Sudden gains in behavioural activation for depression.

Abstract:

:Sudden gains have been linked to improved outcomes in cognitive behaviour therapy for depression. The relationship between sudden gains and outcome is less clear in other treatment modalities, including interpersonal psychotherapy and supportive expressive therapy, which may indicate different mechanisms of change between treatment modalities. The current study examined sudden gains in adults meeting diagnostic criteria for depression (N = 40) offered up to 12 sessions of behavioural activation treatment. Sudden gains were found in 42.5% of the sample. Sudden gains occurred early (median pre-gain session 2) and were related to outcome: those who experienced a sudden gain had significantly lower post-treatment scores on the PHQ-9. Furthermore, the proportion meeting the reliable and clinically significant change criteria at end of treatment was higher in the sudden gain group. These findings highlight the importance of understanding the mechanisms by which sudden gains relate to therapy outcome in behavioural activation.

journal_name

Behav Res Ther

authors

Masterson C,Ekers D,Gilbody S,Richards D,Toner-Clewes B,McMillan D

doi

10.1016/j.brat.2014.06.008

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

34-8

eissn

0005-7967

issn

1873-622X

pii

S0005-7967(14)00095-3

journal_volume

60

pub_type

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