Swipe om te navigeren naar een ander artikel
We conducted two studies that assessed the role of initial anxiety in rate of change (depression reduction) in cognitive therapy for major depression. In both studies, depression and anxiety were assessed at intake, and depression was assessed at every treatment session. Longitudinal growth modeling was used to predict rate of change in treatment from sessions 1–12 controlling for intake depression, with intake anxiety as a moderator of change. In Study 1, high initial anxiety was associated with a faster rate of depression reduction across the course of cognitive therapy, whereas in Study 2, high initial anxiety was associated with a faster rate of depression reduction in the early sessions of treatment. The influence of intake depression on rate of change was controlled, and therefore the results are likely not due to greater symptom severity or distress among those high in anxiety. BAI subscale analyses suggest that the results are likely due to the physiological arousal characteristic of anxiety. These results suggest a potentially beneficial role for initial anxiety in cognitive therapy for depression.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed.), text revision (DSM-IV-TR). Washington, DC: Author.
Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York: The Guilford Press.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.
Beck, A. T., & Steer, R. A. (1991). Relationship between the Beck Anxiety Inventory and the Hamilton Anxiety Rating Scale with anxious outpatients. Journal of Anxiety Disorders, 5, 213–223. CrossRef
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory (2nd ed.). San Antonio, TX: The Psychological Corporation.
Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., et al. (2006). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology,74, 658–670. PubMedCrossRef
Dozois, D., Dobson, K. S., & Ahnberg, J. L. (1998). A psychometric evaluation of the Beck Depression Inventory-II. Psychological Assessment,10, 83–89. CrossRef
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (1994). Structured clinical interview for the DSM-IV axis I disorders. New York: Biometrics Research.
Gunthert, K. C., Cohen, L. H., Butler, A. C., & Beck, J. S. (2005). Predictive role of daily coping and affective reactivity in cognitive therapy outcome: Application of a daily process design to psychotherapy research. Behavior Therapy,36(1), 77–88. CrossRef
Ilardi, S. S., & Craighead, W. E. (1994). The role of nonspecific factors in cognitive-behavior therapy for depression. Clinical Psychology: Science and Practice,1, 138–156. CrossRef
Jarrett, R. B., Kraft, D., & Silver, P. (1997). Cognitive therapy of mood disorders with comorbidity. In S. Wetzler & W. C. Sanderson (Eds.), Treatment strategies for patients with psychiatric comorbidity (pp. 135–162). Hoboken, NJ: John Wiley & Sons Inc.
Kendler, K. S., Neale, M. C., Kessler, R. C., Heath, A. C., & Eaves, L. J. (1992). Major depression and generalized anxiety disorder: Same genes, (partly) different environments? Archives of General Psychiatry,49, 716–722. PubMed
Moras, K., Clark, L. A., Katon, W., Roy-Byrne, R., Watson, D., & Barlow, D. (1996). Mixed anxiety-depression. In T. A. Widiger, A. J. Frances, H. A. Pincus, R. Ross, M. B. First, & W. W. Davis (Eds.), DSM-IV sourcebook (pp. 623–643). Washington, DC: American Psychiatric Association.
Moses, E. B., & Barlow, D. H. (2006). A new unified treatment approach for emotional disorders based on emotion science. Current Directions in Psychological Science,15, 146–150. CrossRef
Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Newbury Park, CA: Sage.
Raudenbush, S. W., Bryk, A. S., & Congdon, R. (2004). HLM 6 for windows [Computer software]. Lincolnwood, IL: Scientific Software International, Inc.
Rohde, P., Clarke, G. N., Lewinsohn, P. M., Seeley, J. R., & Kaufman, N. K. (2001). Impact of comorbidity on a cognitive-behavioral group treatment for adolescent depression. Journal of the American Academy of Child & Adolescent Psychiatry,40, 795–802. CrossRef
Steer, R. A. (2009). Amount of general factor saturation in the Beck Anxiety Inventory responses of outpatients with anxiety disorders. Journal of Psychopathology and Behavior Assessment,31, 112–118. CrossRef
Steer, R. A., Ranieri, W. F., Beck, A. T., & Clark, D. A. (1993). Further evidence for the validity of the Beck Anxiety Inventory with psychiatric outpatients. Journal of Anxiety Disorders,7, 195–205. CrossRef
Tollefson, G. D., Greist, J. H., Jefferson, J. W., Heiligenstein, J. H., Sayler, M. E., Tollefson, S. L., & Koback, K. (1994). Is baseline agitation a relative contraindication for a selective serotonin reuptake inhibitor: A comparative trial of fluoxetine versus imipramine. Journal of Clinical Psychopharmacol, 14, 385–391.
Watters, P. A., Martin, F., & Schreter, Z. (1999). Caffeine and cognitive performance: The nonlinear Yerkes-Dodson Law. Human Psychopharmacology: Clinical and Experimental,12, 249–257. CrossRef
Zajecka, J. M., & Ross, J. S. (1995). Management of comorbid anxiety and depression. Journal of Psychiatry,56, 10–13.
Zimmerman, M., McDermut, W., & Mattia, J. I. (2000). Frequency of anxiety disorders in psychiatric outpatients with major depressive disorder. American Journal of Psychiatry,157, 1333–1340.
- Preliminary Evidence that Anxiety is Associated with Accelerated Response in Cognitive Therapy for Depression
Nicholas R. Forand
Kathleen C. Gunthert
Lawrence H. Cohen
Andrew C. Butler
Judith S. Beck
- Springer US