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Gepubliceerd in: Cognitive Therapy and Research 3/2023

28-02-2023 | Original Article

Predictors of Full Recovery in Individuals with Emotional Disorders: One-Year Follow-Up Secondary Analysis of the PsicAP Randomized Controlled Trial

Auteurs: César González-Blanch, Leonardo Adrián Medrano, Paloma Ruíz-Rodríguez, Roger Muñoz-Navarro, Juan A. Moriana, Antonio Cano-Vindel

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2023

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Abstract

Background

This study examines potential predictors of full recovery in emotional disorders —considering symptom plus functional outcomes at one-year follow-up—in a sample derived from a randomized controlled trial aimed to test the efficacy of adding transdiagnostic group cognitive-behavioural therapy (TD-GCBT) to treatment-as-usual (TAU) in primary care.

Methods

A total of 387 individuals were examined, 128 (33.1%) achieved a full recovery at one-year follow-up. Baseline data on sociodemographic, treatment, disability, clinical, and cognitive variables were analysed using independent groups comparisons and hierarchical binary logistic regression. The groups were compared in terms of health-related quality of life (HRQoL).

Results

Four variables emerged as significant predictors of full recovery at one-year: allocation to the TD-GCBT group, no antidepressant use, higher levels of cognitive reappraisal, and fewer somatic symptoms. Between-group comparison showed that the full-recovery group had notably higher levels of HRQoL at one-year follow-up assessment (Cohen’s d = 0.77).

