nach oben

Cognitive Therapy and Research

Erschienen in:

21.04.2021 | Original Article

Emotion Regulation and Repetitive Negative Thinking Before and After CBT and SSRI Treatment of Internalizing Psychopathologies

verfasst von: Cope Feurer, Jennifer Francis, Olusola Ajilore, Michelle G. Craske, K. Luan Phan, Heide Klumpp

Erschienen in: Cognitive Therapy and Research | Ausgabe 6/2021

Einloggen, um Zugang zu erhalten

Abstract

Background

Emotion regulation (ER) strategies (i.e., reappraisal, suppression) and repetitive negative thinking (RNT) tendencies (i.e., brooding rumination, worry) are transdiagnostic and contribute to the maintenance of internalizing psychopathologies. Cognitive Behavioral Therapy (CBT) and selective serotonin reuptake inhibitors (SSRIs) are both effective in reducing symptom severity, however, their impact on ER and RNT is unclear. Therefore, the goal of the current study was to examine whether CBT and SSRIs improved ER and RNT in a transdiagnostic sample.

Methods

The current sample comprised 91 patients with anxiety, depression, and/or posttraumatic stress disorder randomly assigned to receive either CBT (n = 45) or an SSRI (n = 46) and 49 healthy controls as a comparator group. Patients completed measures of clinical symptoms, reappraisal, suppression, brooding rumination, and worry before and after treatment. Controls completed the same measures at baseline.

Results

Compared to controls, patients reported greater symptom severity, suppression, brooding, and worry, and less reappraisal. Both treatments improved symptom severity, ER, and RNT. However, patients who completed CBT reported greater improvement in reappraisal than patients who completed treatment with an SSRI. Finally, change in RNT, but not ER, was associated with symptom improvement.

Conclusions

Findings suggest treatment improves ER and RNT and provides preliminary evidence of a treatment modality effect on reappraisal.

Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Sage.

Aldao, A., Gee, D. G., De Los Reyes, A., & Seager, I. (2016). Emotion regulation as a transdiagnostic factor in the development of internalizing and externalizing psychopathology: Current and future directions. Development and Psychopathology, 28, 927–946. https://doi.org/10.1017/S0954579416000638CrossRefPubMed

Aldao, A., & Nolen-Hoeksema, S. (2010). Specificity of cognitive emotion regulation strategies: A transdiagnostic examination. Behaviour Research and Therapy, 48(10), 974–983. https://doi.org/10.1016/j.brat.2010.06.002CrossRefPubMed

Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217–237. https://doi.org/10.1016/j.cpr.2009.11.004CrossRefPubMed

Arch, J. J., & Craske, M. G. (2009). First-line treatment: A critical appraisal of cognitive behavioral therapy developments and alternatives. Psychiatric Clinics of North America, 32(3), 525–547. https://doi.org/10.1016/j.psc.2009.05.001CrossRefPubMed

Beck, A. T., & Clark, D. A. (1997). An information processing model of anxiety: Automatic and strategic processes. Behaviour Research and Therapy, 35(1), 49–58. https://doi.org/10.1016/S0005-7967(96)00069-1CrossRefPubMed

Boden, M. T., Westermann, S., McRae, K., Kuo, J., Alvarez, J., Kulkarni, M. R., Gross, J. J., & Bonn-Miller, M. O. (2013). Emotion regulation and posttraumatic stress disorder: A prospective investigation. Journal of Social and Clinical Psychology, 32(3), 296–314. https://doi.org/10.1521/jscp.2013.32.3.296CrossRef

Borkovec, T. D., & Inz, J. (1990). The nature of worry in generalized anxiety disorder: A predominance of thought activity. Behaviour Research and Therapy, 28(2), 153–158. https://doi.org/10.1016/0005-7967(90)90027-GCrossRefPubMed

Borkovec, T. D., & Roemer, L. (1995). Perceived functions of worry among generalized anxiety disorder subjects: Distraction from more emotionally distressing topics? Journal of Behavior Therapy and Experimental Psychiatry, 26(1), 25–30. https://doi.org/10.1016/0005-7916(94)00064-SCrossRefPubMed

