Top

Gepubliceerd in:

01-12-2013 | Original Article

Cognitive Change Across Cognitive-Behavioral and Light Therapy Treatments for Seasonal Affective Disorder: What Accounts for Clinical Status the Next Winter?

Auteurs: Maggie Evans, Kelly J. Rohan, Lilya Sitnikov, Jennifer N. Mahon, Yael I. Nillni, Kathryn Tierney Lindsey, Pamela M. Vacek

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2013

Abstract

Efficacious treatments for seasonal affective disorder include light therapy and a seasonal affective disorder-tailored form of cognitive-behavioral therapy. Using data from a parent clinical trial, these secondary analyses examined the relationship between cognitive change over treatment with cognitive-behavioral therapy, light therapy, or combination treatment and mood outcomes the next winter. Sixty-nine participants were randomly assigned to 6-weeks of cognitive-behavioral therapy, light therapy, or combination treatment. Cognitive constructs (i.e., dysfunctional attitudes, negative automatic thoughts, and rumination) were assessed at pre- and post-treatment. Dysfunctional attitudes, negative automatic thoughts, and rumination improved over acute treatment, regardless of modality; however, in participants randomized to solo cognitive-behavioral therapy, a greater degree of improvement in dysfunctional attitudes and automatic thoughts was uniquely associated with less severe depressive symptoms the next winter. Change in maladaptive thoughts during acute treatment appears mechanistic of solo cognitive-behavioral therapy’s enduring effects the next winter, but is simply a consequence of diminished depression in light therapy and combination treatment.

vorige artikel Enhancement of False Memory for Negative Material in Dysphoria: Mood Congruency or Response Bias?

volgende artikel Cognitive Therapy Skills Predict Cognitive Reactivity to Sad Mood Following Cognitive Therapy for Depression

The decision to call this treatment cognitive-behavioral therapy reflects our view that both cognitive and behavioral (e.g., pleasant event scheduling) treatment components directly target and effect change in depression.

Elsewhere, we have also explored baseline cognitive construct scores as moderators of next winter depression scores (Sitnikov et al. 2013).

Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park: Sage.

Barber, J. P., & DeRubeis, R. J. (2001). Change in compensatory skills in cognitive therapy for depression. Journal of Psychotherapy Practice Research, 10, 8–13.PubMed

Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2000). Cognitive-behavioral therapy, imipramine, or their combination for panic disorder: A randomized controlled trial. JAMA, 283(19), 2529–2536. doi:10.1001/jama.283.19.2529.PubMedCrossRef

Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York: Hoeber.

Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.

Beck, A. T., Rush, J. A., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory—2nd edition manual. San Antonio: The Psychological Corporation.

Bowers, W. A. (1990). Treatment of depressed in-patients: Cognitive therapy plus medication, relaxation plus medication, and medication alone. British Journal of Psychiatry, 156, 73–78. doi:10.1192/bjp.156.1.73.PubMedCrossRef

Coleman, D., Cole, D., & Wuest, L. (2010). Cognitive and psychodynamic mechanisms of change in treated and untreated depression. Journal of Clinical Psychology, 66(3), 215–228. doi:10.1002/jclp.20645.CrossRef

DeRubeis, R. J., Hollon, S. D., Grove, W. M., Evans, M. D., Garvey, M. J., Tuason, V. B., et al. (1990). How does cognitive therapy work? Cognitive change and symptom change in cognitive therapy and pharmacotherapy for depression. Journal of Consulting and Clinical Psychology, 58, 862–869. doi:10.1037//0022-006X.58.6.862.PubMedCrossRef

Dingle, G. A., Oei, T. P. S., & Young, R. M. (2010). Mechanisms of change in negative thinking and urinary monoamines in depressed patients during acute treatment with group cognitive behavioral therapy and antidepressant medication. Psychiatry Research, 175, 82–88. doi:10.1016/j.psychres.2008.12.014.PubMedCrossRef

Dozois, D. J. A., Bieling, P. J., Patelis-Siotis, I., Hoar, L., Chudzik, S., McCabe, K., et al. (2009). Changes in self-schema structure in cognitive therapy for major depressive disorder: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 77(6), 1078–1088. doi:10.1037/a0016886.PubMedCrossRef

Fava, M., Bless, E., Otto, M. W., Pava, J. A., & Rosenbaum, J. F. (1994). Dysfunctional attitudes in major depression. Changes with pharmacotherapy. Journal of Nervous and Mental Disease, 182(1), 45–49.

