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CBT Cuts Relapse Rates in Persistent Depression. Boston CBT and Counseling Available.

August 5, 2011|Uncategorized

A form of cognitive behavioral therapy that specifically addresses ruminations has been shown to be more effective than medication-only treatment for treating persistent depression. The new approach to CBT helped reduce relapse rates for depression.


Adding rumination-focused cognitive behavior therapy CBT to standard treatment can decrease persistent depression, new research suggests.

Depressive rumination was defined as “repetitive thinking about the causes, meanings, and implications of depressed feelings, symptoms, problems, and upsetting events.” Rumination-focused CBT is designed to shift these negative thoughts to constructive rumination. It differs from standard CBT because it focuses on directly modifying the process of thinking.

In a phase 2 randomized controlled trial RCT of 42 patients with residual depression, those receiving up to 12 sessions of the combined therapy showed significantly improved symptoms, increased remission rates, and decreased relapse rates compared with those receiving treatment as usual (TAU) only.

“The key messages are that rumination might be a maintaining factor in residual depression and that adding a psychological treatment for rumination to antidepressant medication produces significant improvements in this hard-to-treat group,” lead study author Edward R. Watkins, PhD, professor of Experimental and Applied Clinical Psychology and cofounder of the Mood Disorders Center at the University of Exeter, United Kingdom, told Medscape Medical News.

To read a more detailed account see:  CBT Cuts Relapse Rates in Persistent Depression.

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