Skip to main content
Top
Gepubliceerd in: Cognitive Therapy and Research 5/2019

05-03-2019 | Original Article

Cognitive Moderation of CBT: Disorder-Specific or Transdiagnostic Predictors of Treatment Response

Auteurs: Danielle E. Katz, Judith M. Laposa, Lance L. Hawley, Leanne Quigley, Neil A. Rector

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2019

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

Cognitive vulnerability research has focused on cognitive variables that are hypothesized to confer risk to specific disorders within the mood and anxiety spectrum, while transdiagnostic research has emphasized common risk factors across disorders. The purpose of the present study was to test specific versus common cognitive predictors of treatment response across three treatment groups. Participants (N = 373) with major depressive disorder (MDD; N = 187, panic disorder with/without agoraphobia (PD/A; N = 85), and obsessive compulsive disorder (OCD; N = 101) completed measures of cognitive vulnerability (performance-oriented dysfunctional attitudes, anxiety sensitivity, and obsessive beliefs) and disorder-specific symptom measures at pre- and post CBT treatment. Based on latent difference score analysis, pre-treatment performance-oriented dysfunctional attitudes alone predicted improvement in depressive symptoms in the MDD group; pre-treatment anxiety sensitivity alone predicted reductions in anxious arousal symptoms in the PD/A group; and pre-treatment obsessive beliefs alone predicted change in OCD symptoms in the OCD group. These findings provide support for disorder-specific cognitive factors in the prediction of CBT treatment outcomes and provide guidance towards ways in which current CBT approaches may benefit from augmentation or adjustment.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Voetnoten
1
An analysis of variance found that age significantly differed according to diagnostic groups, F(2, 326) = 14.63 p < .001. Post-hoc comparisons using Tukey’s HSD test indicated that the mean age for the OCD group was significantly lower than for the PD/A or MDD group, p < .05. A Chi-Square test indicated that the diagnostic groups did not differ according to gender, χ2 (2) = 2.57, p = 0.28.
 
2
Each variable was evaluated for longitudinal measurement invariance. A confirmatory factor analysis (CFA) was first conducted for each measure, and all items were retained. Measurement invariance was evaluated before proceeding with the LDS analysis, testing the null hypothesis of weak (i.e., equal factor loadings over time) and strong (i.e., equal measurement intercepts over time) longitudinal measurement invariance.
 
3
Proportional Change Model: Latent change is proportional to the latent score from the previous time point.E[ΔVariable(t)n] = β x E[Variable (t − 1)n]; αs x E[ss,n] = 0.
 
