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Gepubliceerd in: Cognitive Therapy and Research 2/2018

13-04-2017 | Original Article

Reports of Therapy Skill Use and Their Efficacy in Daily Life in the Short-Term Treatment of Depression

Auteurs: Ariana C. Hoet, Chris J. Burgin, Kari M. Eddington, Paul J. Silvia

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2018

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Abstract

Previous studies have shown that the use of therapy skills in between sessions is an important mechanism of symptom improvement. The current study expands this line of research by using a diary approach to examine the use of therapy skills in daily life. A sample of 39 depressed adults (85% female, mean age 38) were signaled twice per week throughout the course of either cognitive-behavioral therapy (CBT) or self-system therapy (SST). Results showed that, on days when participants reported greater use of therapy skills, they reported better mood and functioning in almost all domains. Additionally, participants in CBT reported greater use of cognitive skills while participants in SST reported greater use of self-regulatory skills. This study demonstrates that repeated assessments of daily events and experiences, which prevent retrospective reporting biases, further confirm the importance of therapy skill use as a mechanism of action in psychotherapy.

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Voetnoten
1
Note that responses from participants often made it rather obvious which condition they were assigned to, so, while the actual assignments were not revealed until the coding was complete, it was not possible to remain completely “blind”.
 
2
Note that we allowed both the slopes and intercepts to be random due to the number of estimates obtained in the daily sample. The entire model was random.
 
3
The aggregates were created based upon past experience sampling research and also on the convergent validity of the items. A reliability analysis conducted after the fact reveals that all aggregates had high levels of agreement. Cronbach’s alpha for Positive Affect (Alpha = 0.918), Negative Affect (Alpha = 0.859), negative somatic symptoms (Alpha = 0.757).
 
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Metagegevens
Titel
Reports of Therapy Skill Use and Their Efficacy in Daily Life in the Short-Term Treatment of Depression
Auteurs
Ariana C. Hoet
Chris J. Burgin
Kari M. Eddington
Paul J. Silvia
Publicatiedatum
13-04-2017
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 2/2018
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-017-9852-y