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KMID : 1007420120100020063
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Mood and Emotion
2012 Volume.10 No. 2 p.63 ~ p.68
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Effectiveness of Self-Help for the Treatment of Depression : Focus on Bibliotherapy and Exercise
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Son Myoung-Ha
Woo Jong-Min
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Abstract
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Self-help has been suggested to be an effective treatment for sub-clinical and mild depression. The authors performed a review to find evidences and practical methods of bibliotherapy and physical exercise, which had shown more robust data than other various self-help methods. The strength of bibliotherapy is cost-effectiveness, high accessibility, and enhancement of self-efficacy. Bibliotherapy is composed of fictional bibliotherapy and cognitive behavioral bibliotherapy. Fictional bibliotherapy is originated from psychodynamic psychotherapy, but has not enough empirical research results. Recently, self-help bibliotherapy for depression using non-fictional books based on cognitive behavioral therapy techniques has been used to understand the patients’ problems and change their behavior. The effect of cognitive behavioral bibliotherapy for sub-clinical and mild depression is established by various meta-analyses. Exercise is a structured physical activity with a recommended frequency, intensity, and duration to be used for the treatment of depression. Increased body temperature, endorphin, monoamine, growth factors, and self-efficacy has been suggested to explain the antidepressant mechanism of physical exercise. Many studies reported a significant benefit from exercise for depression. In conclusion, self-help for depression is a useful tool to alleviate depression. To provide optimal use of self-help modalities, further research to develop specific clinical guidelines and recommendations are needed.
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KEYWORD
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Depression, Self-care, Bibliotherapy, Exercise
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