Literatuur
go back to reference Abramowitz, J. S. (2009). Getting over OCD: a 10-step workbook for taking back your life. New York: Guilford Press. Abramowitz, J. S. (2009). Getting over OCD: a 10-step workbook for taking back your life. New York: Guilford Press.
go back to reference Akaike, H. (1973). Information theory and an extension of the maximum likelihood principle. In Proceedings of the 2nd International Symposium on Information Theory (pp. 267–281). Budepest: Akademiai Kiado. Akaike, H. (1973). Information theory and an extension of the maximum likelihood principle. In Proceedings of the 2nd International Symposium on Information Theory (pp. 267–281). Budepest: Akademiai Kiado.
go back to reference Arbuckle, J. L. (2011). Amos (Version 20.0) [Computer Program]. Chicago: SPSS. Arbuckle, J. L. (2011). Amos (Version 20.0) [Computer Program]. Chicago: SPSS.
go back to reference Beck, A. T. (1967). Depression: clinical, experimental, and theoretical aspects. Philadelphia: University of Pennsylvania Press. Beck, A. T. (1967). Depression: clinical, experimental, and theoretical aspects. Philadelphia: University of Pennsylvania Press.
go back to reference Beck, A. T. (1983). Cognitive therapy of depression: New perspectives. In P. J. Clayton & J. E. Barnett (Eds.), Treatment for depression: Old controversies and new approaches (pp. 265–290). New York: Raven Press. Beck, A. T. (1983). Cognitive therapy of depression: New perspectives. In P. J. Clayton & J. E. Barnett (Eds.), Treatment for depression: Old controversies and new approaches (pp. 265–290). New York: Raven Press.
go back to reference Blatt, S. J., Quinlan, D. M., Pilkonis, P. A., & Shea, M. T. (1995). Impact of perfectionism and need for approval on the brief treatment of depression: The National Institute of Mental Health Treatment of Depression Collaborative Research Program revisited. Journal of Consulting and Clinical Psychology, 63, 125–132. https://doi.org/10.1037/0022-006X.63.1.125.CrossRefPubMed Blatt, S. J., Quinlan, D. M., Pilkonis, P. A., & Shea, M. T. (1995). Impact of perfectionism and need for approval on the brief treatment of depression: The National Institute of Mental Health Treatment of Depression Collaborative Research Program revisited. Journal of Consulting and Clinical Psychology, 63, 125–132. https://​doi.​org/​10.​1037/​0022-006X.​63.​1.​125.CrossRefPubMed
go back to reference Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park: Sage. Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park: Sage.
go back to reference Craske, M. G., & Barlow, D. H. (2006). Mastery of your anxiety and worry. New York; Oxford: Oxford University Press.CrossRef Craske, M. G., & Barlow, D. H. (2006). Mastery of your anxiety and worry. New York; Oxford: Oxford University Press.CrossRef
go back to reference Dowling, N., Thomas, N., Blair-West, S., Bousman, C., Yap, K., Smith, D. J., & Ng, C. H. (2016). Intensive residential treatment for obsessive-compulsive disorder: Outcomes and predictors of patient adherence to cognitive-behavioural therapy. Journal of Obsessive-Compulsive and Related Disorders, 9, 82–89. https://doi.org/10.1016/j.jocrd.2016.04.006.CrossRef Dowling, N., Thomas, N., Blair-West, S., Bousman, C., Yap, K., Smith, D. J., & Ng, C. H. (2016). Intensive residential treatment for obsessive-compulsive disorder: Outcomes and predictors of patient adherence to cognitive-behavioural therapy. Journal of Obsessive-Compulsive and Related Disorders, 9, 82–89. https://​doi.​org/​10.​1016/​j.​jocrd.​2016.​04.​006.CrossRef
go back to reference Greenberger, D., & Padesky, C. A. (1995). Mind over mood: a cognitive therapy treatment manual for clients. New York: Guilford Press. Greenberger, D., & Padesky, C. A. (1995). Mind over mood: a cognitive therapy treatment manual for clients. New York: Guilford Press.
go back to reference Hamagami, F., & McArdle, J. J. (2001). Advanced studies for individual differences in linear dynamic models for longitudinal data analysis. In G. A. Marcoulides & R. E. Schumacker (Eds.), New developments and techniques in structural equation modeling (pp. 203–246). Mahwah: Erlbaum. Hamagami, F., & McArdle, J. J. (2001). Advanced studies for individual differences in linear dynamic models for longitudinal data analysis. In G. A. Marcoulides & R. E. Schumacker (Eds.), New developments and techniques in structural equation modeling (pp. 203–246). Mahwah: Erlbaum.
go back to reference Hill, C., Oei, T., & Hill, M. (1989). An empirical investigation of the specificity and sensitivity of the Automatic Thoughts Questionnaire and Dysfunctional Attitudes Scale. Journal of Psychopathology and Behavioral Assessment, 11, 291–311. https://doi.org/10.1007/BF00961529.CrossRef Hill, C., Oei, T., & Hill, M. (1989). An empirical investigation of the specificity and sensitivity of the Automatic Thoughts Questionnaire and Dysfunctional Attitudes Scale. Journal of Psychopathology and Behavioral Assessment, 11, 291–311. https://​doi.​org/​10.​1007/​BF00961529.CrossRef
go back to reference Jöreskog, K. G., & Sörbom, D. (1979). Advances in factor analysis and structural equation models. Cambridge: Abt Books. Jöreskog, K. G., & Sörbom, D. (1979). Advances in factor analysis and structural equation models. Cambridge: Abt Books.