Brozovich, F. A., Goldin, P., Lee, I., Jazaieri, H., Heimberg, R. G., & Gross, J. J. (2015). The effect of rumination and reappraisal on social anxiety symptoms during cognitive-behavioral therapy for social anxiety disorder. Journal of Clinical Psychology, 71(3), 208–218. https://doi.org/10.1002/jclp.22132CrossRefPubMed

Burkhouse, K. L., Jacobs, R. H., Peters, A. T., Ajilore, O., Watkins, E. R., & Langenecker, S. A. (2017). Neural correlates of rumination in adolescents with remitted major depressive disorder and healthy controls. Cognitive, Affective, and Behavioral Neuroscience, 17(2), 394–405. https://doi.org/10.3758/s13415-016-0486-4CrossRef

Chin, E. G., Buchanan, E. M., Ebesutani, C., & Young, J. (2019). Depression, anxiety, and stress: How should clinicians interpret the total and subscale scores of the 21-Item depression, anxiety, and stress scales? Psychological Reports, 122(4), 1550–1575. https://doi.org/10.1177/0033294118783508CrossRefPubMed

Cipriani, A., Purgato, M., Furukawa, T. A., Trespidi, C., Imperadore, G., Signoretti, A., Churchill, R., Watanabe, N., & Barbui, C. (2012). Citalopram versus other anti-depressive agents for depression. Cochrane Database of Systematic Reviews, 7, CD006534. https://doi.org/10.1002/14651858.cd006534.pub2CrossRef

Clark, D. A., Beck, A. T., & Alford, B. A. (1999). Scientific foundations of cognitive theory and therapy of depression. Wiley.

Craske, M. G., & Barlow, D. H. (2006). Mastery of your anxiety and panic. Oxford University Press. https://doi.org/10.1093/med/9780195311402.001.0001CrossRef

Craske, M. G., Barlow, D. H., & O’Leary, T. A. (1992). Mastery of your anxiety and worry. Graywind Publications. https://doi.org/10.1093/med:psych/9780195300017.001.0001CrossRef

Cuijpers, P., Hollon, S. D., van Straten, A., Bockting, C., Berking, M., & Andersson, G. (2013). Does cognitive behaviour therapy have an enduring effect that is superior to keeping patients on continuation pharmacotherapy? A meta-analysis. BMJ Open, 3(4), e002542. https://doi.org/10.1136/bmjopen-2012-002542CrossRefPubMedPubMedCentral

Cutuli, D. (2014). Cognitive reappraisal and expressive suppression strategies role in the emotion regulation: An overview on their modulatory effects and neural correlates. Frontiers in Systems Neuroscience, 8, 175. https://doi.org/10.3389/fnsys.2014.00175CrossRefPubMedPubMedCentral

David, D., Cristea, I., & Hofmann, S. G. (2018). Why cognitive behavioral therapy is the current gold standard of psychotherapy. Frontiers in Psychiatry, 9, 4. https://doi.org/10.3389/fpsyt.2018.00004CrossRefPubMedPubMedCentral

DeRubeis, R. J., Siegle, G. J., & Hollon, S. D. (2008). Cognitive therapy versus medication for depression: Treatment outcomes and neural mechanisms. Nature Reviews Neuroscience, 9(10), 788–796. https://doi.org/10.1038/nrn2345CrossRefPubMedPubMedCentral

Disner, S. G., Beevers, C. G., Haigh, E. A. P., & Beck, A. T. (2011). Neural mechanisms of the cognitive model of depression. Nature Reviews Neuroscience, 12(8), 467–477. https://doi.org/10.1038/nrn3027CrossRefPubMed

Dryman, M. T., & Heimberg, R. G. (2018). Emotion regulation in social anxiety and depression: A systematic review of expressive suppression and cognitive reappraisal. Clinical Psychology Review, 65, 17–42. https://doi.org/10.1016/j.cpr.2018.07.004CrossRefPubMed

