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Revista chilena de neuro-psiquiatría

versión On-line ISSN 0717-9227

Resumen

FIGUEROA, Gustavo. Psychotherapy and Pharmacotherapy in the Treatment of Major Depression. Rev. chil. neuro-psiquiatr. [online]. 2002, vol.40, suppl.1, pp.77-95. ISSN 0717-9227.  http://dx.doi.org/10.4067/S0717-92272002000500006.

Background. Psychiatry is the medical specialty that integrates the biological and the psychosocial perspectives in both diagnosis and treatment. The provision of optimal clinical care requires avoiding biological or psychological reductionism. Aims. To determine the relative efficacy of psychotherapy and pharmacotherapy, singly or in combination, for the treatment of major depressive disorder. Method. To review and summarize quantitative evidence on factors associated with the treatment of depression concerning psychotherapy and pharmacotherapy. Results. Although most psychiatrists prefer to treat major depressive disorder with both pharmacotherapy and psychotherapy, the combined strategy is clearly the most labor-intensive and expensive approach. Whereas combined therapy was not significantly more effective than psychotherapy alone in milder depressions, a highly significant advantage was observed in more severe, recurrent depressions. Conclusions. Recent practice guidelines for the treatment of major depressive disorder emphasize the importance of symptom severity in determining the strategy to be observed

Palabras clave : major depression; psychotherayp; combined treatment.

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