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Le linee guida italiane sulle terapie psicologiche di ansia e depressione: un’innovazione o un’occasione persa?

Autori

In questo contributo mi propongo di riassumere i miei commenti al dibattito in corso sulla Consensus Conference sulle Terapie Psicologiche per Ansia e Depressione. Nell’ottica scientifica di implementazione delle linee guida avviate dall’Istituto Superiore di Sanità, ho scelto di impostare le mie riflessioni nel formato di una peer-review, andando dunque ad individuare cinque aree che potrebbero beneficiare di una revisione. Ovviamente quelle che qui esprimo sono opinioni fallibili che cerco di motivare a partire dalla letteratura scientifica esistente.

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Chevance, A., Ravaud, P., Tomlinson, A., Le Berre, C., Teufer, B., Touboul, S., Fried, E.I., Gartlehner, G., Cipriani, A., Tran, V.T. (2020). Identifying outcomes for depression that matter to patients, informal caregivers, and health-care professionals: qualitative content analysis of a large international online survey. The Lancet. Psychiatry, 7:692-702. DOI: https://doi.org/10.1016/S2215-0366(20)30191-7
Clark, D.M. (2018). Realizing the Mass Public Benefit of Evidence-Based Psychological Therapies: The IAPT Program. Annual Review of Clinical Psychology, 14:159-183. DOI: https://doi.org/10.1146/annurev-clinpsy-050817-084833
Cuijpers, P., Berking, M., Andersson, G., Quigley, L., Kleiboer, A., Dobson, K. S. (2013). A meta-analysis of cognitive-behavioural therapy for adult depression, alone and in comparison with other treatments. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 58:376-385. DOI: https://doi.org/10.1177/070674371305800702
D’Andreamatteo, A., Ianni, L., Lega, F., Sargiacomo, M. (2015). Lean in healthcare: A comprehensive review. Health Policy, 119:1197-1209. DOI: https://doi.org/10.1016/j.healthpol.2015.02.002
Gorman, J.M. (1996). Comorbid depression and anxiety spectrum disorders. Depression and Anxiety, 4:160-168. DOI: https://doi.org/10.1002/(SICI)1520-6394(1996)4:4<160::AID-DA2>3.0.CO;2-J
Hirschfeld, R.M. (1999). Personality disorders and depression: comorbidity. Depression and Anxiety, 10:142-146. DOI: https://doi.org/10.1002/(SICI)1520-6394(1999)10:4<142::AID-DA2>3.0.CO;2-Q
Istituto Superiore di Sanità (ISS). (2022). Consensus Conference sulle Terapie Psicologiche per Ansia e Depressione, p. 8.
McEvoy, P.M., Watson, H., Watkins, E.R., Nathan, P. (2013). The relationship between worry, rumination, and comorbidity: evidence for repetitive negative thinking as a transdiagnostic construct. Journal of Affective Disorders, 151:313-320. DOI: https://doi.org/10.1016/j.jad.2013.06.014
Naragon-Gainey, K., Watson, D. (2018). What Lies Beyond Neuroticism? An Examination of the Unique Contributions of Social-Cognitive Vulnerabilities to Internalizing Disorders. Assessment, 25:143-158. DOI: https://doi.org/10.1177/1073191116659741
Springer, K.S., Levy, H.C., Tolin, D.F. (2018). Remission in CBT for adult anxiety disorders: A meta-analysis. Clinical Psychology Review, 61:1-8. DOI: https://doi.org/10.1016/j.cpr.2018.03.002

Come citare

Cheli, S. (2023). Le linee guida italiane sulle terapie psicologiche di ansia e depressione: un’innovazione o un’occasione persa?. Ricerca Psicoanalitica, 34(2). https://doi.org/10.4081/rp.2023.734

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