Ehring, T., & Watkins, E. R. (2008). Repetitive negative thinking as a transdiagnostic process. International Journal of Cognitive Therapy, 1(3), 192–205. https://doi.org/10.1521/ijct.2008.1.3.192CrossRef

Evans, M., Rohan, K. J., Sitnikov, L., Mahon, J. N., Nillni, Y. I., Lindsey, K. T., & Vacek, P. M. (2013). Cognitive change across cognitive-behavioral and light therapy treatments for seasonal affective disorder: What accounts for clinical status the next winter? Cognitive Therapy and Research, 37(6), 1201–1213. https://doi.org/10.1007/s10608-013-9561-0CrossRef

First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5—Research version (SCID-5 for DSM-5, research version; SCID-5-RV). American Psychiatric Association.

Forkmann, T., Scherer, A., Pawelzik, M., Mainz, V., Drueke, B., Boecker, M., & Gauggel, S. (2014). Does cognitive behavior therapy alter emotion regulation in inpatients with a depressive disorder? Psychology Research and Behavior Management, 7, 147–153. https://doi.org/10.2147/PRBM.S59421CrossRefPubMedPubMedCentral

Goldapple, K., Segal, Z., Garson, C., Lau, M., Bieling, P., Kennedy, S., & Mayberg, H. (2004). Modulation of cortical-limbic pathways in major depression: Treatment-specific effects of cognitive behavior therapy. Archives of General Psychiatry, 61(1), 34–41. https://doi.org/10.1001/archpsyc.61.1.34CrossRefPubMed

Goldin, P. R., Lee, I., Ziv, M., Jazaieri, H., Heimberg, R. G., & Gross, J. J. (2014). Trajectories of change in emotion regulation and social anxiety during cognitive-behavioral therapy for social anxiety disorder. Behaviour Research and Therapy, 56, 7–15. https://doi.org/10.1016/j.brat.2014.02.005CrossRefPubMedPubMedCentral

Goldin, P. R., Morrison, A., Jazaieri, H., Brozovich, F., Heimberg, R., & Gross, J. J. (2016). Group CBT versus MBSR for social anxiety disorder: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 84(5), 427–437. https://doi.org/10.1037/ccp0000092CrossRefPubMedPubMedCentral

Gorka, S. M., Young, C. B., Klumpp, H., Kennedy, A. E., Francis, J., Ajilore, O., Langenecker, S. A., Shankman, S. A., Craske, M. G., Stein, M. B., & Phan, K. L. (2019). Emotion-based brain mechanisms and predictors for SSRI and CBT treatment of anxiety and depression: A randomized trial. Neuropsychopharmacology, 44(9), 1639–1648. https://doi.org/10.1038/s41386-019-0407-7

Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362. https://doi.org/10.1037/0022-3514.85.2.348CrossRefPubMed

Gustavson, D. E., du Pont, A., Whisman, M. A., & Miyake, A. (2018). Evidence for transdiagnostic repetitive negative thinking and its association with rumination, worry, and depression and anxiety symptoms: A commonality analysis. Collabra: Psychology, 4(1), 13. https://doi.org/10.1525/collabra.128CrossRefPubMed

Gyurak, A., Gross, J. J., & Etkin, A. (2011). Explicit and implicit emotion regulation: A dual-process framework. Cognition and Emotion, 25(3), 400–412. https://doi.org/10.1080/02699931.2010.544160CrossRefPubMed

Hamilton, M. (1959). The assessment of anxiety states by rating. British Journal of Medical Psychology, 32(1), 50–55. https://doi.org/10.1111/j.2044-8341.1959.tb00467.xCrossRefPubMed

Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56–62. https://doi.org/10.1136/jnnp.23.1.56CrossRefPubMedPubMedCentral

Hirsch, C. R., & Mathews, A. (2012). A cognitive model of pathological worry. Behaviour Research and Therapy, 50(10), 636–646. https://doi.org/10.1016/j.brat.2012.06.007CrossRefPubMedPubMedCentral

Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012a). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427–440. https://doi.org/10.1007/s10608-012-9476-1CrossRefPubMedPubMedCentral

