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Brazilian Journal of Psychiatry

versão impressa ISSN 1516-4446versão On-line ISSN 1809-452X

Resumo

ALMEIDA, Alexander Moreira de  e  LOTUFO NETO, Francisco. Cognitive-behavioral therapy in prevention of depression relapses and recurrences. Rev. Bras. Psiquiatr. [online]. 2003, vol.25, n.4, pp.239-244. ISSN 1809-452X.  https://doi.org/10.1590/S1516-44462003000400011.

OBJECTIVES: To revise theories and the available evidence about Cognitive Behavioral Therapy (CBT) role on the relapse and recurrence prevention of depressive episodes. METHODS: Review of random and controlled clinical trials that investigated CBT efficacy on the relapse and recurrence prevention of depressive episodes. The following databases were used: Medline, Lilacs, Cochrane, Biosis and Embase. The reference sections of the selected articles, review articles and specialized books were consulted. RESULTS: Fifteen studies with different experimental design were found, several with methodological problems. The majority of them compared CBT with antidepressants at the acute treatment phase. In 12 studies CBT significantly lowered the relapse/recurrence rate. Recent papers pointed to the CBT usefulness for treating residual depressive symptoms as a recurrence prevention strategy. CONCLUSION: CBT was effective for the depression relapse reduction. Its relationship with antidepressants as a prevention tool and CBT strategies (using it only in the acute phase, or during acute and maintenance phases, or after antidepressants withdrawal as a maintenance treatment, or focusing residual symptoms) need to be better investigated.

Palavras-chave : Depression; Prevention; Cognitive therapy; Recurrence; Relapse.

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