ΕΡΕΥΝΗΤΙΚH ΕΡ)ΑΣΊA

µ ,
:
µµ

,
,
1 3 ,
µ 4
, 5

1. M.A, MSc, Ph.D(c), µ

2. MSc, µ
3. µ , µ
4. µ , µ
5. PhD, , µ

ΠΕΡΙΛΗΨΗ
: H µµµ -
µ µ µµ µ
µ .
: µµ µ
µ .
: 62 . µ-
, µ µµ
µ. , µ
µ .
, µ µ ICD-10 (µ µ µ),
µ (46)µ µ
.
µµ : µµ µ
µ
.

–: ,, ,,.

:
Email: telis_psyc@hotmail.com . +30 2751360131, +30 6976856215

Ελληνικό Περιοδικό της Νοσηλευτικής Ε πιστήµης 2015,

8(1): 41-49 [41]
 ΕΡΕΥΝΗΤΙΚH ΕΡ)ΑΣΊA
ΕΙΣΑ%Ω%Ή (µ), µ(-

µ) (µ-
Beck (1967), µ - m µ ). µ µ ,
H,µ µ,µ- µ µ«» -
Beck µ -
,
, Beck -
µ .
µ, . -
µ,,,µµ -
µ µ µ µµ -
(Clark & µ (Beck et al 1979). Beck
Steer 1996). µ - µ (..
, Aaron Beck µ) -
(Beck et al 1979), µ (.. ).
µµ -
. ,. -
, , µ-
, µ, - µ µµ,
µ. µ µ , µ, µ.
µ , -
µ µ, µ.
,µ - µ
.µµ ,- µµ,
, - µ International Classification of Diseases (ICD-
µ.µ 10) Diagnostic and Statistical Manual of Mental
µ Beck, - Disorders (DSM-IV). µ
µ (- µ µ µ-
), µ - , -
, µ µ µ, , -
µ. - ,
µ µ µ µ (). µ
µ
, µ µ(µ ( -
2002). - " " µ µµ
µ,,µ µ µ µµ), ,
µ,,, . ,-
µ µ - , µµ
, - (Beck 1964).
-
µ . ( " " µ µ
, µµ),(,-
µ , ), ( -
,µµ µ -
µµ ., ), -
µµ, µ- , -
µ , - ( µ, -
µ ). µ
µ, .
( µ,µ-
µ µ , µ-
µ µ µ µ µ ), -
µ- µ
. . ,-
µ µ, µ, -
µµµµ , .-
µµ.µ- µ µ (..)
µ , µ (Beck 1976).

[42] Ελληνικό Περιοδικό της Νοσηλευτικής Ε πιστήµης

 ΕΡΕΥΝΗΤΙΚH ΕΡ)ΑΣΊA

ΠΑΡΟΥΣΙΑΣΗ ΠΕΡΙΠΤΩΣΗΣ , (µ
62 (.), µ ),
µµ , µµ -
(), µ, , , µ
( µ . µ,
µµµ). µ . 10 -
µ (), µ ,
µ. - , µ -
, µ , -
µ - .
. µ µ µ
. E. µ , µ.
20 µ. Διάγνωση
-
, , - µ -
. µµ, () [F32.2 (ICD-10)], -
, [F41.0 (ICD-10)], µµ-
µ, µ µ- ,
µµ. µ -
µ µ - .,
µ µµ µ
µ,µ, ( µ)
µ,µ - µ µ -
,µ - (µ). -
, µ ,,
µ- µµ
, µ. - -
46 µ16µ, .
µ , 45 µ µ-
µ- : Olanzapine (2,5mg), Carbamazepine (400mg),
. , µ- Sertraline hydrochloride (100mg), Diazepam (10mg).
µ (follow up), µµ
. µ ,
µ, µ ,
µ, µ,- µ , -
µ, µ. µ µ . µµ
, -
µ. µ . -
µ , µ µµ-
: - µ,
, µ- µ µµ µ
, µ - µ µ, ,
, ,µ µ µ,,
. - , ,,µ
- µ µ,
(Beck & Freeman 1990), µ µ -
µµ- µ µ
µ µ .
µ ΜΕΘΟΔΟΛΟ@ΙΑ
µ .
Ψυχιατρικό Ιστορικό µ -
µ µµ -
. . 20 , 42 . µ [Symptom
, µ Check List -90 Revised (SCL-90-R)] -
. µ

