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Dilemma-focused intervention for unipolar depression: a treatment manual

BACKGROUND: This article introduces a new treatment protocol for depression. Based on previous research which indicated the presence of cognitive conflicts in depression, this study created an intervention manual to address these conflicts. METHOD: The therapy manual for depressive patients followed...

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Autores principales: Feixas, Guillem, Compañ, Victoria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4942888/
https://www.ncbi.nlm.nih.gov/pubmed/27406383
http://dx.doi.org/10.1186/s12888-016-0947-x
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author Feixas, Guillem
Compañ, Victoria
author_facet Feixas, Guillem
Compañ, Victoria
author_sort Feixas, Guillem
collection PubMed
description BACKGROUND: This article introduces a new treatment protocol for depression. Based on previous research which indicated the presence of cognitive conflicts in depression, this study created an intervention manual to address these conflicts. METHOD: The therapy manual for depressive patients followed the guideline for inclusion in clinical trials (stage II), which has received high recognition. A preliminary version (stage I) of this manual was formulated based on other, more general dilemma-focused therapy publications, inspired by personal construct theory (PCT), and input from clinical experience. The resulting version was then applied during the 8-session format of a pilot study with patients diagnosed with major depressive disorder or dysthymia. Finally, feedback was requested from seasoned and highly respected therapists, some of whom were familiar with PCT. RESULTS: According to the mentioned guideline, the intervention manual selected the theoretical framework, in this case PCT, to include its conceptualization of depression and resolution of dilemmas (to foster clinical improvement) as a main treatment goal. The manual was then contrasted with psychoanalytic psychotherapy, cognitive-behavior therapy (CBT), motivational interviewing (MI), and other similar approaches such as cognitive-analytic therapy and coherence therapy. Following these conceptual clarifications, the specific interventions included in the manual were defined according to both categories: their unique and essential components and those conceived as common psychotherapeutic factors. Next, the general structure and content for each session were presented. The structure consisted of seven well-defined individual sessions with an additional session, which could complement any of the former sessions to address the patient’s issues in greater depth, if needed. CONCLUSIONS: This Dilemma-Focused Intervention manual aimed to improve the treatment outcome for depression by offering an intervention that could be combined with other general approaches. At its present level of definition, it allows for inclusion in controlled trials (eg, the current RCT combining group CBT with this intervention). Thus, this manual added to the existing resources in psychotherapeutic research and practice for treatment of depression.
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spelling pubmed-49428882016-07-14 Dilemma-focused intervention for unipolar depression: a treatment manual Feixas, Guillem Compañ, Victoria BMC Psychiatry Technical Advance BACKGROUND: This article introduces a new treatment protocol for depression. Based on previous research which indicated the presence of cognitive conflicts in depression, this study created an intervention manual to address these conflicts. METHOD: The therapy manual for depressive patients followed the guideline for inclusion in clinical trials (stage II), which has received high recognition. A preliminary version (stage I) of this manual was formulated based on other, more general dilemma-focused therapy publications, inspired by personal construct theory (PCT), and input from clinical experience. The resulting version was then applied during the 8-session format of a pilot study with patients diagnosed with major depressive disorder or dysthymia. Finally, feedback was requested from seasoned and highly respected therapists, some of whom were familiar with PCT. RESULTS: According to the mentioned guideline, the intervention manual selected the theoretical framework, in this case PCT, to include its conceptualization of depression and resolution of dilemmas (to foster clinical improvement) as a main treatment goal. The manual was then contrasted with psychoanalytic psychotherapy, cognitive-behavior therapy (CBT), motivational interviewing (MI), and other similar approaches such as cognitive-analytic therapy and coherence therapy. Following these conceptual clarifications, the specific interventions included in the manual were defined according to both categories: their unique and essential components and those conceived as common psychotherapeutic factors. Next, the general structure and content for each session were presented. The structure consisted of seven well-defined individual sessions with an additional session, which could complement any of the former sessions to address the patient’s issues in greater depth, if needed. CONCLUSIONS: This Dilemma-Focused Intervention manual aimed to improve the treatment outcome for depression by offering an intervention that could be combined with other general approaches. At its present level of definition, it allows for inclusion in controlled trials (eg, the current RCT combining group CBT with this intervention). Thus, this manual added to the existing resources in psychotherapeutic research and practice for treatment of depression. BioMed Central 2016-07-12 /pmc/articles/PMC4942888/ /pubmed/27406383 http://dx.doi.org/10.1186/s12888-016-0947-x Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Technical Advance
Feixas, Guillem
Compañ, Victoria
Dilemma-focused intervention for unipolar depression: a treatment manual
title Dilemma-focused intervention for unipolar depression: a treatment manual
title_full Dilemma-focused intervention for unipolar depression: a treatment manual
title_fullStr Dilemma-focused intervention for unipolar depression: a treatment manual
title_full_unstemmed Dilemma-focused intervention for unipolar depression: a treatment manual
title_short Dilemma-focused intervention for unipolar depression: a treatment manual
title_sort dilemma-focused intervention for unipolar depression: a treatment manual
topic Technical Advance
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4942888/
https://www.ncbi.nlm.nih.gov/pubmed/27406383
http://dx.doi.org/10.1186/s12888-016-0947-x
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