Modelos psicoterapéuticos para la depresión: hacia un enfoque integrado

Alvaro E. Carrasco

Abstract


Se presentan elementos teóricos y psicoterapéuticos de los modelos cognitivo-conductual, interpersonal y psicoanalítico para el tratamiento de la depresión. Aunque hay diferencias en las acciones y énfasis entre los distintos modelos psicoterapéuticos, se encuentran también comprensiones e intervenciones comunes. Se esboza un modelo psicológico integrativo para comprender la depresión y se propone un enfoque clínico que reconozca síntomas y factores etiológicos  para seleccionar intervenciones psicoterapéuticas disponibles desde las distintas escuelas psicológicas.


Keywords


depresión; psicoterapia; integración; modelos

References


Alford, B. & Beck, A. (1997). The integrative power of cognitive therapy. New York: Guilford Press.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Berne, E. (1972). What do you say after you say hello? The psychology of human destiny. NewYork: Grove Press.

Bockting, C., Schene A., Spinhoven, P., Koeter, M., Wouters, L., Huyser, J. & Kamphuis, J. (2005) Preventing relapse/recurrence in recurrent depression with cognitive therapy: a randomized controlled trial. Journal of Consulting and Clinical Psychology 73, 647-57. http://dx.doi.org/10.1037/0022-006X.73.4.647

Brewin, Chris R. (1996). Theoretical Foundations of Cognitive-Behavior Therapy for Anxiety and Depression. Annual Review of Psychology, 47, 33-57. doi: http://dx.doi.org/10.1146/annurev.psych.47.1.33

Castonguay L.G., Arnow B.A., Blatt S.J., Jones E.E., Pilkonis P.A., Segal Z.V.. (1999). Psychotherapy for depression: current and future directions in research, theory, practice and public policy. Journal of Clinical Psychology, 55(11), 1347-70. http://dx.doi.org/10.1002/(SICI)1097-4679(199911)55:11<1347::AID-JCLP3>3.0.CO;2-L

Davidson, K., Rieckmann, N., & Lespérance, F. (2004). Psychological Theories of Depression: Potential Application for the Prevention of Acute Coronary Syndrome Recurrence. Psychosomatic Medicine(66), 165-173. http://dx.doi.org/10.1097/01.psy.0000116716.19848.65

Fonagy, P. (1999) Persistencias transgeneracionales del apego: una nueva teoría. Aperturas Psicoanalíticas, 3. Obtenido el 17 de Enero del 2015 en: http://www.aperturas.org/articulos.php?id=0000086&a=Persistencias-transgeneracionales-del-apego-una-nueva-teoria

Freud, S. (1917) Duelo y melancolía. En Obras Completas, Tomo XIV. Buenos Aires: Amorrortu Editores.

Garber, J. (2006). Depression in Children and Adolescents. Linking Risk Research and Prevention. American Journal of Preventive Medicina(31), 104-116. http://dx.doi.org/10.1016/j.amepre.2006.07.007

Hollon, S., Thase, M., & Markowitz, J. (2002). Treatment and Prevention of Depression. Psychological Science in the Public Interest, 39-77. Obternido el 6 de febreo del 2015 en: https://www.psychologicalscience.org/journals/pspi/pdf/pspi31101.pdf

Jarrett, R., Kraft, D., Doyle, J., Foster, B., Eaves, G. & Silver, P. (2001). Preventing Recurrent Depression Using Cognitive Therapy With and Without a Continuation Phase: A Randomized Clinical Trial. Archives of General Psychiatry. 58(4):381-388. http://dx.doi.org/10.1001/archpsyc.58.4.381

Judd L., Akiskal H., Zeller P., Paulus M., Leon A., Maser J., Endicott J., Coryell W., Kunovac J., Mueller T., Rice J., Keller M. (2000). Psychosocial disability during the long-term course of unipolar major depressive disorder. Archives of General Psychiatry; 57: 375-80. http://dx.doi.org/10.1001/archpsyc.57.4.375

Karasu, T Byram. (1990). Toward a clinical model of psychotherapy for depression, II: An integrative and selective treatment approach. The American Journal of Psychiatry; 147, 3, 269-78. http://dx.doi.org/10.1176/ajp.147.3.269

Lemma, A., Target, M., & Fonagy, P. (2010). The development of a brief psychodynamic protocol for depression: Dynamic Interpersonal Therapy (DIT). Psychoanalytic Psychotherapy, 24(4), 329-346. http://dx.doi.org/10.1521/psyc.2011.74.1.41

Lemma, A., Roth, A., & Pilling, S. (2008). The competences required to deliver effective psychoanalytic/psychodynamic therapy.Obtenido en enero del 2015 en: http://www.ucl.ac.uk/clinical-psychology/CORE/psychodynamic_framework.htm

Luyten, P., Blatt, S., Van Houdenhove, B., & Corveleyn, J. (2006). Depression research and treatment: Are we skating to where the puck is going to be? Clinical Psychology Review (26), 985-999. http:// dx.doi.org/10.1016/j.cpr.2005.12.003

Ministerio de Salud de Chile. (2011). Encuesta Nacional de la Salud ENS Chile 2009-2010. Obtenido en Mayo del 2014 en: http://web.minsal.cl/portal/url/item/bcb03d7bc28b64dfe040010165012d23.pdf

Moras, K. (2006). Twenty-five years of psychological treatment research on unipolar depression in adult outpatients: Introduction to the special section. Psychotherapy Research , 16 (5), 519-525. http://dx.doi.org/10.1080/10503300600919398

Organización Mundial de la Salud OMS, (2002). The World Health Report, 2002. Switzerland, World Health Organization. Obtenido el 6 de febreo del 2015 en: http://www.who.int/whr/2002/en/

Overholser, J. (2003). Cognitive-Behavioral Treatment of Depression: A Three-Stage Model to Guide Treatment Planning. Cognitive and Behavioral Practice(10), 231-239. http://dx.doi.org/10.1016/S1077-7229(03)80035-4

Roth, A., & Fonagy, P. (2005). Depression. En A. Roth, & P. Fonagy, What works for whom? (págs. 66-149). New York: The Guilford Press.

Shedler, J. (2010). The Efficacy of Psychodynamic Psychotherapy. American Psychologist, 65(2), 98-109. http://dx.doi.org/10.1037/a0018378

Taylor, D. (2008). Psychoanalytic and psychodynamic therapies for depression: the evidence base. Advances in Psychiatric Treatment, 14, 401-413. http://dx.doi.org/10.1192/apt.bp.107.004382

Vitiello, B. (2009). Treatment of adolescent depression: What we have come to know. Depression and Anxiety , 393-395. http://dx.doi.org/10.1002/da.20572

Young, J. (1994). Cognitive Therapy for Personality Disorders: A Schema-Focused Approach. Practitioner's resource series. Sarasota, FL, US: Professional Resource Press/Professional Resource Exchange..

Zvelc, G. (2009). Between Self and Others: Relational Schemas as an Integrating Construct in Psychotherapy. Transactional Analysis Journal; 39, 1; 22-38. http://dx.doi.org/10.1177/036215370903900104




DOI: http://dx.doi.org/10.30849/rip/ijp.v51i2.119

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