TITLE

Anthroposophic therapy for chronic depression: a four-year prospective cohort study

AUTHOR(S)
Hamre, Harald J.; Witt, Claudia M.; Glockmann, Anja; Ziegler, Renatus; Willich, Stefan N.; Kiene, Helmut
PUB. DATE
January 2006
SOURCE
BMC Psychiatry;2006, Vol. 6, p57
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Depressive disorders are common, cause considerable disability, and do not always respond to standard therapy (psychotherapy, antidepressants). Anthroposophic treatment for depression differs from ordinary treatment in the use of artistic and physical therapies and special medication. We studied clinical outcomes of anthroposophic therapy for depression. Methods: 97 outpatients from 42 medical practices in Germany participated in a prospective cohort study. Patients were aged 20-69 years and were referred to anthroposophic therapies (art, eurythmy movement exercises, or rhythmical massage) or started physician-provided anthroposophic therapy (counselling, medication) for depression: depressed mood, at least two of six further depressive symptoms, minimum duration six months, Center for Epidemiological Studies Depression Scale, German version (CES-D, range 0-60 points) of at least 24 points. Outcomes were CES-D (primary outcome) and SF-36 after 3, 6, 12, 18, 24, and 48 months. Data were collected from July 1998 to March 2005. Results: Median number of art/eurythmy/massage sessions was 14 (interquartile range 12-22), median therapy duration was 137 (91-212) days. All outcomes improved significantly between baseline and all subsequent follow-ups. Improvements from baseline to 12 months were: CES-D from mean (standard deviation) 34.77 (8.21) to 19.55 (13.12) (p < 0.001), SF-36 Mental Component Summary from 26.11 (7.98) to 39.15 (12.08) (p < 0.001), and SF-36 Physical Component Summary from 43.78 (9.46) to 48.79 (9.00) (p < 0.001). All these improvements were maintained until last follow-up. At 12-month follow-up and later, 52%-56% of evaluable patients (35%-42% of all patients) were improved by at least 50% of baseline CESD scores. CES-D improved similarly in patients not using antidepressants or psychotherapy during the first six study months (55% of patients). Conclusion: In outpatients with chronic depression, anthroposophic therapies were followed by long-term clinical improvement. Although the pre-post design of the present study does not allow for conclusions about comparative effectiveness, study findings suggest that the anthroposophic approach, with its recourse to non-verbal and artistic exercising therapies can be useful for patients motivated for such therapies.
ACCESSION #
29323783

 

Related Articles

  • Treating Depressive Disorders. Areán, Patricia A.; Alvidrez, Jenniffer // Journal of Family Practice;Jun2001, Vol. 50 Issue 6, p529 

    Numerous studies show that pharmacotherapy and psychotherapy are efficacious and effective in treating depression. Even though that is true for many people, there are some who do not respond to these therapies, whether it is because they possess characteristics that make them resistant to...

  • Clinical: Journals watch - Keratoses, calcium and pelvic pain.  // GP: General Practitioner;5/13/2005, p58 

    The article presents information on several medical research papers. The research paper "Why Talking Is Good for You," published in a 2005 issue of British Medical Journal, stresses that psychological therapy was as effective as tablets even in severe depression. This paper starts to address the...

  • Predicting Symptom Return from Rate of Symptom Reduction in Cognitive�Behavior Therapy for Depression. Santor, Darcy A.; Segal, Zindel V. // Cognitive Therapy & Research;Apr2001, Vol. 25 Issue 2, p117 

    Numerous studies have examined rates of symptom reduction and symptom return across treatment modalities; however, few studies have investigated the degree to which rate of symptom reduction during treatment is related to symptom return following treatment. We examined the relation between...

  • Improving the Management and Knowledge of Depression: Marking "Defeat Depression Action Week" for the Defeat Depression Campaign. Priest, R.G. // British Journal of Psychiatry;Mar94, Vol. 164, p285 

    The article addresses the issue of the need to improve the management and knowledge of depression. The author focuses on how the Defeat Depression Campaign organized by the British Royal College of Psychiatrists and the Royal College of General Practitioners help in the battle against mental...

  • Defeating Depression in the Developing World: A Zimbabwean Model: One country's response to the challenge. Abas, Melanie; Broadhead, Jeremy C.; Mbape, Priscilla; Khumalo-Sakatukwa, Gertrude // British Journal of Psychiatry;Mar94, Vol. 164, p293 

    The article focuses on the methods of treating depression in the developing world using Zimbabwe as a case model. According to the article, several methods can be used to confront psychiatric disorders in developing countries including education, income expansion, primary health system...

  • Early Life Events and Affective Disorder Revisited. Faravelli, C.; Sacchetti, E.; Ambonetti, A.; Conte, G.; Pallanti, S.; Vita, A. // British Journal of Psychiatry;Mar86, Vol. 148, p288 

    The incidence of traumatic events during the first ten years of life was investigated in two groups of patients suffering from major affective disorder, as well as in mixed psychiatric patients and in healthy subjects. While there were no significant differences between the two groups of...

  • Maintenance Treatment in Recurrent Depression: Current and Future Directions: The First William Sargant Lecture. Kupfer, David J. // British Journal of Psychiatry;Sep92, Vol. 161, p309 

    The article discusses developments in the maintenance treatment of recurrent depression. The author offers strategies for the treatment of depression. They include the early recognition of the disorder, coupled with early initiation of treatment of the acute episode; the continuation treatment...

  • In the style of Woody Allen… Wednesday -- Analyst.  // Challenge Newsline;Jan2005, Issue 45, p4 

    Presents a first-person narrative of a person who feels depressed and decides to go to the psychoanalyst for help. Emergency appointment which costs $200 an hour; Diagnosis of stunted emotional growth due to emotionally distant parents; Advice to talk with his father which is impossible because...

  • Postpartum depression, urge urinary incontinence, and overactive bladder syndrome: is there an association? Kathie Hullfish; Serge Sorser; Jennifer Visger; Anita Clayton; William Steers // International Urogynecology Journal;Oct2007, Vol. 18 Issue 10, p1121 

    Abstract  The purpose of this prospective, cross-sectional study was to determine if there was an association between postpartum depression and symptoms of overactive bladder in postpartum women. At their 6 week postpartum visit, participants completed questionnaires regarding...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics