Depression References Flashcards
Genetic evidence
Twin concordance rates
MZ 46%
DZ 20%
McMuffin et al. 1996
Adoption studies
Show 8 times more likely to have depression if biological parent has it
Wender et al 1986
If adoptive parent has it child more likely to develop it than if not.
Mixture of genetic and environment
Cognitive
Negative schema
Negative triad cognition
Negative attribution
Beck 1967
CBT
CBT treatment for depression beck 1976
Medication efficacy
Ssri only slightly better than placebo unless depression is severe, maybe having hope helps placebo work whereas severe depression hopeless so no hope of placebo working
Kirsch et al 2008
Is medication effective in meta analysis
Yes up to 60 percent in meta analysis both trycickics and ssri
Reid et al., 2005
Is CBT effective
Yes up to 60 percent found significantly improved in meta analysis by Blackburn and Moorehead 2010
More effective to combine CBT with drug therapy to prevent relapse after drug withdrawal
CBT and medication?
Once medication stopped high chance of relapse, maybe better to try medication and ssri to address cognitive causes of depression
( Blackburn and moorehead)
Medication and CBT depression
Doubles recovery (wiles et al 2013)
CBT compared to drug therapy
CBT as affective as drug therapy (beck et al 1987) more effective than meds at follow up (Blackburn and Moorhead 2010)