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Cognitive therapy is as good as drugs for depression

BMJ 2005; 330 doi: (Published 07 April 2005) Cite this as: BMJ 2005;330:810
  1. Janice Hopkins Tanne
  1. New York

    Cognitive therapy is as effective as treatment with antidepressants in moderate to severe depression, a randomised placebo controlled US trial has shown (Archives of General Psychiatry 2005;62:409-16). A follow-up study in the same issue of the journal shows that patients who had completed their course of cognitive therapy were less likely to relapse after treatment had ended than those who completed their course of antidepressants (2005;62:417-22). The findings contradict the American Psychiatric Association's guidelines, which say that most moderately and severely depressed patients will medication.

    Patients who entered the study had a score of 20 or higher on the modified Hamilton depression rating scale, a questionnaire widely used to …

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