go back to reference Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: The Psychology Foundation of Australia. Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: The Psychology Foundation of Australia.
go back to reference McArdle, J. J. (2001). A latent difference score approach to longitudinal dynamic analysis. In R. Cudeck, S. Du Toit & D. Sörbom (Eds.), Structural equation modeling: Present and future (pp. 341–380). Lincolnwood: Scientific Software International. McArdle, J. J. (2001). A latent difference score approach to longitudinal dynamic analysis. In R. Cudeck, S. Du Toit & D. Sörbom (Eds.), Structural equation modeling: Present and future (pp. 341–380). Lincolnwood: Scientific Software International.
go back to reference McArdle, J. J., & Hamagami, F. (2001). Latent difference score structural models for linear dynamic analyses with incomplete longitudinal data. In L. M. Collins & A. G. Sayer (Eds.), New methods for the analysis of change (pp. 139–175). Washington, DC: American Psychological Association.CrossRef McArdle, J. J., & Hamagami, F. (2001). Latent difference score structural models for linear dynamic analyses with incomplete longitudinal data. In L. M. Collins & A. G. Sayer (Eds.), New methods for the analysis of change (pp. 139–175). Washington, DC: American Psychological Association.CrossRef
go back to reference McArdle, J. J., & Nesselroade, J. R. (2002). Growth curve analysis in contemporary psychological research. In J. Schinka & W. Velicer (Eds.), Comprehensive handbook of psychology: Vol. 2. Research methods in psychology. Hoboken: Wiley. McArdle, J. J., & Nesselroade, J. R. (2002). Growth curve analysis in contemporary psychological research. In J. Schinka & W. Velicer (Eds.), Comprehensive handbook of psychology: Vol. 2. Research methods in psychology. Hoboken: Wiley.
go back to reference Michelson, D., Lydiard, R. B., Pollack, M. H., Tamura, R. N., Hoog, S. L., Tepner, R., … Tollefson, G. D. (1998). Outcome assessment and clinical improvement in panic disorder: evidence from a randomized controlled trial of fluoxetine and placebo. The Fluoxetine Panic Disorder Study Group. The American Journal of Psychiatry, 155, 1570–1577. https://doi.org/10.1176/ajp.155.11.1570.CrossRefPubMed Michelson, D., Lydiard, R. B., Pollack, M. H., Tamura, R. N., Hoog, S. L., Tepner, R., … Tollefson, G. D. (1998). Outcome assessment and clinical improvement in panic disorder: evidence from a randomized controlled trial of fluoxetine and placebo. The Fluoxetine Panic Disorder Study Group. The American Journal of Psychiatry, 155, 1570–1577. https://​doi.​org/​10.​1176/​ajp.​155.​11.​1570.CrossRefPubMed
go back to reference Rush, A. J., Trivedi, M. H., Ibrahim, H. M., Carmody, T. J., Arnow, B., Klein, D. N., … Keller, M. B. (2003). The 16-Item Quick Inventory of Depressive Symptomatology (QIDS), clinician rating (QIDS-C), and self-report (QIDS-SR): A psychometric evaluation in patients with chronic major depression. Biological Psychiatry, 54, 573–583. https://doi.org/10.1016/S0006-3223(02)01866-8.CrossRefPubMed Rush, A. J., Trivedi, M. H., Ibrahim, H. M., Carmody, T. J., Arnow, B., Klein, D. N., … Keller, M. B. (2003). The 16-Item Quick Inventory of Depressive Symptomatology (QIDS), clinician rating (QIDS-C), and self-report (QIDS-SR): A psychometric evaluation in patients with chronic major depression. Biological Psychiatry, 54, 573–583. https://​doi.​org/​10.​1016/​S0006-3223(02)01866-8.CrossRefPubMed
go back to reference Steiger, J. H., & Lind, J. C. (1980, June). Statistically-based tests for the number of factors. Iowa City: Presented at the meeting of the Psychometric Society. Steiger, J. H., & Lind, J. C. (1980, June). Statistically-based tests for the number of factors. Iowa City: Presented at the meeting of the Psychometric Society.
go back to reference Weissman, A. N., & Beck, A. T. (1978). Development and validation of the Dysfunctional Attitude Scale: a preliminary investigation. Poster presented at the 86th annual convention of the American Psychological Association. Toronto, Ontario, Canada. Weissman, A. N., & Beck, A. T. (1978). Development and validation of the Dysfunctional Attitude Scale: a preliminary investigation. Poster presented at the 86th annual convention of the American Psychological Association. Toronto, Ontario, Canada.
go back to reference Wilhelm, S., & Steketee, G. (2006). Cognitive therapy for obsessive-compulsive disorder: a guide for professionals. Oakland: New Harbinger Publications. Wilhelm, S., & Steketee, G. (2006). Cognitive therapy for obsessive-compulsive disorder: a guide for professionals. Oakland: New Harbinger Publications.
Metagegevens
Titel
Cognitive Moderation of CBT: Disorder-Specific or Transdiagnostic Predictors of Treatment Response
Auteurs
Danielle E. Katz
Judith M. Laposa
Lance L. Hawley
Leanne Quigley
Neil A. Rector
Publicatiedatum
05-03-2019
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 5/2019
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-019-10009-y

Andere artikelen Uitgave 5/2019

Cognitive Therapy and Research 5/2019 Naar de uitgave