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Se presenta un ensayo clínico controlado randomizado donde se esutudiaron 323 pacientes con depresión leve a moderada.
Los investigadores ingleses reclutaron dos grupos de pacientes (a) los que fueron asignados al azar para recibir antidepresivos o recibir psicoterapia y (b) los que tenían la opción de elegir su método terapéutico.
Los resultados se evaluaron con escores de Beck y escores de resultados globales. Los autores hallaron que la psicoterapia fue ligeramente más eficaz en los que la eligieron que en los obligados a realizarla.
Los que eligieron antidepresivos tenían depresión más severa. Los obligados a usar antidepresivos tuvieron una remisión más rápida. La razón más frecuente de rechazo a los antidepresivos es el miedo a la adicción sumado a la percepción que la psicoterapia es sin riesgo.
El grupo recomienda: (1) dar a elegir a los pacientes; si no lo quieren hacer (2) recetar antidepresivos; por que la psicoterapia es un recurso escaso, eficaz para los que la eligen.