Coping Strategies in Major Depression and Over the Course of Cognitive Therapy for Depression.

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Bibliographic Details
Title:	Coping Strategies in Major Depression and Over the Course of Cognitive Therapy for Depression.
Alternate Title:	Les stratégies d'adaptation associées à la dépression et leur évolution au cours d'un traitement cognitif.
Authors:	Drapeau, Martin¹ martin.drapeau@mcgill.ca, Blake, Emily¹, Dobson, Keith S.², Körner, Annett¹
Source:	Canadian Journal of Counselling & Psychotherapy / Revue Canadienne de Counseling et de Psychothérapie. Jan2017, Vol. 51 Issue 1, p18-39. 22p.
Subject Terms:	Mental depression, Psychological adaptation, Cognitive therapy, Helplessness (Psychology), *Problem solving, Therapeutics
Abstract (English):	Background: Cognitive therapy (CT) aims to help patients recover from depression by teaching them to restructure their distorted thinking and to resolve practical problems in their lives. While studies have examined the role of cognitive variables in the treatment of depression, less research has focused on coping. Objectives: This study aimed to investigate the role of coping in depression, and changes in coping over the course of CT. Methods: Early and late therapy sessions were selected for 45 participants who received CT. Depression was assessed using the Beck Depression Inventory, and coping was assessed using the Coping Patterns Rating Scale. Results: Results indicated that information seeking, problem solving, and helplessness were the most prevalent coping strategies early in therapy; threat-based coping was correlated with depression; accommodation increased with therapy; and change in threat coping was correlated with change in depression. Conclusions: Findings indicate the importance of threat-based coping and of accommodation and delegation in depression and recovery from depression. Research and clinical implications are discussed. [ABSTRACT FROM AUTHOR]
Abstract (French):	Contexte : La thérapie cognitive vise à aider les patients à se remettre de la dépression en leur apprenant à restructurer leurs distorsions cognitives et à résoudre des problèmes pratiques. Bien que des études aient examiné le rôle de plusieurs variables cognitives dans le traitement de la dépression, trop peu de recherche a mis l'accent sur les stratégies d'adaptation (coping). Objectifs : Cette étude visait à étudier les stratégies d'adaptation associées à la dépression, ainsi que les changements observés au cours d'une thérapie cognitive. Méthode : Les séances de thérapie cognitive en début et en fin de traitement de 45 participants ont été analysées. La dépression a été évaluée en utilisant l'inventaire de dépression de Beck, et les stratégies d'adaptation ont été évaluées en utilisant le Coping Patterns Rating Scale. Résultats : Les résultats indiquent que la recherche d'information, la résolution de problèmes, et l'impuissance sont les stratégies d'adaptation les plus utilisées au début de la thérapie; que l'adaptation fondée sur la menace est corrélée avec ladépression; que l'accommodation augmente avec la thérapie; et que le changement dans les stratégies associées à une perception de menace est corrélé avec le changement dans la dépression. Conclusions : Les résultats indiquent l'importance de l'adaptation fondée sur la menace, de l'accommodation, et de la délégation dans la dépression et le rétablissement subséquent. Les implications cliniques et pour la recherche sont discutées. [ABSTRACT FROM AUTHOR]
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Database:	Education Research Complete

Description
Abstract:	Background: Cognitive therapy (CT) aims to help patients recover from depression by teaching them to restructure their distorted thinking and to resolve practical problems in their lives. While studies have examined the role of cognitive variables in the treatment of depression, less research has focused on coping. Objectives: This study aimed to investigate the role of coping in depression, and changes in coping over the course of CT. Methods: Early and late therapy sessions were selected for 45 participants who received CT. Depression was assessed using the Beck Depression Inventory, and coping was assessed using the Coping Patterns Rating Scale. Results: Results indicated that information seeking, problem solving, and helplessness were the most prevalent coping strategies early in therapy; threat-based coping was correlated with depression; accommodation increased with therapy; and change in threat coping was correlated with change in depression. Conclusions: Findings indicate the importance of threat-based coping and of accommodation and delegation in depression and recovery from depression. Research and clinical implications are discussed. [ABSTRACT FROM AUTHOR]
ISSN:	19236182