Document Detail

What Predicts Outcome, Response, and Drop-out in CBT of Depressive Adults? A Naturalistic Study.
MedLine Citation:
PMID:  23211066     Owner:  NLM     Status:  Publisher    
Background: The efficacy of CBT for unipolar depressive disorders is well established, yet not all patients improve or tolerate treatment. Aims: To identify factors associated with symptomatic outcome, response, and drop-out in depressive patients under naturalistic CBT. Method: 193 patients with major depression or dysthymia were tested. Sociodemographic and clinical variables were entered as predictors in hierarchical regression analyses. Results: A higher degree of pretreatment depression, early improvement, and completion of therapy were identified as predictors for symptomatic change and response. Drop-out was predicted by concurrent personality disorder, less positive outcome expectancies, and by failure to improve early in treatment. Conclusions: Our results highlight the importance of early response to predict improvement in routine CBT. Attempts to refine the quality of treatment programs should focus on avoiding premature termination (drop-out) and consider motivational factors in more depth. Routinely administered standardized assessments would enhance symptom monitoring and help to identify persons at risk of not improving under therapy.
Amrei Schindler; Wolfgang Hiller; Michael Witthöft
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-5
Journal Detail:
Title:  Behavioural and cognitive psychotherapy     Volume:  -     ISSN:  1469-1833     ISO Abbreviation:  Behav Cogn Psychother     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9418292     Medline TA:  Behav Cogn Psychother     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-6     Citation Subset:  -    
University of Mainz, Germany.
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