A03

• strength- research support from march et al


  he followed 327 adults with a main diagnosis of depression. After 36 weeks, those using only CBT had an 81% improvement, those using antidepressants had an 81% improvement and those using both combined had a 86% improvement
• march et als findings

  • highlights effectiveness of CBT, just as effective as antidepressents based on accurate scientific evidence
  • CBT has no side effects eg weight gain or cardiovascular issues
  • also results can positively benefit economy- both combined highest chance in improving QOL...... economy
• limitation- lacks generalisability

  • not appropriate for severe cases of depression
  • where energy and mood levels low so lack motivation to attend and may feel beyond help
  • less attractive option than drug therapy which requires minimal effort
  • use of both combined most effective, increased serotonin provides motivation to attend CBT
• environmentally reductionist

  • only aims to identfy irrational thoughts eg REBT provides treatment followinf activating event
  • however may be no activating event and thus only explain reactive depression= may feel hopeless
  • doesnt address biological causes,tested scientifically, eg low serotonin- contributes to depression
  • thus CBT inconclusive and ineffective for certain individuals- more holistic approach needed