Abstract：
:Many attempts have been made to discover and characterize the mechanisms of change in psychotherapies for depression, yet no clear, evidence-based account of the relationship between therapeutic procedures, psychological mechanisms, and symptom improvement has emerged. Negatively-biased thinking plays an important role in the phenomenology of depression, and most theorists acknowledge that cognitive changes occur during successful treatments. However, the causal role of cognitive change procedures in promoting cognitive change and alleviating depressive symptoms has been questioned. We describe the methodological and inferential limitations of the relevant empirical investigations and provide recommendations for addressing them. We then develop a framework within which the possible links between cognitive procedures, cognitive change, and symptom change can be considered. We conclude that cognitive procedures are effective in alleviating symptoms of depression and that cognitive change, regardless of how it is achieved, contributes to symptom change, a pattern of findings that lends support to the cognitive theory of depression.
journal_name
Clin Psychol Revjournal_title
Clinical psychology reviewauthors
Lorenzo-Luaces L,German RE,DeRubeis RJdoi
10.1016/j.cpr.2014.12.003subject
Has Abstractpub_date
2015-11-01 00:00:00pages
3-15eissn
0272-7358issn
1873-7811pii
S0272-7358(14)00168-8journal_volume
41pub_type
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