The Utility of Psychotherapy: Meaningful Treatments for Depression and Anxiety

cityu.schoolSchool of Health and Social Sciences
cityu.siteCalgary
cityu.site.countryCanada
dc.contributor.authorBhandari, Nishant
dc.date.accessioned2021-12-15T22:15:42Z
dc.date.available2021-12-15T22:15:42Z
dc.date.issued2021-12-01
dc.description.abstractMajor Depressive Disorder (MAD) and Generalized Anxiety Disorder (GAD) correlate with earlier mortality rates; those affected die up to eight years earlier than populations without either affective condition (Pratt et al., 2016). There is an increasing need for interventions as trillions of global dollars are lost yearly due to mental health complications (Chisholm et al., 2016). This review evaluates the quality of evidence generated by research to inform treatments for anxiety and depression, and the outcomes of clinical guidelines informed by this research. Most outcome studies and clinical guidelines selected for this review are from 2014 onwards, or as close as possible, in an effort to combat the potential six-year half-life of psychological data (Neimeyer et al., 2014). Findings are aggregated as being MDD specific, GAD specific, MDD-GAD comorbidity specific, or as supporting MDD-GAD relevant themes. Adjusted effect size estimates of psychotherapy suggest psychotherapy is "probably effective" when defined as better than no treatment at all (Cuijpers et al., 2016a, p.245 and p.254). Still, practitioners and researchers should interpret effects cautiously, given the absence of many high-quality studies. Psychotherapy is not responsible for 86% of the variation in outcome studies (see Table 9.1 in Wampold, 2015). In the 14% outcome-influence of psychotherapy, research quality obstructs a conclusive answer to the question of how well outcome measures support current clinical recommendations for treating depression and anxiety. Even if current recommendations are high-quality, and this literature review simply reflects outcomes from practitioners failing to adopt guidelines, improving research quality needs to be a priority in future MDD and GAD studies.
dc.identifier.urihttp://hdl.handle.net/20.500.11803/1631
dc.language.isoen
dc.publisher.institutionCity University of Seattle (CityU)
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States
dc.rightsopenAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/
dc.subjectanxiety
dc.subjectdepression
dc.subjectGAD
dc.subjectMDD
dc.subjectpsychotherapy
dc.subjectcounselling
dc.subjectmedication
dc.subjecttreatment
dc.subjectpharmacology
dc.subjectoutcome
dc.subjectefficacy
dc.subjectcomorbidity
dc.subjecteffect size
dc.subjectclinical guidelines
dc.subjectcognitive behavioral therapy
dc.titleThe Utility of Psychotherapy: Meaningful Treatments for Depression and Anxiety
dc.typeCapstone
thesis.degree.disciplineCounselling
thesis.degree.grantorCity University of Seattle
thesis.degree.levelMasters
thesis.degree.nameMaster of Counselling
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