Enduring effects for cognitive behavior therapy in the treatment of depression and anxiety

• Published in: Annual review of psychology Vol. 57; no. 1; pp. 285 - 315
• Main Authors: HOLLON, Steven D, STEWART, Michael O, STRUNK, Daniel
• Format: Journal Article
• Language: English
• Published: Palo Alto, CA Annual Reviews 01-01-2006; Annual Reviews, Inc
• Subjects: Adult and adolescent clinical studies; Anxiety; Anxiety - therapy; Anxiety disorders. Neuroses; Attitude to Health; Behavior; Behavior therapy. Cognitive therapy; Biological and medical sciences; Bipolar Disorder - prevention & control; Cognitive therapy; Cognitive Therapy - methods; Depression; Depression - therapy; Effects; Humans; Hypochondriasis - psychology; Interpersonal Relations; Intervention; Medical sciences; Mental depression; Miscellaneous; Mood disorders; Panic Disorder - prevention & control; Post traumatic stress disorder; Processes; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Retention (Psychology); Secondary Prevention; Stress Disorders, Post-Traumatic - psychology; Stress Disorders, Post-Traumatic - therapy; Treatments; Mood disorder; Affect affectivity; Relapse; Cognitive therapy; enduring effects; Treatment efficiency; Anxiety disorder; Psychotherapy; Depression; Review; Prevention; recurrence; Treatment; Behavior therapy
• ISSN: 0066-4308; 1545-2085
• DOI: 10.1146/annurev.psych.57.102904.190044

Recent studies suggest that cognitive and behavioral interventions have enduring effects that reduce risk for subsequent symptom return following treatment termination. These enduring effects have been most clearly demonstrated with respect to depression and the anxiety disorders. It remains unclear whether these effects are a consequence of the amelioration of the causal processes that generate risk or the introduction of compensatory strategies that offset them and whether these effects reflect the mobilization of cognitive or other mechanisms. No such enduring effects have been observed for the psychoactive medications, which appear to be largely palliative in nature. Other psychosocial interventions remain largely untested, although claims that they produce lasting change have long been made. Whether such enduring effects extend to other disorders remains to be seen, but the capacity to reduce risk following treatment termination is one of the major benefits provided by the cognitive and behavioral interventions with respect to the treatment of depression and the anxiety disorders.