy for patients who abuse drugs. En G.L. Klerman & M.M. Weissman (Eds.), New aplications of interpersonal psychotherapy (pp. 319-352). Washington: American Psychiatric Press.
Rush, J. (1996). Assesing outcome in practice: a paradigm shift?. Current Opinion in Psychiatry, 1-2.
Schulberg, H.C., Scott, C.P., Madonia, M.J., & Imber, S.D. (1993). Applications of interpersonal psychotherapy for depression in primary care practice. En G.L. Klerman & M.M. Weissman (Eds.), New aplications of interpersonal psychotherapy (pp. 265-294). Washington: American Psychiatric Press.
Sifneos, P.E. (1992). Short-Term anxiety-provoking psychitherapy. A treatment manual. New York: Basic Books. (Trad cast: Psicoterapia breve con provocación de angustia. Manual de tratamiento. Buenos Aires: Amorrortu).
Steinbrueck, S.M., Maxwell, S.E., & Howard, G.S. (1983). A meta-analysis of psychotherapy and drug therapy in the treatment of unipolar depression with adults. Journal of Consulting and Clinical Psychology, 51, 856-863.
Strupp, H.H., & Binder, J.L. (1989). Psychotherapy in a new key. New York: Basic Books. (Trad cast: Una nueva perspectiva en psicoterapia. Bilbao: Desclée de Brouwer, 1993).
Weissman, M.M., & Klerman, G.L. (1990). Interpersonal psychotherapy and its derivates in the treatment of depression. En D.W. Manning & A.J. Frances (Eds.), Combined Pharmacotherapy and Psychotherapy for depression (pp. 113-132). Washington: American Psychiatric Press.