Hofmann, S. G., Sawyer, A. T., Fang, A., & Asnaani, A. (2012b). Emotion dysregulation model of mood and anxiety disorders. Depression and Anxiety, 29(5), 409–416. https://doi.org/10.1002/da.21888CrossRefPubMed

Hollon, S. D., DeRubeis, R. J., Shelton, R. C., Amsterdam, J. D., Salomon, R. M., O’Reardon, J. P., Lovett, M. L., Young, P. R., Haman, K. L., Freeman, B. B., & Gallop, R. (2005). Prevention of relapse following cognitive therapy versus medications in moderate to severe depression. Archives of General Psychiatry, 62(4), 417–422. https://doi.org/10.1001/archpsyc.62.4.417CrossRefPubMed

Jakubovski, E., Johnson, J. A., Nasir, M., Müller-Vahl, K., & Bloch, M. H. (2019). Systematic review and meta-analysis: Dose–response curve of SSRIs and SNRIs in anxiety disorders. Depression and Anxiety, 36(3), 198–212. https://doi.org/10.1002/da.22854CrossRefPubMed

Joormann, J., & Quinn, M. E. (2014). Cognitive processes and emotion regulation in depression. Depression and Anxiety, 31(4), 308–315. https://doi.org/10.1002/da.22264CrossRefPubMed

Kanske, P., Heissler, J., Schönfelder, S., & Wessa, M. (2012). Neural correlates of emotion regulation deficits in remitted depression: The influence of regulation strategy, habitual regulation use, and emotional valence. NeuroImage, 61(3), 686–693. https://doi.org/10.1016/j.neuroimage.2012.03.089CrossRefPubMed

Kashdan, T. B., Zvolensky, M. J., & McLeish, A. C. (2008). Anxiety sensitivity and affect regulatory strategies: Individual and interactive risk factors for anxiety-related symptoms. Journal of Anxiety Disorders, 22(3), 429–440. https://doi.org/10.1016/j.janxdis.2007.03.011CrossRefPubMed

Kelly, O., Matheson, K., Ravindran, A., Merali, Z., & Anisman, H. (2007). Ruminative coping among patients with dysthymia before and after pharmacotherapy. Depression and Anxiety, 24(4), 233–243. https://doi.org/10.1002/da.20236CrossRefPubMed

Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., Rush, A. J., Walters, E. E., & Wang, P. S. (2003). The epidemiology of major depressive disorder: Results from the National Comorbidity Survey Replication (NCS-R). Journal of the American Medical Association, 289(23), 3095–3105. https://doi.org/10.1001/jama.289.23.3095CrossRefPubMed

Liverant, G. I., Kamholz, B. W., Sloan, D. M., & Brown, T. A. (2011). Rumination in clinical depression: A type of emotional suppression? Cognitive Therapy and Research, 35(3), 253–265. https://doi.org/10.1007/s10608-010-9304-4CrossRef

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U

Manicavasagar, V., Perich, T., & Parker, G. (2012). Cognitive predictors of change in cognitive behaviour therapy and mindfulness-based cognitive therapy for depression. Behavioural and Cognitive Psychotherapy, 40(2), 227–232. https://doi.org/10.1017/S1352465811000634CrossRefPubMed

McRae, K., Rekshan, W., Williams, L. M., Cooper, N., & Gross, J. J. (2014). Effects of antidepressant medication on emotion regulation in depressed patients: An iSPOT-D report. Journal of Affective Disorders, 159, 127–132. https://doi.org/10.1016/j.jad.2013.12.037CrossRefPubMed

McTeague, L. M., Huemer, J., Carreon, D. M., Jiang, Y., Eickhoff, S. B., & Etkin, A. (2017). Identification of common neural circuit disruptions in cognitive control across psychiatric disorders. American Journal of Psychiatry, 174(7), 676–685. https://doi.org/10.1176/appi.ajp.2017.16040400CrossRefPubMed

Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2002). Applying an emotion regulation framework to integrative approaches to generalized anxiety disorder. Clinical Psychology: Science and Practice, 9(1), 85–90. https://doi.org/10.1093/clipsy/9.1.85CrossRef

Mennin, D. S., Holaway, R. M., Fresco, D. M., Moore, M. T., & Heimberg, R. G. (2007). Delineating components of emotion and its dysregulation in anxiety and mood psychopathology. Behavior Therapy, 38(3), 284–302. https://doi.org/10.1016/j.beth.2006.09.001CrossRefPubMed

Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28(6), 487–495. https://doi.org/10.1016/0005-7967(90)90135-6CrossRefPubMed

Miranda, R., & Nolen-Hoeksema, S. (2007). Brooding and reflection: Rumination predicts suicidal ideation at 1-year follow-up in a community sample. Behaviour Research and Therapy, 45(12), 3088–3095CrossRefPubMedPubMedCentral

Mogg, K., Baldwin, D. S., Brodrick, P., & Bradley, B. P. (2004). Effect of short-term SSRI treatment on cognitive bias in generalised anxiety disorder. Psychopharmacology (Berl), 176(3–4), 466–470. https://doi.org/10.1007/s00213-004-1902-yCrossRef

Mohlman, J., Price, R. B., & Vietri, J. (2013). Attentional bias in older adults: Effects of generalized anxiety disorder and cognitive behavior therapy. Journal of Anxiety Disorders, 27(6), 585–591. https://doi.org/10.1016/j.janxdis.2013.06.005CrossRefPubMed

Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100(4), 569–582. https://doi.org/10.1037/0021-843X.100.4.569CrossRefPubMed

Nolen-Hoeksema, S. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. Journal of Abnormal Psychology, 109(3), 504–511. https://doi.org/10.1037/0021-843X.109.3.504CrossRefPubMed

Nolen-Hoeksema, S., & Morrow, J. (1993). Effects of rumination and distraction on naturally occurring depressed mood. Cognition and Emotion, 7(6), 561–570. https://doi.org/10.1080/02699939308409206CrossRef

Paulesu, E., Sambugaro, E., Torti, T., Danelli, L., Ferri, F., Scialfa, G., Sberna, M., Ruggiero, G. M., Bottini, G., & Sassaroli, S. (2010). Neural correlates of worry in generalized anxiety disorder and in normal controls: A functional MRI study. Psychological Medicine, 40, 117–124. https://doi.org/10.1017/S0033291709005649CrossRefPubMed

Riskind, J., Beck, A., Brown, G., & Steer, R. (1987). Taking the measure of anxiety and depression. Validity of the reconstructed Hamilton scales. The Journal of Nervous and Mental Disease, 175(8), 474–479. https://doi.org/10.1097/00005053-198708000-00005CrossRefPubMed

Roiser, J. P., Elliott, R., & Sahakian, B. J. (2012). Cognitive mechanisms of treatment in depression. Neuropsychopharmacology, 37(1), 117–136. https://doi.org/10.1038/npp.2011.183CrossRefPubMed

Satyshur, M. D., Layden, E. A., Gowins, J. R., Buchanan, A., & Gollan, J. K. (2018). Functional connectivity of reflective and brooding rumination in depressed and healthy women. Cognitive, Affective, and Behavioral Neuroscience, 18(5), 884–901. https://doi.org/10.3758/s13415-018-0611-7CrossRef

Segerstrom, S. C., Tsao, J. C. I., Alden, L. E., & Craske, M. G. (2000). Worry and rumination: Repetitive thought as a concomitant and predictor of negative mood. Cognitive Therapy and Research, 24(6), 671–688. https://doi.org/10.1023/A:1005587311498CrossRef

Stanley, M. A., Wilson, N. L., Novy, D. M., Rhoades, H. M., Wagener, P. D., Greisinger, A. J., Cully, J. A., & Kunik, M. E. (2009). Cognitive behavior therapy for generalized anxiety disorder among older adults in primary care a randomized clinical trial. JAMA—Journal of the American Medical Association, 301(14), 1460–1467. https://doi.org/10.1001/jama.2009.458CrossRef

