Fava et al1 found that, of 2 groups with recurrent major depression, the group given cognitive-behavioral therapy (CBT) had significantly lower levels of symptoms and relapse rates after discontinuation of drug therapy than did the clinical treatment group.
While the authors emphasize the benefits of decreasing residual symptoms, with well-being therapy and lifestyle management as perhaps vital to the effectiveness of their CBT package in relapse prevention, this analysis neglected the latest developments in research focused on the precise causes of relapse in recurrent depression.
In particular, Harkness et al2 recently found further support for the "stress generation" hypothesis formulated by Hammen,3 which proposes that previously depressed individuals, because of a mixture of maladaptive personality characteristics and disrupted social support networks, generate stressful conditions and events, which in turn cause additional symptoms.
It is the greater frequency of dependent events (ie, events that are caused by the behavior or characteristics . . . [Full Text of this Article]