A re-examination of process-outcome relations in cognitive therapy for depression: Disaggregating within-patient and between-patient effects.

Sasso, KE ; Strunk, DR ; et al.

In: Psychotherapy research : journal of the Society for Psychotherapy Research, Jg. 26 (2016-07-01), Heft 4, S. 387-98

academicJournal

Objective: We previously examined alliance and therapist adherence as predictors of symptom change. Applying a new analytic strategy, we can ensure that any relations identified were not attributable to stable patient characteristics.

Method: Participants were 57 depressed cognitive therapy patients. We disaggregated within- and between-patient variation in process measures.

Results: Between-patients, variability in adherence to Cognitive Methods and Negotiating/Structuring predicted patients' symptom change. Within-patients, only variability in ratings of adherence to Cognitive Methods predicted next-session symptom change.

Conclusions: Relations involving between-patient process variables are potentially attributable to stable patient characteristics. However, the relation of within-patient Cognitive Methods and session-to-session symptom change cannot be attributed to stable characteristics and is consistent with a causal relationship.

Titel:	A re-examination of process-outcome relations in cognitive therapy for depression: Disaggregating within-patient and between-patient effects.
Autor/in / Beteiligte Person:	Sasso, KE ; Strunk, DR ; Braun, JD ; DeRubeis, RJ ; Brotman, MA
Zeitschrift:	Psychotherapy research : journal of the Society for Psychotherapy Research, Jg. 26 (2016-07-01), Heft 4, S. 387-98
Veröffentlichung:	2005- : London : Routledge ; <i>Original Publication</i>: New York, NY, USA : Guilford Publications, [1991-, 2016
Medientyp:	academicJournal
ISSN:	1468-4381 (electronic)
DOI:	10.1080/10503307.2015.1026423
Schlagwort:	Adult Humans Cognitive Behavioral Therapy methods Depressive Disorder therapy Guideline Adherence Outcome Assessment, Health Care methods Professional-Patient Relations
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Randomized Controlled Trial Language: English [Psychother Res] 2016 Jul; Vol. 26 (4), pp. 387-98. <i>Date of Electronic Publication: </i>2015 Apr 16. MeSH Terms: Guideline Adherence* ; Professional-Patient Relations* ; Cognitive Behavioral Therapy / methods ; Depressive Disorder / therapy ; Outcome Assessment, Health Care / *methods ; Adult ; Humans References: Arch Gen Psychiatry. 2005 Apr;62(4):409-16. (PMID: 15809408) ; J Consult Clin Psychol. 2012 Jun;80(3):373-81. (PMID: 22468907) ; J Couns Psychol. 2013 Jul;60(3):317-28. (PMID: 23506511) ; J Consult Clin Psychol. 1999 Aug;67(4):578-82. (PMID: 10450629) ; J Consult Clin Psychol. 2000 Jun;68(3):438-50. (PMID: 10883561) ; J Consult Clin Psychol. 2010 Apr;78(2):200-11. (PMID: 20350031) ; J Psychother Pract Res. 2001 Summer;10(3):173-8. (PMID: 11402080) ; Behav Res Ther. 2013 Aug;51(8):443-50. (PMID: 23747583) ; J Consult Clin Psychol. 2000 Feb;68(1):114-24. (PMID: 10710846) ; J Consult Clin Psychol. 2007 Dec;75(6):842-52. (PMID: 18085902) ; Annu Rev Psychol. 2011;62:583-619. (PMID: 19575624) ; J Consult Clin Psychol. 2011 Jun;79(3):267-78. (PMID: 21639607) ; J Consult Clin Psychol. 2012 Oct;80(5):730-8. (PMID: 22774791) ; Psychotherapy (Chic). 2011 Mar;48(1):9-16. (PMID: 21401269) ; Behav Res Ther. 2010 Jul;48(7):599-606. (PMID: 20362978) ; Psychother Res. 2014;24(3):407-18. (PMID: 24320241) ; J Couns Psychol. 2012 Oct;59(4):507-17. (PMID: 22963649) ; J Consult Clin Psychol. 2010 Oct;78(5):717-23. (PMID: 20873906) ; Br J Psychiatry. 2008 Feb;192(2):124-9. (PMID: 18245030) Grant Information: K02 MH001697 United States MH NIMH NIH HHS; K24 MH001741 United States MH NIMH NIH HHS; R10 MH055875 United States MH NIMH NIH HHS; R10 MH055877 United States MH NIMH NIH HHS Contributed Indexing: Keywords: alliance; cognitive behavior therapy; depression; process research; statistical methods Entry Date(s): Date Created: 20150417 Date Completed: 20180126 Latest Revision: 20240325 Update Code: 20240325 PubMed Central ID: PMC4608846

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