Are Improvements in Cognitive Content and Depressive Symptoms Correlates or Mediators during Acute-Phase Cognitive Therapy for Recurrent Major Depressive Disorder?
作者： Jeffrey R. Vittengl , Lee Anna Clark , Michael E. Thase , Robin B. Jarrett
DOI: 10.1521/IJCT.2014.7.3.251
关键词:
摘要: The cognitive model of depression posits that therapy's (CT) effect on depressive symptoms is mediated by changes in content (e.g., automatic negative thoughts dysfunctional attitudes, failure attributions). We tested improvement and normalization among outpatients (N = 523) with recurrent major disorder treated acute-phase CT (Jarrett & Thase, 2010; Jarrett et al., 2013). also whether accounted for subsequent vice versa. Five measures improved substantively from pre- to post-CT (median d 0.96), the proportions patients scoring "healthy" ranges increased 45% 82%). Evidence mediation symptom reduction was limited r .06), as evidence .07). discuss measurement design issues relevant detection mediators consider alternative theories change.
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