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The Process of Change in Cognitive Therapy for Depression when Combined with Antidepressant Medication: Predictors of Early Intersession Symptom Gains

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Title: The Process of Change in Cognitive Therapy for Depression when Combined with Antidepressant Medication: Predictors of Early Intersession Symptom Gains
Language: English
Authors: Strunk, Daniel R., Cooper, Andrew A., Ryan, Elizabeth T.
Source: Journal of Consulting and Clinical Psychology. Oct 2012 80(5):730-738.
Availability: American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
Peer Reviewed: Y
Physical Description: PDF
Page Count: 9
Publication Date: 2012
Document Type: Journal Articles
Reports - Research
Descriptors: Homework, Therapy, Depression (Psychology), Cognitive Restructuring, Patients, Behavior Change, Drug Therapy, Predictor Variables, Symptoms (Individual Disorders), Counselor Client Relationship, Outcomes of Treatment
DOI: 10.1037/a0029281
ISSN: 0022-006X
Abstract: Objective: Previous studies of cognitive therapy (CT) for depression have examined therapist adherence and the therapeutic alliance as predictors of subsequent symptom change. However, little is known about these CT process variables when CT is delivered in combination with antidepressant medication. Method: In a sample of 176 depressed outpatients randomized to the combined condition of a clinical trial, we examined ratings of adherence and alliance as predictors of subsequent session-to-session symptom change across early CT sessions. Results: Both adherence to Behavioral Methods/Homework and the therapeutic alliance significantly predicted session-to-session symptom change. In models in which patients' medication regimen and prior symptom change were covaried, only Behavioral Methods/Homework remained a significant predictor of subsequent symptom change. Conclusions: Our findings highlight the utility of Behavioral Methods/Homework in combined treatment for promoting early session-to-session symptom change. (Contains 1 figure, 2 tables, and 4 footnotes.)
Abstractor: As Provided
Number of References: 37
Entry Date: 2013
Accession Number: EJ992669
Database: ERIC
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  Data: The Process of Change in Cognitive Therapy for Depression when Combined with Antidepressant Medication: Predictors of Early Intersession Symptom Gains
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  Data: American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
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  Data: 10.1037/a0029281
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  Group: Ab
  Data: Objective: Previous studies of cognitive therapy (CT) for depression have examined therapist adherence and the therapeutic alliance as predictors of subsequent symptom change. However, little is known about these CT process variables when CT is delivered in combination with antidepressant medication. Method: In a sample of 176 depressed outpatients randomized to the combined condition of a clinical trial, we examined ratings of adherence and alliance as predictors of subsequent session-to-session symptom change across early CT sessions. Results: Both adherence to Behavioral Methods/Homework and the therapeutic alliance significantly predicted session-to-session symptom change. In models in which patients' medication regimen and prior symptom change were covaried, only Behavioral Methods/Homework remained a significant predictor of subsequent symptom change. Conclusions: Our findings highlight the utility of Behavioral Methods/Homework in combined treatment for promoting early session-to-session symptom change. (Contains 1 figure, 2 tables, and 4 footnotes.)
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      – SubjectFull: Therapy
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      – SubjectFull: Depression (Psychology)
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      – SubjectFull: Drug Therapy
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      – SubjectFull: Predictor Variables
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      – TitleFull: The Process of Change in Cognitive Therapy for Depression when Combined with Antidepressant Medication: Predictors of Early Intersession Symptom Gains
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