They speculated the bibliotherapy might help prevent serious episodes of depression among individuals with tendency toward negative thinking.
finally , the researchers addressed another important concern: would the Antidepressant effects of bibliotherapy last?
Skillful Motivational speakers can be a crowd of people excited and optimistic for brief periods of time but these brief mood elevating effects ofter don't last.The same problem holds for the treatment of depression. following successful treatment with drugs or psychotherapy,many patients feel tremendously improved only to relapse back into depression after a period of time.These relapses can be devastating because patients feel so demoralized.
In 1997, the investigators reported the results of a three-year follow-up of the patients.The authors were Drs.Nancy Smith, Mark Floyd, and Forest Scogin from the University of Alabama and Dr.Christine Jamison from the Tuskegee veterans affairs medical center.After three years researchers learned that the patients did not relapse but maintained their gains during this three years period.More than half of the patients said that their moods continued to improve following the completion of theinitial study. The diagnostic findings at the three-year evaluation confirmed this 72% of the patients still did not meet the criteria for a major depressive episode, and 70% did not seek or receive any further treatment with medications or psychotherapy during the follow-up period.
Of course, bibliotherapy had limitations, like all studies.For one thing,not every patient was "cured" by self-help book.No treatment is a panacea.While it is encouraging that many patients seem to respond to reading self-help book, it is also clear that some patients with more severe or chronic depressions will need the help of a therapist and possibly an anti-depression medication as well.This is nothing to be ashamed of. Different individuals respond better to different approaches.
It is good that we now have three types of effective treatment for depression:
- Antidepressant medications
- individual and group psychotherapy and
- bibliotherapy ( reading therapy )
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