Commentary on the Consensus Conference’s final document on psychological therapies for anxiety and depression. What is the scientific evidence?

Published: September 6, 2023
Abstract Views: 404
PDF (Italiano): 144
PDF: 40
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

This commentary aims to highlight pros and cons of the evidence-based approach to psychotherapy research. Although the relevance of scientific evidence to the development of guidelines for psychological treatments, there are still some barriers to translate research results into routine clinical practice. The challenges are especially linked to the adoption of randomized controlled trials (RCT), which are not well suited to examine non-manualized psychotherapies and to test the effectiveness of treatments for patients with complex psychopathologies. Moreover, meta-analytic studies on the treatment for anxiety and depression showed that the quality of evidence of RCTs is limited, and recommending firm conclusions is still challenging. It is suggested that both psychotherapy research and evidence-based guidelines to psychological therapies should move towards personalizing treatments for anxiety and depression.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Abbass, A.A., Kisely, S.R., Town, J.M., Leichsenring, F., Driessen, E., De Maat, S., Gerber, A., Dekker, J., Rabung, S., Rusalovska, S., Crowe, E. (2014). Short-term psychodynamic psychotherapies for common mental disorders. The Cochrane Database of Systematic Reviews, 7:CD004687. DOI: https://doi.org/10.1002/14651858.CD004687.pub4
Cuijpers, P., Cristea, I.A., Karyotaki, E., Reijnders, M., Huibers, M.J. (2016). How effective are cognitive behavior therapies for major depression and anxiety disorders? A meta-analytic update of the evidence. World Psychiatry, 15:245-258. DOI: https://doi.org/10.1002/wps.20346
Cuijpers, P., Karyotaki, E., de Wit, L., Ebert, D.D. (2020). The effects of fifteen evidence-supported therapies for adult depression: A meta-analytic review. Psychotherapy Research, 30:279-293. DOI: https://doi.org/10.1080/10503307.2019.1649732
Dazzi, N. (2017). Some critical considerations about the document Psychotherapies for Anxiety and Depression: benefits and costs. Research in Psychotherapy: Psychopathology, Process and Outcome, 20:156-157. DOI: https://doi.org/10.4081/ripppo.2017.281
Driessen, E., Van, H.L., Don, F.J., Peen, J., Kool, S., Westra, D., Hendriksen, M., Schoevers, R.A., Cuijpers, P., Twisk, J.W.R., Dekker, J.J.M. (2013). The efficacy of cognitive-behavioral therapy and psychodynamic therapy in the outpatient treatment of major depression: A randomized clinical trial. The American Journal of Psychiatry, 170:1041-1050. DOI: https://doi.org/10.1176/appi.ajp.2013.12070899
Lo Coco G. (2021). Efficacy of Psychotherapeutic Treatments: Research Based on Clinical Practice. Ricerca Psicoanalitica, XXXII, n. 2.
Research Group for Treatment for Anxiety and Depression (2017). Psychotherapies for Anxiety and Depression: benefits and costs. Research in Psychotherapy: Psychopathology, Process and Outcome, 20:131-135. DOI: https://doi.org/10.4081/ripppo.2017.284
Wampold, B.E., Imel, Z.E. (2015). The Great Psychotherapy Debate: The Evidence for What Makes Psychotherapy Work. New York: Taylor & Francis. DOI: https://doi.org/10.4324/9780203582015
Westen, D., Novotny, C.M., Thompson-Brenner, H. (2004). The empirical status of empirically supported psychotherapies: assumptions, findings, and reporting in controlled clinical trials. Psychological Bullettin, 130:631-63. DOI: https://doi.org/10.1037/0033-2909.130.4.631

How to Cite

Lo Coco, G. (2023). Commentary on the Consensus Conference’s final document on psychological therapies for anxiety and depression. What is the scientific evidence?. Ricerca Psicoanalitica, 34(2). https://doi.org/10.4081/rp.2023.797