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Article
May 1986

Combined Psychotherapy and Pharmacotherapy for DepressionA Systematic Analysis of the Evidence

Author Affiliations

From the Department of Psychiatry, Albert Einstein College of Medicine—Montefiore Medical Center, Bronx, NY.

Arch Gen Psychiatry. 1986;43(5):471-479. doi:10.1001/archpsyc.1986.01800050077009
Abstract

• To determine whether combined psychotherapy and pharmacotherapy is superior to alternative therapies for unipolar depression, we reviewed all controlled studies of outpatients treated for unipolar depression reported between 1974 and 1984. To accomplish this, we developed a new statistical approach that is specific in its method of evaluating the quality of each study and specific about the weights given to each outcome. The combined active treatments (drugs plus psychotherapy) were appreciably more effective than the placebo conditions but only slightly superior to psychotherapy alone, pharmacotherapy alone, or either of these combined with a placebo.

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