Τόµος 8 - Τεύχος 1
[43]
 ΕΡΕΥΝΗΤΙΚH ΕΡ)ΑΣΊA
(Derogatis 1977). µ µµ µ- (CASE FORMULATION)- -

µ µ µ
.
90 , µ
µµ. µ 7µ- µµ µ-
( µ) , µ-
µµµ.µ , µ -
360 ( 2000). µ µ- , µ
µ - . µ
(1991). ,
90 µ 9 µ:µ- , ,
, µ, - µ µ-
, , ,, , .
µ, µ, µ- µ
µ( , -
, ,)( µ -
1991). µ µ µ , µ
6(µ) 13(). µ µ-
SCL-90-R: 1) - ...µ -
µµ () µ µ ,
90 , 2)µµ- (µ ),
() µ (µ -
µµ(µ)3) ).
µµ () .
/90 (µ )
( 2000). . , -
, SCL-90-R, µ µ µ -
.µ,µ µ µ,µ-
µ µ: µ µ , µ -
,µµ- , µ
µ , µ µ.
( 1). µ -
µ µ -
- .
µ µ µ
µ - µ µ -
. µ. µ

1.
µ µ SCL-90Rµ
µ µ µ
( ) (µ)
µ31 5
-
24 10
19 6
30 7
15 2
µ-16 2
µ12 4
µ24 8
: (Demogratis, 1977- µ: N, & , 1991).

[44] Ελληνικό Περιοδικό της Νοσηλευτικής Ε πιστήµης

 ΕΡΕΥΝΗΤΙΚH ΕΡ)ΑΣΊA

µ 1. µµ µ

µµ-µ
, µ,µ, ,,-
µ µ .

«µµ,,µ µµ,µ »«µ , µµ-

, µ, µ µ, µ -
µ »,« ».

« , µ»,«µ, µ»
« ,µµµ»

µ µ
µ
µ(, )

1 2
µµµ,

µ
µ ,µ , µ -
µ,µ µµ, , ;,µ,
, µ

µ µ
µ, ,

µ µ -µ,,,
,, ,,,

µµ µµ
µ, , µ, ,µ ,,/,-

( ). . -

µ ,
.. : µ ..
1. – ,
µ -µ-µ
2. µ µ -
3. µ, µµµ µ-
µ µ -
4. µµµ .
5. A, µ- µ , -
µ, -
6. µ- µ ,
7. - µ , µµ -
8.µµµµ- .
, µ
, -
µ - µ
µ µ- µ , µ
µ,

Τόµος 8 - Τεύχος
1 [45]
 ΕΡΕΥΝΗΤΙΚH ΕΡ)ΑΣΊA
µ µ, - .(µ ).

µ - • 41-46: . µ µ-
µ, µ µ- µ ( -
, µ ).
.. µ -
µµ , µ µ
µ
, µ µ µ. -
µµ: ,
•1-3: ,
-µ, - , µ
µ. µ µ
•4-7 µ -- µ µ
µ . -
• 8-10: µ - µ µ -
. µ. , µ
• 11-13: µ µ µ µ
–-µ() µ µ.
• 13-15: - -
-
.
• 16-19: 4(µ- - µ- -
-µ), µ , -
µ. - -
. -- µ. µ
,µ µ(- µ -
),µ ’, -
,’- µ,
- µ
µ µ- , ,
. µ: µ µ -
µµ-µ µ
• 19-21: , - .
, µµ (µ µ ,
),,µ, , ’ -
. -- ,
,µ µ( µ -
). .
• 22-23: µ µµ, -
• 23-26: , µ ,
µ µ- -
,µµµ.µ:- . -
. µ,
• 27-32: µ, µ µ µ -
. µ
• 33-35: , µ - ., µ. -
µµ . µ: - , , -
µ, µ , -
µ ,
µµ., - , µ
, µ µ µ.
( ) .. µ-
• 35-40: - µ , µ-
µ . µ. µ ( ),
(µ) - ,
µ. µµµ - µ µ µ «µ ,

