Publication: Ideas equivocadas sobre la depresión y su tratamiento (II)
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Publication Date
2017
Authors
García Vera, María Paz
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Consejo General de la Psicología de España
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Abstract
Este trabajo y su primera parte (Sanz y García-Vera, 2017) analizan la veracidad de diez ideas sobre la depresión y su tratamiento que se defienden en medios de comunicación de amplia difusión en Internet o en algunas guías de práctica clínica y manuales de psicopatología o psiquiatría de prestigio. Estas ideas obstaculizan que los pacientes accedan a un tratamiento adecuado para su depresión y favorecen la medicalización del mismo en detrimento de los tratamientos psicológicos. En este segundo trabajo se contrastan seis ideas sobre el tratamiento de la depresión con los resultados de la literatura científica. Una revisión de esta literatura indica que, contrariamente a esas ideas, la psicoterapia cura la depresión y, al menos en el caso de la terapia cognitivo-conductual, es eficaz tanto en la depresión leve o moderada como en la grave, es igual de eficaz que la medicación antidepresiva, previene mejor que esta las recaídas y recurrencias, y suele ser un tratamiento de corta duración. Los resultados de esta revisión se discuten en el contexto de la necesidad y de las dificultades para transmitir información sobre la salud basada en los conocimientos científicos vigentes.
This paper and its first part (Sanz & García-Vera, 2017) analyze the veracity of ten ideas about depression and its treatment that are defended in media widely available on the Internet or in some prestigious clinical practice guidelines or manuals of psychopathology or psychiatry. These ideas hinder patients’ access to appropriate treatment for their depression and favor the medicalization of this treatment over the use of psychological therapies. In this second paper, six ideas about the treatment of depression are contrasted with the results of the scientific literature. A review of this literature indicates that, contrary to these ideas, psychotherapy cures depression and, at least in the case of cognitive-behavioral therapy, is efficacious in both mild-to-moderate and severe depression, is equally as efficacious as antidepressant medication, prevents relapse and recurrences better than antidepressant medication, and is usually a short-term treatment. The results of this review are discussed in the context of the need for and difficulties in transmitting health information based on existing scientific knowledge.
This paper and its first part (Sanz & García-Vera, 2017) analyze the veracity of ten ideas about depression and its treatment that are defended in media widely available on the Internet or in some prestigious clinical practice guidelines or manuals of psychopathology or psychiatry. These ideas hinder patients’ access to appropriate treatment for their depression and favor the medicalization of this treatment over the use of psychological therapies. In this second paper, six ideas about the treatment of depression are contrasted with the results of the scientific literature. A review of this literature indicates that, contrary to these ideas, psychotherapy cures depression and, at least in the case of cognitive-behavioral therapy, is efficacious in both mild-to-moderate and severe depression, is equally as efficacious as antidepressant medication, prevents relapse and recurrences better than antidepressant medication, and is usually a short-term treatment. The results of this review are discussed in the context of the need for and difficulties in transmitting health information based on existing scientific knowledge.