First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1995). Structured clinical interview for DSM-IV axis I disorders (SCID-Clinician Version). New York: New York State Psychiatric Institute Biometrics Research Department.

Garratt, G., Ingram, R. E., Rand, K. L., & Sawalani, G. (2007). Cognitive processes in cognitive therapy: Evaluation of the mechanisms of change in the treatment of depression. Clinical Psychology: Science and Practice, 14(3), 224–239. doi:10.1111/j.1468-2850.2007.00081.x.CrossRef

Hofmann, S. G., Sawyer, A. T., Korte, K. J., & Smits, J. A. J. (2009). Is it beneficial to add pharmacotherapy to cognitive-behavioral therapy when treating anxiety disorders? A meta-analytic review. International Journal of Cognitive Therapy, 2(2), 160. doi:10.1521/ijct.2009.2.2.160.PubMedCrossRef

Hollon, S. D., & Kendall, P. C. (1980). Cognitive self-statements in depression: Development of an automatic thoughts questionnaire. Cognitive Therapy and Research, 3, 383–396. doi:10.1007/BF01178214.CrossRef

Hollon, S. D., Stewart, M. O., & Strunk, D. (2006). Enduring effects for cognitive behavior therapy in the treatment of depression and anxiety. Annual Review of Psychology, 57, 285–315. doi:10.1146/annurev.psych.57.102904.190044.PubMedCrossRef

Imber, S. D., Pilkonis, P. A., Sotsky, S. M., Watkins, J. T., Shea, M. T., Elkin, I., et al. (1990). Mode-specific effects among three treatments for depression. Journal of Consulting and Clinical Psychology, 58, 352–359. doi:10.1037//0022-006X.58.3.352.PubMedCrossRef

Jones, N. P., Siegle, G. J., & Thase, M. E. (2008). Effects of rumination and initial severity on remission to cognitive therapy for depression. Cognitive Therapy and Research, 32, 591–604. doi:10.1007/s10608-008-9191-0.CrossRef

Just, N., & Alloy, L. B. (1997). The response styles theory of depression: Tests and an extension of the theory. Journal of Abnormal Psychology, 106(2), 221–229. doi:10.1037//0021-843X.106.2.221.PubMedCrossRef

Kwon, S., & Oei, T. P. S. (2003). Cognitive change processes in a group cognitive behavior therapy of depression. Journal of Behavior Therapy and Experimental Psychiatry, 34, 73–85. doi:10.1016/S0005-7916(03)00021-1.PubMedCrossRef

Lewy, A. J., Bauer, V. K., Cutler, N. L., Sack, R. L., Ahmed, S., Thomas, K. H., et al. (1998). Morning vs. evening light treatment of patients with winter depression. Archives of General Psychiatry, 55, 890–896. doi:10.1001/archpsyc.55.10.890.PubMedCrossRef

Lewy, A. J., Lefler, B. J., Emens, J. S., & Bauer, V. K. (2006). The circadian basis of winter depression. Proceedings of the National Academy of Sciences of the United States of America, 103(19), 7414–7419.

Lewy, A. J., Sack, R. L., Miller, L. S., & Hoban, T. M. (1987). Antidepressant and circadian phase-shifting effects of light. Science, 235, 252–254. doi:10.1126/science.3798117.CrossRef

Little, R., & Yau, L. (1996). Intent-to-treat analysis with for longitudinal studies with drop-outs. Biometrics, 25, 1324–1333. doi:10.2307/2532847.CrossRef

Mazumdar, S., Lui, K. S., Houck, P. R., & Reynolds, C. F. (1999). Intent-to-treat analysis for longitudinal clinical trials: Coping with the challenge of missing values. Journal of Psychiatric Research, 33, 87–95. doi:10.1016/S0022-3956(98)00058-2.PubMedCrossRef

Miller, D. E., & Kunce, J. T. (1973). Prediction and statistical overkill reconsidered. Measurement and Evaluation in Guidance, 6, 157–163.

