Swipe om te navigeren naar een ander artikel
The current study represents a secondary analysis of the dismantling study of cognitive therapy of depression originally conducted by Jacobson et al. (J Consult Clin Psychol 64:295–304, 1996). New analyses examined the role of explanatory flexibility and explanatory style in the recovery from depression. Results indicated that BA treatment responders, but not AT or CT participants evidenced significant improvement in explanatory flexibility, whereas patients from all three study arms, irrespective of responder status demonstrated improvements in explanatory style. Improvement in explanatory flexibility was associated with decreases in symptoms of depression for CT, but not BA or AT, participants. Further, the combination of high explanatory flexibility and low explanatory style conferred maximal protection over relapse. These results suggest that explanatory flexibility is a viable candidate as a process associated with treatment gains in CT. In addition, the results suggest that important cognitive change is possible without an explicit, deliberate focus on the part of the therapist.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Abramson, L., Metalsky, G. I., & Alloy, L. B. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review, 96, 358–372. CrossRef
Allison, P. D. (1984). Event History Analysis: Regression for Longitudinal Event Data. Newbury Park, CA: Sage Publications. CrossRef
American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: American Psychiatric Association.
Barber, J. P., & DeRubeis, R. J. (1989). On second thought: Where the action is in cognitive therapy for depression. Cognitive Therapy and Research, 13, 441–457. CrossRef
Beck, A. T. (1967). Depression: Causes and treatment. Philadelphia: University of Pennsylvania Press.
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.
Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100. CrossRef
Bernstein, A., Hadash, Y., Lichtash, Y., Tanay, G., Shepherd, K., & Fresco, D. M. (2015). Decentering and Related Constructs: A Critical Review and Metacognitive Processes Model. Perspectives on Psychological Science, 10(5), 599–617. http://doi.org/10.1177/1745691615594577.
Brosschot, J. F., & Thayer, J. F. (2004). Worry, preservative thinking, and health. In I. Nyklicek, L. Temoshok & A. Vingerhoets (Eds.), Emotional expression and health: Advances in theory, assessment, and clinical application (pp. 99–114). New York: Brunner and Rutledge.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd edn.). San Diego: Academic Press.
Elkin, I., Shea, M. T., Watkins, J. T., Imber, S. D., Sotsky, S. M., Collin, J. F., Glass, D. R., Pilkonis, P. A., Leber, W. R., Fiester, S. J., Docherty, J., & Parloff, M. B. (1989). National Institute of Mental Health Treatment of Depression Collaborative Research Program: General effectiveness of treatments. Archives of General Psychiatry, 46, 971–982. CrossRefPubMed
Frank, E., Prien, R. F., Jarrett, R. B., Keller, M. B., Kupfer, D. J., Lavori, P. W., Rush, A. J., & Weissman, M. M (1991). Conceptualization and rationale for consensus definitions of terms in major depressive disorder: Remission, recovery, relapse, and recurrence. Archives of General Psychiatry, 48, 851–855. CrossRefPubMed
Fresco, D. M., Mennin, D.S., Hambrick, J. & Heimberg, R.G. (2009). The effect of a negative mood priming challenge on explanatory flexibility and state emotional intelligence in individuals with and without generalized anxiety disorder. Manuscript under review.
Fresco, D. M., Moore, M. T., van Dulmen, M., Segal, Z. V., Teasdale, J. D., Ma, H., & Williams, J. M. G. (2007a). Initial psychometric properties of the Wider Experiences Questionnaire: A self-report survey of decentering. Behavior Therapy, 38, 234–246. CrossRef
Fresco, D. M., Rytwinski, N. K., & Craighead, L. W. (2007b). Explanatory flexibility and negative life events interact to predict depression symptoms. Journal of Social and Clinical Psychology, 26, 595–608.
