Chapter

Psychotherapy

Kelly J. Rohan, Yael I. Nillni and Kathryn A. Roecklein

in Seasonal Affective Disorder

Second edition

Published on behalf of Oxford University Press

Published in print October 2009 | ISBN: 9780199544288
Published online February 2013 | e-ISBN: 9780191754593 | DOI: http://dx.doi.org/10.1093/med/9780199544288.003.0021
Psychotherapy

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Maladaptive cognitions and behaviors play a role in SAD and may constitute a psychological vulnerability to SAD. Two pilot studies show promise for a SAD-tailored CBT treatment, especially with regard to winter depression recurrence in the next winter season, following the initial winter of acute treatment. Although more research is needed, CBT could represent an effective and practical approach to long-term SAD management. Given the recurrent nature of SAD, the central public health challenge with regard to SAD is prevention of depressive episode recurrence over subsequent fall/winter seasons. Therefore, as opposed to a short-term perspective focused on establishing acute treatment efficacy over an initial trial in a single winter, we recommend that SAD treatment outcome researchers adopt a long-term perspective to empirically test treatment outcomes over subsequent winters and to empirically examine patients’ willingness to adhere to palliative treatments in the long-run. We further recommend that clinicians who work with SAD patients adopt a similar long-term perspective at the individual patient level.

Chapter.  7233 words.  Illustrated.

Subjects: Psychiatry

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