| Predictors of Patient Cognitive Therapy Skills and Symptom Change in Two Randomized Clinical Trials: The Role of Therapist Adherence and the Therapeutic Alliance. | |
| | |
MedLine Citation:
|
PMID: 22468907 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Objective: Previous research has found that therapist adherence to concrete, problem-focused cognitive therapy (CT) techniques predicts depressive symptom change (e.g., Feeley, DeRubeis, & Gelfand, 1999). More recently, Strunk, DeRubeis, Chui, and Alvarez (2007) demonstrated that in-session evidence of patients' use of CT skills was related to a lower rate of relapse in the year following CT for depression. The current investigation attempts to integrate and extend these findings within 2 separate samples of patients and therapists. Method: Drawing from the CT samples (N = 105, mean age = 40 years, female = 62%, White = 82%) of 2 published randomized clinical trials of depression treatment, we conducted analyses to examine whether therapist adherence to concrete CT techniques (Collaborative Study Psychotherapy Rating Scale) and the quality of the therapeutic alliance (Working Alliance Inventory) predict patients' use of CT skills (Performance of Cognitive Therapy Strategies) and subsequent Beck Depression Inventory symptom change. Results: Results indicated a differential pattern of prediction in the 2 samples. In one, CT techniques exhibited a stronger association with patient CT skills and symptom change than did the alliance, whereas the reverse pattern emerged in the second sample. A baseline symptom severity × CT techniques interaction indicated that between-study differences in intake depression severity might in part explain the process-outcome differences. Conclusions: The present findings suggest that the nature of the therapy sample examined may moderate process-outcome findings in psychotherapy research. The implications of these results and directions for future research are discussed. (PsycINFO Database Record (c) 2012 APA, all rights reserved). |
| | |
Authors:
|
Christian A Webb; Robert J Derubeis; Sona Dimidjian; Steven D Hollon; Jay D Amsterdam; Richard C Shelton |
Related Documents
:
|
22390557 - Meeting the obligation to communicate clinical trial results to study volunteers. 22480587 - A population-based study of the use of selective serotonin reuptake inhibitors before a... 19220557 - Enrollment of patients to clinical trials in haematological cancer in new south wales: ... 22433977 - Extracted or synthesized soybean isoflavones reduce menopausal hot flash frequency and ... 3814667 - Urinary free cortisol and separation anxiety early in the course of bereavement and thr... 9620907 - Weight loss is a reversible factor in the prognosis of chronic obstructive pulmonary di... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-4-2 |
Journal Detail:
|
Title: Journal of consulting and clinical psychology Volume: - ISSN: 1939-2117 ISO Abbreviation: - Publication Date: 2012 Apr |
Date Detail:
|
Created Date: 2012-4-3 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0136553 Medline TA: J Consult Clin Psychol Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Atrial Electromechanical Coupling Interval and P-Wave Dispersion in Patients with White Coat Hyperte...
Next Document: Therapeutic alliance in telephone-administered cognitive-behavioral therapy for hematopoietic stem c...