Treating depression with the evidence-based psychotherapies: a critique of the evidence
Article first published online: 19 MAR 2007
Acta Psychiatrica Scandinavica
Volume 115, Issue 5, pages 352–359, May 2007
How to Cite
Parker, G. and Fletcher, K. (2007), Treating depression with the evidence-based psychotherapies: a critique of the evidence. Acta Psychiatrica Scandinavica, 115: 352–359. doi: 10.1111/j.1600-0447.2007.01007.x
- Issue published online: 19 MAR 2007
- Article first published online: 19 MAR 2007
- Accepted for publication February 2, 2007
- cognitive behaviour therapy;
- interpersonal psychotherapy;
- clinical overview
Objective: While Cognitive Behaviour Therapy (CBT) and Interpersonal Therapy (IPT) have been positioned as first-line evidence-based treatments for depression, we suggest that limitations to the ‘evidence’ deserve wider appreciation.
Method: A systematic literature search was undertaken, and limitations to the evidence base discussed.
Results: The review suggests that the specificity of CBT and IPT treatments for depression has yet to be demonstrated and details likely reasons.
Conclusion: The superiority of CBT and IPT may well be able to be demonstrated across defined rather than universal circumstances. To achieve this aim, outcome research should move away from testing treatments as if they have universal application for heterogeneous disorder categories. Findings have distinct implications for the clinical management of depressive disorders, and particularly in relation to the utility of psychotherapy.