Depression

1 Description ... 1 1.1 Terminology... 1 1.2 Definitions ... 1 1.3 Epidemiology... 8 1.3.1 Age Cohort... 8 1.3.2 Gender... 10 1.3.3 Summary... 13 1.4 Course and Prognosis... 13 1.5 Differential Diagnosis... 15 1.6 Comorbidities... 16 1.7 Diagnostic Procedures and Documentation... 17 1.7.1 Diagnostic Interviews: Semistructured and Structured ... 18 1.7.2 Clinician Rating Scales... 19 1.7.3 Scales Measuring Constructs Related to Depression... 21 1.7.4 Depression Scales... 25 1.7.5 Inventories with Depression Scales... 27 1.7.6 Behavioral Measures ... 30 2 Theories and Models of the Disorder ... 33 2.1 Biological Models... 33 2.1.1 Genetics ... 33 2.1.2 Monoamine Hypotheses ... 34 2.1.3 Neuroendocrine Models... 36 2.1.4 Brain-Derived Neurotrophic Factor... 36 2.1.5 Biological Rhythms ... 37 2.2 Psychodynamic Models ... 37 2.3 Behavioral Models... 38 2.4 Interpersonal and Social Skill Models... 39 2.5 Interpersonal Psychotherapy... 40 2.6 Learned Helplessness ... 41 2.7 The Cognitive Therapy Model... 42 2.8 Self-Management ... 43 2.9 Concluding Comments... 44 3 Diagnosis and Treatment Indications ... 45 3.1 Dimensions and Subtypes of Depression... 45 3.2 Personality Factors as Treatment Indicators... 46 3.3 Life Events and Stress ... 49 4 Treatment ... 51 4.1 Methods of Treatment ... 51 4.1.1 Therapy Packages ... 51 4.1.2 Education About Depression ... 52 4.1.3 Behavioral Activation... 54 vi Advances in Psychotherapy: Depression 4.1.4 Scheduling as an Intervention ... 55 4.1.5 Continuous Assessment ... 55 4.1.6 Skill Training ... 56 4.1.7 Problem Solving... 56 4.1.8 Interpersonal Psychotherapy... 57 4.1.9 Countering Helplessness... 58 4.1.10 Cognitive Techniques... 59 4.1.11 Mindfulness ... 61 4.1.12 Goal Setting ... 62 4.1.13 Self-Reinforcement/Self-Talk... 63 4.1.14 Assets List... 63 4.1.15 Other Psychotherapy Components... 64 4.1.16 Medications ... 65 4.2 Mechanisms of Action ... 66 4.3 Efficacy and Prognosis ... 68 4.3.1 Efficacy... 68 4.3.2 Prognosis and Relapse

"This volume on depression is one of a number of books in a series devoted to the advancement and practice of evidence-based psychotherapy. Topics in this series cover a variel)' of conditions and are intended to provide therapists with an authoritative. reader-friendly, succinct and practical. evidence-based guide on diagnosis and treatment. In this regard, Lynn Rehrn's book on Depression delivers. (...) The text is well written and interesting. and the margins include helpful summary points. [...] Rehm, who spent his career studying and treating depression, and who developed selfmanagement therapy for this disorder, did a laudable job in presenting this concise guide for clinicians. [...] most helpful for busy clinicians and students who would like to obtain a quick summary of the psychopathology, assessment, and treatment of depression." David J. A. Dozois in Canadian Psychology, vol. 52, 2011 "A concise 'how-to-do' book, authoritative and user friendly at the same time. From professional clinician to student this is a practical resource book, at each stage referring the reader to relevant studies and their findings while taking him through the central issues of diagnosis and treatment of depression. Depression is the fourth largest global disease based on years lived. [ - ] This book will undoubtedly provide assistance in its diagnosis and treatment." Robert Riley in KAIROS, Slovenska revija za psihoterapijo, Vol 4 (3-4), 2010 "Professor Rehm manages to cut right to the heart of the disorder and shines a light on the essence of the different approaches to its treatment. The treatise makes a real contribution to the literature for the neophyte and experienced clinician alike." Steven D. Hollon, PhD, Department of Psychology, Vanderbilt University, Nashville, TN "Lynn Rehm has spent most of his productive career studying and treating depression, and now, in an extremely well written and concise book, he shares the wisdom he has accumulated over the decades with