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Gepubliceerd in:

01-04-2013 | Original Article

Motivation and Changes in Depression

Auteurs: David Burns, Henny Westra, Mickey Trockel, Aaron Fisher

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2013

Abstract

This study evaluated the capacity of the Willingness Scale (WS) to predict changes in depression over the course of a brief inpatient admission. Two cohorts (N = 160) of adult inpatients completed the Willingness Scale along with a measure of depression following admission. Depression severity was assessed approximately 4 days later, prior to discharge. Data were evaluated using structural equation modeling. Higher WS scores predicted greater reductions in depression in both cohorts, and the magnitude of this effect was large. The fits of the models were outstanding, with no significant differences in any parameter estimates across the two cohorts. The WS predicts changes in depression, even within a brief inpatient admission where the treatment is predominantly biological. These results replicate results of previous studies in outpatient populations where CBT was the primary treatment and suggest motivational factors may play an important role in causation and recovery from depression.

vorige artikel An Examination of the Association of Distress Intolerance and Emotion Regulation with Avoidance

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All the analyses reported in this paper were repeated using the full BDC, and the results were virtually identical to those reported here.

In addition, this scoring system facilitates a rough comparison with other comparable tests. For example, the 21-item beck depression inventory (BDI) ranges from 0 to 63. A score of 70 % on the BDC would correspond approximately to a score of 43 on the BDI.

We do not have any empirical data on the extent of participation in the CBT groups.

This method provides efficient and consistent estimates for missing data, even when the data are not missing completely at random. Three alternative methods of estimating models with missing data include mean substitution, listwise deletion, and pairwise deletion. These methods provide efficient and consistent estimates only under the stronger assumption that the data are missing completely at random.

A nested test is a powerful and flexible method for comparing any group of parameter estimates within groups or across groups. For example, an investigator might wish to compare factor structures in two independent samples by declaring the parameter estimates to be identical. A statistically significant increase in the Chi-square for the nested model indicates that the hypothesis can be rejected, and that the factor structures are not the same. In contrast, a negligible increase in the Chi-square indicates the hypothesis can be accepted.

These values represent the sum of the Chi-squares values and degrees of freedom in both groups, which were estimated simultaneously.

A tau-equivalent factor has identical unstandardized factor loadings. A parallel factor also has identical error terms for all the indicators. In a super parallel factor, all the indicators also have identical intercept terms.

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Titel: Motivation and Changes in Depression
Auteurs: David Burns
Henny Westra
Mickey Trockel
Aaron Fisher
Publicatiedatum: 01-04-2013
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 2/2013
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-012-9458-3

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