NUR131: Comparative Analysis of Depression Treatments and Outcomes

This report presents an analysis of psychological treatments (PT) for depression, contrasting them with antidepressant medication (AM). The study, based on a review of five articles, including both qualitative and quantitative research, explores the efficacy of PT in addressing depression. The report highlights the historical context of PT, its evolution, and its advantages, such as its suitability for all ages and its focus on addressing the root causes of depression. The findings suggest that PT is often more effective and results in faster recovery compared to AM, although it may be more expensive and time-consuming. The report emphasizes the importance of trust-building in the therapeutic relationship and the skills PT equips patients with to lead happier lives, concluding that PT is a recommended approach for individuals with depression. The report references several studies, including those by Chapman and Perry, McHugh et al., and Cuijpers et al., to support its conclusions.

Introduction. Phycological Treatment
for Depression.
PsychologiIical treatment (PT) or takiIIIIIIIng therapy is one of the Findings. most effectivFFFFFFFFFFFFFef ways of treating
depression which includes IIIIIIIIIII
individual and at time group psychological treatment done by
therapists according to patients’ preferences(Chapman and
Perry, 2008 p 9). Depression is a mental disorder is attributed to be
the major cause of disability worldwide. It experienced among all
age with over 300 million people suffering from it
mostly women (McHugh, at al. 2013 p 595). This practice dates to the
1940s where Call Gorgers concentered in the
establishment of trust and acceptance among the patient and the
therapist (Cuijpers, at al 2015 p 17). On the other hand,
antidepressant medication (AM) commonly known drug therapy
can be used in the fighting depression too (Daley, 2008 p 140 ).
However, the method has adverse side effects to the patient
The five articles included 4 qualitative and 1 quantitative research articles. They were
like nausea and sedation hence it’s not used as the first line of carefully appraised for the reinforcement information. They consisted of randomized
the treatment. It is commonly used to treat moderate
depression. Therefore, administrating it requires a lot of control studies and retrospective studies. Therefore, the studies had ethical approval
caution to be taken mostly among the adolescent but not and also the participation the general population. The table below indicates the
recommended to children (Chapman, Perry And Strine, 2005 p information extracted from the article in a summary.
14). The practice started shortly after psychological treatment
Article Author & Study Aim of Signs Control. Sample Outcomes.
in the 1950s and have been gradually improving.
Ref. year Design. Research. showed. size.
Is psychological treatment more efficient in fighting 1 Chapman Retrospective Evaluating PT Suicidal Socializing 67 PT
reduces and Perry, Study. for treating thoughts through patients recovery time. depression compared to antidepressant medication?
2008 depression. reaching PT 35 No side effects out. AM22 PT establishes
Methods. care.
PICO format was used in generating the research 2 McHugh, at Randomized Comparing Insomnia. Meditation. 89 PT no major
al. 2013 Controlled PT with other Patients difference.
question throughout the literature search. Peer review Trail. ways of PT 45 PT reduce studies were used were retrieved from the health
treatment. AM44 recovery time. database, CINAHL (270 results 3 utilized) PubMed (260
results utilized 2 utilized). The article chosen were 3 Cuijpers, at Retrospective Evaluating the Fatigue Doing what 120 PT establishes relevant to the research question and ranging as
from al 2015 study. effectiveness of you love patients self-image.
2007 to 2019. PT PT 71 No side effects
P I C O AM 49
Depression psychological antidepressant Improve healing treatment medication
Suicidal Cognitive MAOIs* Heal* rate thoughts* Therapy* Key Findings. Limitations.
or or or or
Fatigue* Behavioral SSRIs* Heal* rate PT is more efficient than AM. Establishing trust takes time especially to
Therapy*
men.
Results for P Results for I Results for C Results for O
can be administered to all ages.PT is expensive and time
consuming.
Table 1: PICO search Strategy of heath databases.
Discussions.
The most effective and recommended first approach to a depressed patient is PT.
It is designed to find out address the root cause (McHugh, at al. 2013 p 595). PT
is done to all ages, unlike AM that cannot be
given to children and adolescent teenagers due to the adverse side
effects (Cuijpers, at al 2015 p 21). Despite the high cost when seeing a therapist,
PT remains the one with more benefits. AM is done to
supplement PT (Chapman, Perry And Strine, 2005,p 10). Though a lot of time used
to attend the PT the effectiveness is tremendous. The studies show that more
people sharing out in the PT meetings do
recovery faster than those taking AM only. PT equips patients with the skills to
live a happy life..
Study Recovery Recovery acceptan
Side time rate ce
effects
1
2
3
4
5
Table 3. matrix of themes. Key PT outdo AM PT
equivalent AM Noted
Conclusion.
This analysis presents that PT is a suitable measure to
recommend to a depressed person compared to AM. While it
remains expensive the practice establishes trust with the nurse.
To the clinical question, PT is more effective and many can
associate with it.
References.
Chapman, D.P. and Perry, G.S., 2008. Peer reviewed: depression as a major
component of public health for older adults. Preventing chronic disease, 5(1).
Chapman, D.P., Perry, G.S. and Strine, T.W., 2005. PEER REVIEWED: The
vital link between chronic disease and depressive disorders. Preventing chronic
disease, 2(1). Cuijpers, P., Donker, T., Johansson, R., Mohr, D.C., van Straten,
A. and Andersson, G., 2011. Self-guided psychological treatment for depressive
symptoms: a meta-analysis. PloS one, 6(6), p.e21274. Daley, A., 2008. Exercise
and depression: a review of reviews. Journal of clinical psychology in medical

settings, 15(2), p.140. McHugh, R.K., Whitton, S.W., Peckham, A.D., Welge, J.A. and Otto, M.W., 2013. Patient preference for psychological vs. pharmacological treatment of psychiatric disorders: a meta-
analytic review. The Journal of clinical psychiatry, 74(6), p.595.