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KMID : 1143820190150010020
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Anxiety and Mood
2019 Volume.15 No. 1 p.20 ~ p.28
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Comparison of Effectiveness of Psychotherapies for Relieving Depressive Symptoms in Anxiety Disorders : A Systematic Review
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Kim Sun-Young
Kim Eun-Jin
Jeon Sang-Won
Shin Dong-Won
Shin Young-Chul
Oh Kang-Seob
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Abstract
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Objective : The purpose of this study was to compare and analyze effectiveness of various psychotherapies of depressive symptoms in patients with anxiety disorders by means of a systemic review.
Methods : A systematic search using key words was conducted using EMBASE, MEDLINE and CENTRAL.
Results : Five studies were included in this systematic review. The Scottish Intercollegiate Guidelines Network (SIGN) was used for quality assessment. Diagnostic-specific cognitive behavioral therapies for various anxiety disorders (ds CBT) were also effective in reducing comorbid depression. Transdiagnostic cognitive behavioral therapies targeting anxiety and depression (tCBT-AD) were not superior than ds CBT for anxiety disorders. Mindfulness-based stress reduction (MBSR) was more effective than traditional cognitive behavioral therapy.
Conclusion : ds CBT relieves anxiety symptoms as well as depressive symptoms comorbid with anxiety disorders effectively. In addition, MBSR is more successful for anxiety disorders with co-occurring depression by focusing broadly on the shifting relationship to internal experience rather than focusing narrowly on specific symptoms.
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KEYWORD
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Depression, Anxiety disorders, Comorbidity, Psychotherapy
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