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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.
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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
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.
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.
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
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.
Miller, D. E., & Kunce, J. T. (1973). Prediction and statistical overkill reconsidered. Measurement and Evaluation in Guidance, 6, 157–163.
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., 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
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
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//1522-37126.96.36.199a.
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, 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.
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.
- Cognitive Change Across Cognitive-Behavioral and Light Therapy Treatments for Seasonal Affective Disorder: What Accounts for Clinical Status the Next Winter?
Kelly J. Rohan
Jennifer N. Mahon
Yael I. Nillni
Kathryn Tierney Lindsey
Pamela M. Vacek
- Springer US