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Gepubliceerd in: Cognitive Therapy and Research 4/2023

19-05-2023 | Brief Report

Do Clients Learn Specific Skills from Cognitive Versus Behavioral Interventions for Depression?

Auteurs: Samuel T Murphy, Brooklynn Bailey, Andrew A. Cooper, Daniel R. Strunk

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2023

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Abstract

Background

Cognitive and behavioraIn this sample of 42 adults with depression,l change procedures have been hypothesized to be key drivers of the therapeutic benefits clients experience in cognitive behavioral therapy (CBT). However, the extent to which these procedures operate through the same or different pathways in bringing about change is unclear. We evaluated whether cognitive or behavioral therapeutic procedures produce distinct coping skills using data from a randomized comparison of cognitive-only and behavioral-only treatments for depression.

Methods

Among 42 clients who participated in 8 weeks of cognitive-only or behavioral-only depression treatments, we examined treatment differences in cognitive and behavioral skills. Our analyses focused on overall skillfulness across both domains (i.e., skill strength) as well as the difference in cognitive versus behavioral skills (i.e., skill differentiation).

Results

Cognitive and behavioral treatments yielded similar skill strength, but differed in skill differentiation, with more cognitive skill emerging in cognitive treatment and more behavioral skill in the behavioral treatment.

Conclusions

Though both approaches produce similar skill gains, cognitive and behavioral therapeutic strategies do appear to translate into a greater development of the skills that were targeted in treatment.
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Literatuur
go back to reference Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. Guilford. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. Guilford.
go back to reference First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured clinical interview for DSM-IV Axis I Disorders, Research Version, Non-patient Edition (SCID-I/NP). New York: Biometrics Research, New York State Psychiatric Institute. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured clinical interview for DSM-IV Axis I Disorders, Research Version, Non-patient Edition (SCID-I/NP). New York: Biometrics Research, New York State Psychiatric Institute.
go back to reference Martell, C. R., Addis, M. E., & Jacobson, N. S. (2001). Depression in context: Strategies for guided action. Norton & Co. Martell, C. R., Addis, M. E., & Jacobson, N. S. (2001). Depression in context: Strategies for guided action. Norton & Co.
go back to reference Martell, C. R., Dimidjian, S., & Herman-Dunn, R. (2021). Behavioral activation for depression: A clinician’s guide. Guilford. Martell, C. R., Dimidjian, S., & Herman-Dunn, R. (2021). Behavioral activation for depression: A clinician’s guide. Guilford.
go back to reference Murphy, S. T., Bailey, B., Bartels, C. G., Vittorio, L. N., Whelen, M. L., Zhou, R. J., & Strunk, D. R. (2021). Skill enhanced cognitive behavioral therapy: Protocol for a randomized trial comparing standard and skill enhanced cognitive behavioral therapy for depression. International Journal of Clinical Trials, 8. https://doi.org/10.18203/2349-3259.ijct20214107 Murphy, S. T., Bailey, B., Bartels, C. G., Vittorio, L. N., Whelen, M. L., Zhou, R. J., & Strunk, D. R. (2021). Skill enhanced cognitive behavioral therapy: Protocol for a randomized trial comparing standard and skill enhanced cognitive behavioral therapy for depression. International Journal of Clinical Trials, 8. https://​doi.​org/​10.​18203/​2349-3259.​ijct20214107
go back to reference Schmidt, I. D., Pfeifer, B. J., & Strunk, D. R. (2019). Putting the “cognitive” back in cognitive therapy: Sustained cognitive change as a mediator of in-session insights and depressive symptom improvement. Journal of Consulting and Clinical Psychology, 87, 446–456. https://doi.org/10.1037/ccp0000392.CrossRefPubMed Schmidt, I. D., Pfeifer, B. J., & Strunk, D. R. (2019). Putting the “cognitive” back in cognitive therapy: Sustained cognitive change as a mediator of in-session insights and depressive symptom improvement. Journal of Consulting and Clinical Psychology, 87, 446–456. https://​doi.​org/​10.​1037/​ccp0000392.CrossRefPubMed
go back to reference Strunk, D. R., Adler, A. D., & Hollon, S. D. (2017). Cognitive therapy of depression. In R. J. DeRubeis, & D. R. Strunk (Eds.), The Oxford handbook of mood disorders (pp. 411–422). Oxford University. Strunk, D. R., Adler, A. D., & Hollon, S. D. (2017). Cognitive therapy of depression. In R. J. DeRubeis, & D. R. Strunk (Eds.), The Oxford handbook of mood disorders (pp. 411–422). Oxford University.
go back to reference Teasdale, J. D., & Fennell, M. J. (1982). Immediate effects on depression of cognitive therapy interventions. Cognitive Therapy and Research, 6, 343–351.CrossRef Teasdale, J. D., & Fennell, M. J. (1982). Immediate effects on depression of cognitive therapy interventions. Cognitive Therapy and Research, 6, 343–351.CrossRef
Metagegevens
Titel
Do Clients Learn Specific Skills from Cognitive Versus Behavioral Interventions for Depression?
Auteurs
Samuel T Murphy
Brooklynn Bailey
Andrew A. Cooper
Daniel R. Strunk
Publicatiedatum
19-05-2023
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 4/2023
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-023-10382-9

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