Negative Affective Spillover From Daily Events Predicts Early Response to Cognitive Therapy for Depression

摘要: This study evaluated the predictive role of depressed outpatients' (N = 62) affective reactivity to daily stressors in their rates improvement cognitive therapy (CT). For 1 week before treatment, patients completed nightly electronic diaries that assessed and negative affect (NA). The authors used multilevel modeling compute each patient's within-day relationship between NA (within-day reactivity), as well next-day (next-day reactivity; spillover). In growth model analyses, patients' early (Sessions 1-4) late 5-12) response CT. Within-day did not predict or However, predicted CT, such who had greater spillover events a slower rate symptom change during first 4 sessions. Affective influence later findings suggest have difficulty bouncing back next day from reactions relative increase will respond less quickly sessions