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Yıl:2011; Cilt: 1; Sayı: 3>> Özet
Psikiyatride Güncel; 2011;1(3):240-249
Dirençli Depresyon Tedavisinde Bilişsel Davranışçı Yaklaşım
MH Türkçapar
Ankara Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Ankara
Bilişsel davranışçı terapi depresyon tedavisinde etkili olduğu kanıta dayalı olarak gösterilmiş bir tedavi seçeneğidir. Bu tedavi ilaç tedavisiyle
beraber veya tek başına uygulandığında akut tedavide ilaç tedavisine benzer sonuçlar alınmaktadır. Bilişsel davranışçı psikoterapiyle
depresyonları düzelen hastalarda daha sonra yineleme olma olasılığı ilaç tedavisiyle iyileşip tedavisi kesilen hastalardan düşüktür.
Bilişsel davranışçı terapi, depresyonu akut tedavisinin yanı sıra ilaç tedavisine dirençli hastalarda da uygulanabilecek bir tedavi seçeneğidir.
Kontrollü çalışmalarda Bilişsel Davranışçı Sistem Analizi Psikoterapisi (CBASP), standart bilişsel davranışçı terapi kronik hastalarda
tek başına veya ilaç tedavisine ek olarak etkili bulunmuştur. Şema terapi ve Farkındalık temelli bilişsel davranışçı terapilerde bu
alanda umut veren diğer tedavi seçenekleridir.
Cognitive-behavioural approach in the treatment of resistant depression

Cognitive behaviour therapy is an emprically validated treatment option in the treatment of depressive disorder. When this treatment
approach applied alone or in conjuction with the drug treatment, similar results to the drug treatment can be obtained. Patients who
had improved with the cognitive behaviour therapy has a lower probability of relapse than the patients who had only drug treatment
in the long run.
Besides acute treatment of depressive disorder, cognitive behaviour therapy is also an option which can be used treatment resistan depression.
In controlled trials Cognitive Behavioral Analysis System of Psychotherapy (CBASP), standart cognitive behaviour therapy was
found effective in chronic patients alone or in combiniation with the drug treatment. Schema therapy and mindfullnes based cognitive
therapies also can be promising options of therapy in this realm.

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