Psychosocial aspects of depression and the role of psychotherapy.

The psychosocial aspects of depression are considered with respect to psychological factors (i.e., thinking, personality, coping style) and social factors (i.e., family, relationships, employment, life events). Etiologic/mechanistic controversies are only acknowledged, as the purpose of this review is to underscore the wide variety of psychosocial complications that can occur during a depressive episode. The potential roles of psychotherapy in the treatment of mood disorders are considered. Results regarding the efficacy of behavioral therapy, cognitive therapy, and interpersonal psychotherapy in the treatment of unipolar, nonpsychotic, adult depressed outpatients are summarized.