Steiner, A. R. W., Petkus, A. J., Nguyen, H., & Wetherell, J. L. (2013). Information processing bias and pharmacotherapy outcome in older adults with generalized anxiety disorder. Journal of Anxiety Disorders, 27(6), 592–597. https://doi.org/10.1016/j.janxdis.2012.10.007CrossRefPubMed

Strauss, A. Y., Kivity, Y., & Huppert, J. D. (2019). Emotion regulation strategies in cognitive behavioral therapy for panic disorder. Behavior Therapy, 50(3), 659–671. https://doi.org/10.1016/j.beth.2018.10.005CrossRefPubMed

Tobon, J. I., Ouimet, A. J., & Dozois, D. J. A. (2011). Attentional bias in anxiety disorders following cognitive behavioral treatment. Journal of Cognitive Psychotherapy, 25(2), 114–129. https://doi.org/10.1891/0889-8391.25.2.114CrossRef

Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(3), 247–259. https://doi.org/10.1023/A:1023910315561CrossRef

van Rijsoort, S., Emmelkamp, P., & Vervaeke, G. (1999). The Penn State Worry Questionnaire and the Worry Domains Questionnaire: Structure, reliability and validity. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 6(4), 297–307. https://doi.org/10.1002/(SICI)1099-0879(199910)CrossRef

Vanderhasselt, M. A., Baeken, C., Van Schuerbeek, P., Luypaert, R., & De Raedt, R. (2013). Inter-individual differences in the habitual use of cognitive reappraisal and expressive suppression are associated with variations in prefrontal cognitive control for emotional information: An event related fMRI study. Biological Psychology, 92(3), 433–439. https://doi.org/10.1016/j.biopsycho.2012.03.005CrossRefPubMed

Wahl, K., Ehring, T., Kley, H., Lieb, R., Meyer, A., Kordon, A., Heinzel, C. V., Mazanec, M., & Schönfeld, S. (2019). Is repetitive negative thinking a transdiagnostic process? A comparison of key processes of RNT in depression, generalized anxiety disorder, obsessive-compulsive disorder, and community controls. Journal of Behavior Therapy and Experimental Psychiatry, 64, 45–53. https://doi.org/10.1016/j.jbtep.2019.02.006CrossRefPubMed

Watkins, E. R., & Nolen-Hoeksema, S. (2014). A habit-goal framework of depressive rumination. Journal of Abnormal Psychology, 123(1), 24. https://doi.org/10.1037/a0035540CrossRefPubMed

Young, K. S., Sandman, C. F., & Craske, M. G. (2019). Positive and negative emotion regulation in adolescence: Links to anxiety and depression. Brain Sciences, 9(4), 76. https://doi.org/10.3390/brainsci9040076CrossRefPubMedCentral

Zilverstand, A., Parvaz, M. A., & Goldstein, R. Z. (2017). Neuroimaging cognitive reappraisal in clinical populations to define neural targets for enhancing emotion regulation. A systematic review . NeuroImage, 151, 105–116. https://doi.org/10.1016/j.neuroimage.2016.06.009CrossRefPubMed

Titel: Emotion Regulation and Repetitive Negative Thinking Before and After CBT and SSRI Treatment of Internalizing Psychopathologies
verfasst von: Cope Feurer
Jennifer Francis
Olusola Ajilore
Michelle G. Craske
K. Luan Phan
Heide Klumpp
Publikationsdatum: 21.04.2021
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research / Ausgabe 6/2021
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-021-10222-8

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Background

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2021

Attentional Control Moderates the Relations between Intolerance of Uncertainty and Generalized Anxiety Disorder and Symptoms

Rescripting Social Trauma: A Pilot Study Investigating Imagery Rescripting as an Adjunct to Cognitive Behaviour Therapy for Social Anxiety Disorder

Cognitive Bias and Medication Use Moderate the Relation of Socratic Questioning and Symptom Change in Cognitive Behavioral Therapy of Depression

The Automaticity of Positive and Negative Thinking: A Scoping Review of Mental Habits