[46] Ελληνικό Περιοδικό της Νοσηλευτικής Ε πιστήµης

 ΕΡΕΥΝΗΤΙΚH ΕΡ)ΑΣΊA
», - µ

µ - µ .
µ. µ ,
µ µµ - , -
. .
µ, .
µ µµ
, . -
, - µ µ ,-
. - .
µ, - ., µ
µ µ µ SCL-90-R µ µ
µ µ, µ µ µµ ( 1). µ-
. µ -
µ µ .
µ,-
( ) µ.
- µ -
µ - . µµ -
( µ, - µ µ-
,µ µ ( .
), , , - ,

µ,µ, µ- µ -
,µµ- µ µ,
), µ - .
µ µ. µ µ
,µ µ ’µ.
µµµ, µ µ
µ- µ -
µ . µ -
, µ .- µ
µ, µ - µ µ-
, µ µ µ- µ , -
µ µµ µ µ µ
µ()(µ1). (Roth et al 1996, Robinson et al. 1990, Gaffan et al 1995).
,µ µ
µ µ,
, µ ,
µ . µ
µ , µ µ µ-
(µ µ) .µµ -
µ. , µ-
-µ
µµ µ ,
µ- µ
µµ , -
. - µ -µ-
µ-
, µ- .
-µ. µ- µ
46 µ µµµ
,µ5µ- µ
. , -
µ µ. µ ,µ
, ..- (Gloaguen et al 1998, Dobson
µ, - et al 1989, Wampold et al 2002). -

Τόµος 8 - Τεύχος 1 [47]

 ΕΡΕΥΝΗΤΙΚH ΕΡ)ΑΣΊA

µ µµ,-, µ University School of Medicine, Clinical Psychometrics Unit.

- Dobson K.S.(1989). A meta-analysis of the efficacy of
cognitive therapy for depression. Journal of Consulting and
µ, Clinical Psychology 57: 414-419.
µ µµ µ-, µ . (2002). o /
µ- . [Online] Available at:
http://www.ibrt.gr/ekpaideysi/7_katathlipsi.pdf, accessed in:
(Jarrett et al 2001). , µ -
18/11/2014
µ µ
Gaffan E.A., Tsaousis I. & Kemp-Wheeler S.M. (1995).
-
Researcher allegiance and meta-analysis: the case of
,
cognitive therapy for depression. Journal of Consulting and
µ - Clinical Psychiatry 63:966–980.
µ Gloaguen V., Cottraux J., Cucherat M. & Blackburn I.M. (1998). A
, meta-analysis of the effects of gognitive therapy in depressed
(Paykel 2007). , - patients. Journal of Affective Disorders 49:59-72.
µ µ- Jarrett R.B., Kraft D., Doyle J., Foster B.M., Eaves G.G. & Silver
µµ µ P.C. (2001). Preventing recurrent depression using cognitive
µ µ 60 therapy with and without a continuation phase: a randomised
(Kupfer et al 1992 , Reynolds et al 1999). clinical trial. Archive of General Psychiatry 58:381-388.
Kupfer D.J., Frank E., Perel J.M., Cornes C., Mallinger A.G.,
Συµβολή των Συγγραφέων Thace M.E. Mc Eachran A.B.& Grochocinski V.J. (1992).
:µµ µ - Five-year outcome for maintenance therapies in recurrent
depression. Archive of General Psychiatry 49:769-773.
, µ,
µ µ .(2000).
(µ µ µµ-
µ :µµ µ
) . ,µ, -
µ : µµ , µ ,
µ .:µµµ . : 113-120.
, µ. ., . & . (1991). µ-
: µµ µ - µ Symptom Checklist -90- R
, µ µ - µ 2 .: 42-48.
µ - Paykel E.S. (2007). Cognitive therapy in relapse prevention in
µ. depression. International Journal
Neuropsychopharmacology 10:131-136.
ΒΙΒΛΙΟ3ΡΑΦIΑ Reynolds C.F., Frank E., Perel J.M., Imber S.D., Cornes C.,
Beck A.T. (1964). Thinking and depression: II. Theory and therapy. Miller M.D., et al. ( 1999). Nortriptyline and interpersonal
Archives of General Psychiatry 10:561-571. psychotherapy as maintenance therapies for recurrent
major depression: a randomized controlled trial in patients
Beck A.T. (1967). Depression: Clinical, experimental, and theoretical
older than 59 years. JAMA 281:39-45.
aspects. New York: Hoeber.
Roth A. & Fonagy P. (1996). What Works for Whom? New York:
Beck A.T. (1976). Cognitive therapy and the emotional disorders.
Guilford.
New York: Universities Press.
Robinson L.A., Berman J.S. & Neimeyer R.A. (1990). Psychotherapy
Beck A.T., Rush A.J., Shaw B.F. & Enemy G. (1979). Cognitive
for the treatment of depression: a comprehensive review of
Therapy of depression. New York: The Guilford Press. controlled outcome research. Psychological Bulletin 108: 30.
Clark D.A. & Steer R.A. (1996). Empirical status of the Wampold B.E., Minami T., Baskin T.W. & Callen T.S. (2002).
cognitive model of anxiety and depression. Frontiers of A meta-(re)analysis of the effects of cognitive therapy
cognitive therapy. New York: Guilford Press. versus “other therapies” for depression. Journal of Affective
Derogatis L. (1977). The SCL-90 Manual, Scoring, Administration Disorders 68: 159-165.
and Procedures for the SL-90. Baltimore, MD: John Hopkins