Nolen-Hoeksema, S. (1987). Sex differences in unipolar depression: Evidence and theory. Psychological Bulletin, 101, 259–282. doi:10.1037//0033-2909.101.2.259.PubMedCrossRef

Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569–582. doi:10.1037//0021-843X.100.4.569.PubMedCrossRef

Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61(1), 115–121. doi:10.1037//0022-3514.61.1.115.PubMedCrossRef

Nolen-Hoeksema, S., Morrow, J., & Frederickson, B. L. (1993). Response styles and the duration of episodes of depressed mood. Journal of Abnormal Psychology, 102, 20–28. doi:10.1037//0021-843X.102.1.20.PubMedCrossRef

Nolen-Hoeksema, S., Parker, L., & Larson, J. (1994). Ruminative coping with depressed mood following loss. Journal of Personality and Social Psychology, 67, 92–104. doi:10.1037//0022-3514.67.1.92.PubMedCrossRef

Oei, T. P. S., Bullbeck, K., & Campbell, J. M. (2006). Cognitive change process during group cognitive behaviour therapy for depression. Jounal of Affective Disorders, 92, 231–241. doi:10.1016/j.jad.2006.02.004.CrossRef

Oei, T. P. S., & Sullivan, L. M. (1999). Cognitive changes following recovery from depression in a group cognitive-behaviour therapy program. Australian and New Zealand Journal of Psychiatry, 33, 407–415. doi:10.1046/j.1440-1614.1999.00562.x.PubMedCrossRef

Oei, T. P. S., & Yeoh, A. E. O. (1999). Pre-existing antidepressant medication and the outcome of group cognitive-behavioural therapy. Australian and New Zealand Journal of Psychiatry, 33, 70–76. doi:10.1046/j.1440-1614.1999.00520.x.PubMedCrossRef

Rohan, K. J. (2008). Coping with the seasons: A cognitive-behavioral approach to seasonal affective disorder. Therapist guide. New York: Oxford University Press.

Rohan, K. J., Roecklein, K. A., & Haaga, D. A. F. (2009a). Biological and psychological mechanisms of seasonal affective disorder: A review and integration. Current Psychiatry Reviews, 5, 37–47. doi:10.2174/157340009787315299.CrossRef

Rohan, K. J., Roecklein, K. A., Lacy, T. J., & Vacek, P. M. (2009b). Winter depression recurrence one year after cognitive-behavioral therapy, light therapy, or combination treatment. Behavior Therapy, 40, 225–238. doi:10.1016/j.beth.2008.06.004.PubMedCrossRef

Rohan, K. J., Roecklein, K. A., Tierney Lindsey, K., Johnson, L. G., Lippy, R. D., Lacy, T. J., et al. (2007). A randomized controlled trial of cognitive-behavioral therapy, light therapy, and their combination for seasonal affective disorder. Journal of Consulting and Clinical Psychology, 75, 489–500. doi:10.1037/0022-006X.75.3.489.PubMedCrossRef

Rohan, K. J., Sigmon, S. T., & Dorhofer, D. M. (2003). Cognitive-behavioral factors in seasonal affective disorder. Journal of Consulting and Clinical Psychology, 71(1), 22–30. doi:10.1037//0022-006X.71.1.22.PubMedCrossRef

Rohan, K. J., Tierney Lindsey, K., Roecklein, K. A., & Lacy, T. J. (2004). Cognitive-behavioral therapy, light therapy, and their combination in treating seasonal affective disorder. Journal of Affective Disorders, 80, 273–283. doi:10.1016/S0165-0327(03)00098-3.PubMedCrossRef

Rosenthal, N. E., Sack, D. A., Gillin, C., Lewy, A. J., Goodwin, F. K., Davenport, Y., et al. (1984). Seasonal affective disorder: A description of the syndrome and preliminary findings with light therapy. Archives of General Psychiatry, 41, 72–80. doi:10.1001/archpsyc.1984.01790120076010.PubMedCrossRef

Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7, 147–177. doi:10.1037//1082-989X.7.2.147.PubMedCrossRef

Schlager, D., Froom, J., & Jaffe, A. (1995). Winter depression and functional impairment among ambulatory primary care patients. Comprehensive Psychiatry, 36, 18–24. doi:10.1016/0010-440X(95)90094-C.PubMedCrossRef

Schmaling, K. B., Dimidjian, S., Katon, W., & Sullivan, M. (2002). Response styles among patients with minor depression and dysthymia in primary care. Journal of Abnormal Psychology, 111(2), 350–356. doi:10.1037//0021-843X.111.2.350.PubMedCrossRef

Seligman, M. E. P., Schulman, P., DeRubeis, R. J., & Hollon, S. D. (1999). The prevention of depression and anxiety. Prevention & Treatment, 2(1), np. doi:10.1037//1522-3736.2.1.28a.