Conclusion

The addition of TD-GCBT to TAU was the main predictor for full recovery. After controlling for depressive symptoms, individuals who were not taking antidepressants at baseline were twice as likely to achieve full recovery compared to those taking antidepressants. These findings may have implications for the standard treatment approach for emotional disorders in primary care.
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Literatuur
go back to reference Cano-Vindel, A., Munoz-Navarro, R., Moriana, J. A., Ruiz-Rodriguez, P., Medrano, L. A., & Gonzalez-Blanch, C. (2021). Transdiagnostic group cognitive behavioral therapy for emotional disorders in primary care: the results of the PsicAP randomized controlled trial. Psychological Medicine, 1–13. https://​doi.​org/​10.​1017/​S003329172000549​8. Cano-Vindel, A., Munoz-Navarro, R., Moriana, J. A., Ruiz-Rodriguez, P., Medrano, L. A., & Gonzalez-Blanch, C. (2021). Transdiagnostic group cognitive behavioral therapy for emotional disorders in primary care: the results of the PsicAP randomized controlled trial. Psychological Medicine, 1–13. https://​doi.​org/​10.​1017/​S003329172000549​8.
go back to reference González-Blanch, C., Muñoz-Navarro, R., Medrano, L. A., Moriana, J. A., Ruiz-Rodríguez, P., & Cano-Vindel, A. (2021). Moderators and predictors of treatment outcome in transdiagnostic group cognitive-behavioral therapy for primary care patients with emotional disorders. Depression and Anxiety. https://​doi.​org/​10.​1002/​da.​23164. Advance online publication. CrossRefPubMed González-Blanch, C., Muñoz-Navarro, R., Medrano, L. A., Moriana, J. A., Ruiz-Rodríguez, P., & Cano-Vindel, A. (2021). Moderators and predictors of treatment outcome in transdiagnostic group cognitive-behavioral therapy for primary care patients with emotional disorders. Depression and Anxiety. https://​doi.​org/​10.​1002/​da.​23164. Advance online publication. CrossRefPubMed
go back to reference Judd, L. L., Akiskal, H. S., Maser, J. D., Zeller, P. J., Endicott, J., Coryell, W., Paulus, M. P., Kunovac, J. L., Leon, A. C., Mueller, T. I., Rice, J. A., & Keller, M. B. (1998). Major depressive disorder: a prospective study of residual subthreshold depressive symptoms as predictor of rapid relapse. Journal of Affective Disorders, 50(2–3), 97–108. https://​doi.​org/​10.​1016/​s0165-0327(98)00138-4. CrossRefPubMed Judd, L. L., Akiskal, H. S., Maser, J. D., Zeller, P. J., Endicott, J., Coryell, W., Paulus, M. P., Kunovac, J. L., Leon, A. C., Mueller, T. I., Rice, J. A., & Keller, M. B. (1998). Major depressive disorder: a prospective study of residual subthreshold depressive symptoms as predictor of rapid relapse. Journal of Affective Disorders, 50(2–3), 97–108. https://​doi.​org/​10.​1016/​s0165-0327(98)00138-4. CrossRefPubMed
go back to reference Miller, I. W., Keitner, G. I., Schatzberg, A. F., Klein, D. N., Thase, M. E., Rush, A. J., Markowitz, J. C., Schlager, D. S., Kornstein, S. G., Davis, S. M., Harrison, W. M., & Keller, M. B. (1998). The treatment of chronic depression, part 3: psychosocial functioning before and after treatment with sertraline or imipramine. Journal of Clinical Psychiatry, 59(11), 608–619. https://​doi.​org/​10.​4088/​jcp.​v59n1108. CrossRefPubMed Miller, I. W., Keitner, G. I., Schatzberg, A. F., Klein, D. N., Thase, M. E., Rush, A. J., Markowitz, J. C., Schlager, D. S., Kornstein, S. G., Davis, S. M., Harrison, W. M., & Keller, M. B. (1998). The treatment of chronic depression, part 3: psychosocial functioning before and after treatment with sertraline or imipramine. Journal of Clinical Psychiatry, 59(11), 608–619. https://​doi.​org/​10.​4088/​jcp.​v59n1108. CrossRefPubMed
go back to reference Muñoz-Navarro, R., Adrián Medrano, L., González-Blanch, C., Carpallo-González, M., Olave, L., Iruarrizaga, I., Ruiz-Rodríguez, P., Moriana, J. A., & Cano-Vindel, A. (2021). Validity of brief scales for assessing transdiagnostic cognitive emotion regulation strategies in primary care patients with emotional disorders. European Journal of Psychological Assessment, 37(2), 86–94. https://​doi.​org/​10.​1027/​1015-5759/​a000584. CrossRef Muñoz-Navarro, R., Adrián Medrano, L., González-Blanch, C., Carpallo-González, M., Olave, L., Iruarrizaga, I., Ruiz-Rodríguez, P., Moriana, J. A., & Cano-Vindel, A. (2021). Validity of brief scales for assessing transdiagnostic cognitive emotion regulation strategies in primary care patients with emotional disorders. European Journal of Psychological Assessment, 37(2), 86–94. https://​doi.​org/​10.​1027/​1015-5759/​a000584. CrossRef
go back to reference Wolitzky-Taylor, K. B., Arch, J. J., Rosenfield, D., & Craske, M. G. (2012). Moderators and non-specific predictors of treatment outcome for anxiety disorders: a comparison of cognitive behavioral therapy to acceptance and commitment therapy. Journal of Consulting and Clinical Psychology, 80(5), 786–799. https://​doi.​org/​10.​1037/​a0029418. CrossRefPubMed Wolitzky-Taylor, K. B., Arch, J. J., Rosenfield, D., & Craske, M. G. (2012). Moderators and non-specific predictors of treatment outcome for anxiety disorders: a comparison of cognitive behavioral therapy to acceptance and commitment therapy. Journal of Consulting and Clinical Psychology, 80(5), 786–799. https://​doi.​org/​10.​1037/​a0029418. CrossRefPubMed
Metagegevens
Titel
Predictors of Full Recovery in Individuals with Emotional Disorders: One-Year Follow-Up Secondary Analysis of the PsicAP Randomized Controlled Trial
Auteurs
César González-Blanch
Leonardo Adrián Medrano
Paloma Ruíz-Rodríguez
Roger Muñoz-Navarro
Juan A. Moriana
Antonio Cano-Vindel
Publicatiedatum
28-02-2023
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 3/2023
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-023-10360-1

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