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Terapia Cognitivo-Comportamental para depressão: um caso clínico

TLDR
In this paper, a case study of a 31-year old patient with Major Depressive Disorder (MDD) was discussed, where the patient was treated in a school clinic with a Cognitive Behavioral referential.
Abstract
Major Depressive Disorder (MDD) prevalence is above 10% and it is one of the main causes for suicide in recent times. Moreover, it is a common medical condition that can present itself in a chronic and recurrent form, triggering biopsychosocial disabilities. In this light, effective and lasting interventions for this disorder are needed. Cognitive-Behavioral Therapy intends to propose interventions with structured techniques, and its effectiveness is demonstrated in some studies. This article aims to discuss a case study of a 31-year old patient with MDD. She was treated in a school clinic with a Cognitive Behavioral referential. After 20 sessions, positive results were obtained with easing of core beliefs and increasing repertoire of strategies to solve problems. With the decrease of symptoms the patient had significant changes in her relationships. Key words: Major Depressive Disorder, Cognitive Behavioral Therapy, Case Study.

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References
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Journal ArticleDOI

The empirical status of cognitive-behavioral therapy: a review of meta-analyses.

TL;DR: The 16 meta-analyses reviewed support the efficacy of CBT for many disorders and are consistent with other review methodologies that also provide support for the efficacy CBT.
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Initial severity and antidepressant benefits: a meta-analysis of data submitted to the Food and Drug Administration.

TL;DR: Drug–placebo differences in antidepressant efficacy increase as a function of baseline severity, but are relatively small even for severely depressed patients.
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Selective Publication of Antidepressant Trials and Its Influence on Apparent Efficacy

TL;DR: A systematic literature search found that among 74 FDA-registered studies, 31%, accounting for 3449 study participants, were not published, and the increase in effect size ranged from 11 to 69% for individual drugs and was 32% overall.
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Global burden of depressive disorders in the year 2000

TL;DR: Depression is the fourth leading cause of disease burden, accounting for 4.4% of total DALYs in the year 2000, and it causes the largest amount of non-fatal burden, covering almost 12% of all total years lived with disability worldwide.
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Comparative efficacy and acceptability of 12 new-generation antidepressants: a multiple-treatments meta-analysis

TL;DR: Clinically important differences exist between commonly prescribed antidepressants for both efficacy and acceptability in favour of escitalopram and sertraline, which might be the best choice when starting treatment for moderate to severe major depression in adults.