ISSN 2586-0151 (Print)
ISSN 2586-0046 (Online)
Volume 15, Number 1 (1/2019)
Original Article <page. 20-8 >

Comparison of Effectiveness of Psychotherapies for Relieving Depressive Symptoms in Anxiety Disorders : A Systematic Review

Sun-Young Kim, MD, PhD1;Eun-Jin Kim, MD2,3;Sang-Won Jeon, MD2;Dong-Won Shin, MD, PhD2;Young-Chul Shin, MD, PhD2,3; and Kang-Seob Oh, MD, PhD2;

1;Department of Psychiatry, Ewha Woman's University Seoul Hospital, Ewha Women's University College of Medicine, Seoul, 2;Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, 3;Workplace Mental Health Institute, Kangbuk Samsung Hospital, Seoul, Korea

Objective : The purpose of this study was to compare and analyze effectiveness of various psychotherapies of depressive symptoms in patients with anxiety disorders by means of a systemic review.

Methods : A systematic search using key words was conducted using EMBASE, MEDLINE and CENTRAL.

Results : Five studies were included in this systematic review. The Scottish Intercollegiate Guidelines Network (SIGN) was used for quality assessment. Diagnostic-specific cognitive behavioral therapies for various anxiety disorders (ds CBT) were also effective in reducing comorbid depression. Transdiagnostic cognitive behavioral therapies targeting anxiety and depression (tCBT-AD) were not superior than ds CBT for anxiety disorders. Mindfulness-based stress reduction (MBSR) was more effective than traditional cognitive behavioral therapy.

Conclusion : ds CBT relieves anxiety symptoms as well as depressive symptoms comorbid with anxiety disorders effectively. In addition, MBSR is more successful for anxiety disorders with co-occurring depression by focusing broadly on the shifting relationship to internal experience rather than focusing narrowly on specific symptoms.


Key words : Depression;Anxiety disorders;Comorbidity;Psychotherapy.

Anxiety and Mood

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