Skip to main content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Cognitive Therapy and Research 1/2020

11-11-2019 | Original Article

Fostering Cognitive Change in Cognitive Therapy of Depression: An Investigation of Therapeutic Strategies

Auteurs: Suzannah J. Stone, Daniel R. Strunk

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2020

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

There is little evidence regarding which therapist strategies promote cognitive change in cognitive therapy (CT) of depression. Drawing from a sample of CT patients, we selected two consecutive sessions for which patients reported markedly different amounts of cognitive change (CC; i.e., a low and high cognitive change session). We then investigated whether four observer-rated psychotherapy process variables differentiated high and low CC sessions. Our analyses focused on 62 patients with large session-to-session differences in self-reported CC. Results from single predictor models showed the therapeutic alliance and therapists’ use of cognitive methods predicted high versus low CC session type. In a model including multiple predictors, only cognitive methods remained significant. These findings are consistent with the view that cognitive methods promote CC in CT.
Voetnoten
1
Multiple patients near the 50th percentile had the same maximum absolute value of CC difference scores. We opted to select the patients with maximum scores greater than these values. This resulted in selecting 62 patients representing the top 49% of session-to-session shifts in CC.
 
2
Using data from the 62 included patients only, we calculated the z-score for high and low cognitive change sessions for each patient. The average of these scores was 0.91 for high CC sessions, which corresponds to the 82nd percentile of all CC scores in this group. For low CC sessions, the average was − 1.88, which corresponds to the 3rd percentile of CC scores in this group.
 
Literatuur
go back to reference Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
go back to reference Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory (2nd ed.). San Antonio, TX: The Psychological Corporation. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory (2nd ed.). San Antonio, TX: The Psychological Corporation.
go back to reference Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). New York: Guilford. Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). New York: Guilford.
go back to reference Darchuk, A. J., Wang, V., Weibel, D. T., Fende, J. M., Anderson, T., & Horvath, A. O. (2000). Manual for the working alliance inventory: Observer form (WAI-O): Revision IV (Unpublished manuscript). Athens, OH: Ohio University. Darchuk, A. J., Wang, V., Weibel, D. T., Fende, J. M., Anderson, T., & Horvath, A. O. (2000). Manual for the working alliance inventory: Observer form (WAI-O): Revision IV (Unpublished manuscript). Athens, OH: Ohio University.
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 Hollon, S. D., Evans, M. D., Auerbach, A., DeRubeis, R. J., Elkin, I., Lowery, A., … Piasecki, J. M. (1988). Development of a system for rating therapies for depression: Differentiating cognitive therapy, inter-personal psychotherapy and clinical management pharmacotherapy (Unpublished manuscript). Nashville, TN: Vanderbilt University. Hollon, S. D., Evans, M. D., Auerbach, A., DeRubeis, R. J., Elkin, I., Lowery, A., … Piasecki, J. M. (1988). Development of a system for rating therapies for depression: Differentiating cognitive therapy, inter-personal psychotherapy and clinical management pharmacotherapy (Unpublished manuscript). Nashville, TN: Vanderbilt University.
go back to reference IAPT Programme. (2007). The competencies required to deliver effective cognitive and behavioural therapy for people with depression and with anxiety disorders. London: Department of Health. IAPT Programme. (2007). The competencies required to deliver effective cognitive and behavioural therapy for people with depression and with anxiety disorders. London: Department of Health.
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). New York: Oxford University Press. 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). New York: Oxford University Press.
go back to reference Webb, C. A., Stanton, C. H., Bondy, E., Singleton, P., Pizzagalli, D. A., & Auerbach, R. P. (2019). Cognitive versus behavioral skills in CBT for depressed adolescents: Disaggregating within-patient versus between-patient effects on symptom change. Journal of Consulting and Clinical Psychology, 87, 484–490. https://​doi.​org/​10.​1037/​ccp0000393484. CrossRefPubMed Webb, C. A., Stanton, C. H., Bondy, E., Singleton, P., Pizzagalli, D. A., & Auerbach, R. P. (2019). Cognitive versus behavioral skills in CBT for depressed adolescents: Disaggregating within-patient versus between-patient effects on symptom change. Journal of Consulting and Clinical Psychology, 87, 484–490. https://​doi.​org/​10.​1037/​ccp0000393484. CrossRefPubMed
Metagegevens
Titel
Fostering Cognitive Change in Cognitive Therapy of Depression: An Investigation of Therapeutic Strategies
Auteurs
Suzannah J. Stone
Daniel R. Strunk
Publicatiedatum
11-11-2019
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 1/2020
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-019-10055-6

Andere artikelen Uitgave 1/2020

Cognitive Therapy and Research 1/2020 Naar de uitgave