Fresco, D. M., Williams, N. L., & Nugent, N. R. (2006). Association of explanatory flexibility and coping flexibility to each other and to depression and anxiety. Cognitive Therapy and Research, 30, 201–210. CrossRef
Fresco, D. M., Moore, M. T., Mennin, D. S., Heimberg, R. G., & Hambrick, J. (2014). Changes in explanatory flexibility among individuals with generalized anxiety disorder in an emotion evocation challenge. Cognitive Therapy and Research, 38, 416–427. CrossRef
Hamilton, M. (1967). Development of a rating scale for primary depressive illness. British Journal of Social and Clinical Psychology, 6, 276–296. CrossRef
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford.
Hollon, S. D., & Garber, J. (1988). Cognitive therapy. In L. Y. Abramson (Ed.), Social cognition and clinical psychology (pp. 204–253). New York: Guilford.
Hollon, S. D., & Kriss, M. R. (1984). Cognitive factors in clinical research and practice. Clinical Psychology Review, 4, 35–76. CrossRef
Ingram, R. E., & Hollon, S. D. (1986). Cognitive therapy for depression from an information processing perspective. In R. E. Ingram (Ed.), Information processing approaches to clinical psychology (pp. 259–281). San Diego: Academic Press.
Jacobson, N. S., Martell, C.R., & Dimidjian, S. (2001). Behavioral activation treatment for depression: Returning to contextual roots. Clinical Psychology, 8, 255–270.
Keller, M. B., Lavori, P. W., Friedman, B., Nielsen, E., Endicott, J., McDonald-Scott, P., & Andreason, N. C. (1987). The longitudinal interval follow-up evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Archives of General Psychiatry, 44, 540–548. CrossRefPubMed
Kendall, P. C., & Ingram, R. E. (1989). Cognitive behavioral perspectives: Theory and research on depression and anxiety. In P. C. Kendall & D. Watson (Eds.), Anxiety and depression: Distinctive and overlapping features (pp. 27–53). San Diego: Academic Press.
Lewinsohn, P. M. (1974). A behavioral approach to depression. In R. J. Friedman & M. M. Katz (Eds.), The psychology of depression: Contemporary theory and research. Oxford: John Wiley & Sons.
Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
Martell, C. R., Addis, M. E., & Jacobson, N. S. (2001). Depression in context: Strategies for guided action. New York: Norton & Co.
Peterson, C., Semmel, A., von Baeyer, C., Abramson, L. Y., Metalsky, G. I., & Seligman, M. E. P. (1982). The Attributional Style Questionnaire. Cognitive Therapy and Research, 6, 287–300. CrossRef
Rush, A., Beck, A., Kovacs, M., & Hollon, S. (1977). Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients. Cognitive Therapy and Research, 1, 17–37. CrossRef
Safran, J. D., & Segal, Z. V. (1990). Interpersonal process in cognitive therapy. New York: Basic Books.
Safran, J. D., Vallis, T. M., Segal, Z. V., & Shaw, B. F. (1986). Assessment of core cognitive processes in cognitive therapy. Cognitive Therapy and Research, 10, 509–526. CrossRef
Seligman, M.E.P. (1980). A learned helplessness point of view. In L. Rehm (Ed.), Behavior therapy for depression (pp. 123–142). New York: Academic Press.
Spitzer, R. L., Williams, J. B. & Gibbon, M. (1987). Instruction manual for the Structured Clinical Interview for DSM—III—R. (Available from the Biometrics Research Department, New York, NY: New York State Psychiatric Institute.
Tabachnik, B. G., & Fidell, L. S. (2013). Using multivariate statistics (6th edn.). Boston: Pearson.
Thayer, J. F., & Lane, R. D. (2002). Perseverative thinking and health: neurovisceral concomitants. Psychology and Health, 17, 685–695. CrossRef
Wilson, K. G., & Murrell, A. R. (2004). Values work in acceptance and commitment therapy: Setting a course for behavioral treatment. In S. C. Hayes, V. M. Follette & M. M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive-behavioral tradition (pp. 120–151). New York: Guilford.
- Change in Explanatory Flexibility and Explanatory Style in Cognitive Therapy and its Components
Michael T. Moore
David M. Fresco
Jeremiah A. Schumm
Keith S. Dobson
- Springer US