Simons, A. D., Garfield, S. L., & Murphy, G. E. (1984). The process of change in cognitive therapy and pharmacotherapy for depression. Archives of General Psychiatry, 41, 45–51. doi:10.1097/00004714-198406000-00021.PubMedCrossRef

Sitnikov, L., Rohan, K. J., Evans, M., Mahon, J. N., & Nillni, Y. I. (2013). Cognitive moderators of winter depression treatment outcomes in cognitive-behavioral therapy vs. light therapy (submitted).

Stravynski, A., Verreault, R., Gaudette, G., Langlois, R., Gagnier, S., Larose, M., et al. (1994). The treatment of depression with group behavioural-cognitive therapy and Imipramine. Canadian Journal of Psychiatry, 39, 387–390.

Terman, M., & Terman, J. S. (2005). Light therapy for seasonal and nonseasonal depression: Efficacy, protocol, safety, and side effects. CNS Spectrums, 10(8), 647–663.PubMed

Terman, J. S., Terman, M., Lo, E. S., & Cooper, T. B. (2001). Circadian time of morning light administration and therapeutic response in winter depression. Archives of General Psychiatry, 58, 69–75. doi:10.1001/archpsyc.58.1.69.PubMedCrossRef

Terman, M., Terman, J. S., & Rafferty, B. (1990). Experimental design and measures of success in the treatment of winter depression by bright light. Psychopharmacology Bulletin, 26, 505–510.PubMed

Tierney Lindsey, K., Rohan, K. J., Roecklein, K. A., & Mahon, J. N. (2011). Surface facial electromyography, skin conductance, and self-reported emotional responses to light- and season-relevant stimuli in seasonal affective disorder. Journal of Affective Disorders, 133(1–2), 311–319.CrossRef

Weissman, A., & Beck, A. T. (1978). Development and validation of the Dysfunctional Attitude Scale: A preliminary investigation. Toronto: Paper presented at the annual meeting of the American Educational Research Association.

Wenze, S. J., Gunthert, K. C., & Forand, N. R. (2007). Influence of dysphoria on positive and negative cognitive reactivity to daily mood fluctuations. Behavior Research and Therapy, 45(5), 915–927. http://dx.doi.org/10.1016/j.brat.2006.08.010.

Westra, H. A., Dozois, D. J. A., & Boardman, C. (2002). Predictors of treatment change and engagement in cognitive-behavioral group therapy for depression. Journal of Cognitive Psychotherapy, 16(2), 227–241. doi:10.1891/088983902780906355.CrossRef

Williams, J. B. (1988). A structured interview guide for the Hamilton Depression Rating Scale. Archives of General Psychiatry, 45, 742–747. doi:10.1001/archpsyc.1988.01800320058007.PubMedCrossRef

Williams, J. B., Link, M. J., Rosenthal, N. E., Amira, L., & Terman, M. (1992). Structured interview guide for the Hamilton depression rating scale—seasonal affective disorder version (SIGH-SAD). New York: New York State Psychiatric Institute.

Zettle, R. D., Rains, J. C., & Hayes, S. C. (2011). Processes of change in acceptance and commitment therapy and cognitive therapy for depression: A mediation reanalysis of Zettle and Rains. Behavior Modification, 35(3), 265–283. doi:10.1177/0145445511398344.PubMedCrossRef

Titel: Cognitive Change Across Cognitive-Behavioral and Light Therapy Treatments for Seasonal Affective Disorder: What Accounts for Clinical Status the Next Winter?
Auteurs: Maggie Evans
Kelly J. Rohan
Lilya Sitnikov
Jennifer N. Mahon
Yael I. Nillni
Kathryn Tierney Lindsey
Pamela M. Vacek
Publicatiedatum: 01-12-2013
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 6/2013
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-013-9561-0

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 6/2013

Cognitive Therapy Skills Predict Cognitive Reactivity to Sad Mood Following Cognitive Therapy for Depression

Is Performance on the Go/Nogo Task Related to Not Just Right Experiences in Patients with Obsessive Compulsive Disorder?

Enhancement of False Memory for Negative Material in Dysphoria: Mood Congruency or Response Bias?

In the Presence of Social Threat: Implicit and Explicit Self-Esteem in Social Anxiety Disorder

Social Anxiety and Gaze Avoidance: Averting Gaze but not Anxiety

Subtle Threats to Moral Self-Perceptions Trigger Obsessive–Compulsive Related Cognitions