[48] Ελληνικό Περιοδικό της Νοσηλευτικής Ε πιστήµης

ΕΡΕΥΝΗΤΙΚH ΕΡ)ΑΣΊA

Description of cognitive therapy to a woman

with depressive disorder, suicide attempt and
panic disorder anxiety elements: a case study

Aristotelis Koinis 1, Maria Kapouralou², Antonia Prountzopoulou3,

Aikaterini Gamvroula4, Maria Saridi5

1.Psychologist M.A, MSc, Ph.D(c), General Hospital of Argolida

2. Psychologist MSc, General Hospital of Argolida
3. Trainee Surgery, General Hospital of Argolida
4.Psychiatrist, Curator B΄, Psychiatric Hospital of Tripolis
5. PhD, Nursing Director, General Hospital of Korinthos

ABSTRACT
Introduction: Research has shown that cognitive psychotherapy combined with medication
is the most research vested in efficiency and more tried-specific interventions to the
treatment of depression and anxiety panic disorder.
Aim: The purpose of this case report is to demonstrate the benefits of the application of
cognitive psychotherapy in patients with depressive disorder and anxiety panic disorder.
Case report: 62 years old woman was admitted for a suicide attempt. The patient
underwent surgery due effort to cut her throat with a knife and was hospitalized at Surgical
Clinic for two weeks. She was under observation by physicians for psychiatric and
psychological assessment. She underwent cognitive psychotherapy. Treatment duration: 46
sessions. Administration of the questionnaire psychopathology SCL-90R, was given both
before and after the therapy. The appropriate medication was administered.
Comment: This clinical case treated with the medication and cognitive psychotherapy. The
differential diagnosis was bipolar disorder, according to the system ICD-10 classification of
mental and behavioral disorders.
Conclusions: The cognitive psychotherapy combined with medication is an appropriate
therapeutic approach for the treatment of depressive disorder and anxiety panic disorder.

Key words: cognitive, psychotherapy, depressive disorder, anxiety, treatment

Corresponding Author: Aristotelis Koinis

Email: telis_psyc@hotmail.com Τel: +30 2751360131, +30 6976856215

Τόµος 8 - Τεύχος 1 [49]