当前位置： SCI文献检索 > JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY期刊下所有文献 > In cognitive therapy for depression, early focus on maladaptive beliefs may be especially efficacious for patients with personality disorders.

In cognitive therapy for depression, early focus on maladaptive beliefs may be especially efficacious for patients with personality disorders.

Abstract：

OBJECTIVE:Patients with major depressive disorder (MDD) and a comorbid personality disorder (PD) have been found to exhibit relatively poor outcomes in cognitive therapy (CT) and other treatments. Adaptations of CT focusing heavily on patients' core beliefs have yielded promising findings in the treatment of PD. However, there have been no investigations that have specifically tested whether increased focus on maladaptive beliefs contributes to CT's efficacy for these patients. METHOD:CT technique use from an early CT session was assessed for 59 patients (33 without PD, 26 with PD-predominantly Cluster C) who participated in a randomized controlled trial for moderate to severe MDD. Scores were calculated for directive CT techniques (CT-Concrete) and a set of belief-focused items (CT-Belief) as rated by the Collaborative Study Process Rating Scale. Robust regressions were conducted to estimate relations between scores on each of these measures and change in depressive and PD symptoms. A PD status by CT-Belief use interaction tested the hypothesis that therapist use of CT-Belief techniques would exhibit a stronger association with symptom change in the PD group relative to the non-PD group. RESULTS:As hypothesized, a significant interaction between PD status and use of CT-Belief techniques emerged in the prediction of depressive and PD symptom change. Among PD patients, higher early CT-Belief interventions were found to predict significantly greater improvement. CT-Belief use did not predict greater symptom change among those without PD. CONCLUSIONS:Early focus on CT-Belief interventions may facilitate changes in depression and PD symptoms for patients with MDD-PD comorbidity.

journal_name

J Consult Clin Psychol

journal_title

Journal of consulting and clinical psychology

authors

Keefe JR,Webb CA,DeRubeis RJ

doi

10.1037/ccp0000071

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

353-64

issue

eissn

0022-006X

issn

1939-2117

pii

2015-58969-001

journal_volume

pub_type

杂志文章,随机对照试验

在线工具

In cognitive therapy for depression, early focus on maladaptive beliefs may be especially efficacious for patients with personality disorders.