Changes in depressed patients’ self-statements

Thompson, Katherine A.; D'Iuso, Debora A.; Schwartzman, Deborah; Dobson, Keith S.; Drapeau, Martin

doi:10.1080/10503307.2018.1543976

Cited by 6 publications

(5 citation statements)

References 60 publications

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“…First, the RSA models did not support the hypothesis of main effects of complementarity on depression severity. This lack of significant complementarity effects when predicting depression severity during the first two phases of treatment contrasts with previous studies relating complementarity to psychotherapy outcome (Svartberg & Stiles, 1992; Thompson et al, 2020). However, the results of the present study are consistent with Tracey’s (1985, 1987, 1993) three-stage model of complementarity, which proposes a high–low–high pattern of interpersonal complementarity as being more beneficial than just a high level or positive fluctuations of complementarity over the course of treatment.…”

Section: Discussioncontrasting

confidence: 99%

“…As recently pointed out by Thompson, D'iuso, Schwartzman, Dobson, and Drapeau (2020), most studies addressing interpersonal complementarity investigated psychodynamically oriented therapies. Only a few studies analyzed interpersonal complementarity effects in cognitive-behavioral therapies, and if so, these were restricted to the early stage of therapy.…”

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confidence: 99%

“…For example, in the first sessions of cognitive therapies for generalized anxiety disorders, greater complementarity was associated with higher outcome expectations during moments of resistance (Ahmed, Westra, & Constantino, 2012). Additionally, greater complementarity in affiliative behaviors during the early stage of therapy was observed in therapeutic dyads with greater symptomatic change (Thompson et al, 2020).…”

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confidence: 99%

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Effects of patient–therapist interpersonal complementarity on alliance and outcome in cognitive–behavioral therapies for depression: Moving toward interpersonal responsiveness.

Rubel¹,

Krieger²,

Alalú³

et al. 2021

Journal of Counseling Psychology

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This study analyzed patient-therapist in-session interpersonal complementarity effects on the therapeutic alliance and depression severity during the initial and working phase of cognitive-behavioral therapy for depression. It also explored whether patients' interpersonal problems moderate those complementarity effects. We drew on a sample of 90 dyads derived from a randomized controlled trial of two cognitive-behavioral therapies for depression. Using an observer-based measure, we assessed patients' and therapists' interpersonal behavior in Sessions 1, 5, 9, and 13 and computed their complementarity regarding interpersonal affiliation (i.e., correspondence) and dominance (i.e., reciprocity). Patients completed measures of interpersonal problems at baseline and session-by-session measures of depression severity and quality of the therapeutic alliance. Response surface analyses based on polynomial regressions showed that patient-therapist complementarity in higher affiliative behaviors was associated with a stronger alliance. Interpersonal problems regarding agency moderated the complementarity effects of the dominance dimensions on depression severity. Overly dominant patients benefited more from a nonreciprocal relationship in the dominance dimension, whereas submissive patients benefited more from complementarity in that dimension. Furthermore, interpersonal problems of communion significantly moderated the effects of complementarity in affiliative behaviors on both the alliance and outcome. These results suggest the relevance of both interpersonal correspondence and reciprocity for the psychotherapy process, informing clinical practice in terms of interpersonal responsiveness. The moderation effects of interpersonal problems provide preliminary evidence, which should be replicated in future research, to determine relevant markers indicating for whom a complementary approach would be beneficial in cognitive therapy for depression.

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Section: Discussioncontrasting

confidence: 99%

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confidence: 99%

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confidence: 99%

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Effects of patient–therapist interpersonal complementarity on alliance and outcome in cognitive–behavioral therapies for depression: Moving toward interpersonal responsiveness.

Rubel¹,

Krieger²,

Alalú³

et al. 2021

Journal of Counseling Psychology

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“…This suggests the implementation of specific and targeted forms of therapy (support, education, psychotherapy and, pharmacotherapy). Getting to know these "traits" allows for their modulation (reduction, promotion), e.g., with worse values of the traits "Self-direction", "Self-acceptance", "Perseverance" (education, cognitive-behavioral psychotherapy), and with "Pessimism" (support, antidepressants) [98,99]. What is special in the individual selection of diagnostic and therapeutic methods is the determination of the coexistence of positive (e.g., enhancement of the "Self-direction", "Self-acceptance") or negative features (e.g., enhancement of "Pessimism" and weakening of the "Self-direction" feature) with the presence (protection of hunger) or the absence (lack of protection of hunger) of the homozygous DRD2 polymorphism.…”

Section: Discussionmentioning

confidence: 99%

Initial Study on COMT and DRD2 Gene Polymorphisms as Well as the Influence of Temperament and Character Trait on the Severity of Alcohol Craving in Alcohol-Dependent Patients

Czarnecki

Ziółkowski

Chodkiewicz

et al. 2021

JCM

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The main aim of this work was to determine the impact of COMT and DRD2 gene polymorphisms together with temperament and character traits on alcohol craving severity alcohol-dependent persons. The sample comprised of 89 men and 16 women (aged 38±7). For the sake of psychological assessment various analytic methods have been applied like the Short Alcohol Dependence Data Questionnaire (SADD), Penn Alcohol Craving Scale (PACS) or Temperament and Character Inventory (TCI) test. The SNP polymorphism of the analyzed genes was determined by Real Time PCR test. The results showed, that the COMT polymorphismmay have an indirected relationship with the intensity and changes in alcohol craving during abstinence. The DRD2 receptor gene polymorphisms are related with the intensity of alcohol craving. It seems that the character traits like “self-targeting”, including “self-acceptance”, are more closely related to the severity of alcohol craving and polymorphic changes in the DRD2 receptor than temperamental traits. Although this is a pilot study the obtained results appeared to be promising and clearly indicate the link betweengene polymorphisms alcohol craving and its severity.

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“…PDD is often associated with high self-criticism. A greater motivation to be more benevolent towards oneself may help to compensate for this deficit [33, 34]. In addition, the enhancement of positive affect may also contribute to the increase of resilience [35].…”

Section: Introductionmentioning

confidence: 99%

Metta-based group meditation and individual cognitive behavioral therapy (MeCBT) for chronic depression: study protocol for a randomized controlled trial

Frick

Thinnes

Stangier

2020

Trials

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BackgroundDepression is a widespread disorder with severe impacts for individuals and society, especially in its chronic form. Current treatment approaches for persistent depression have focused primarily on reducing negative affect and have paid little attention to promoting positive affect. Previous studies have shown that metta meditation increases positive affect in chronically depressed patients. Results from previous trials provide evidence for the efficacy of a stand-alone metta meditation group treatment in combination with mindfulness-based approaches. Further research is needed to better understand the implementation of meditation practice into everyday life. Therefore, mindfulness and metta meditation in a group setting are combined with individual cognitive behavioral therapy (CBT) into a new, low-intensity, cost-effective treatment (“MeCBT”) for chronic depression.Methods/designIn this single-center, randomized, observer-blinded, parallel-group clinical trial we will test the efficacy of MeCBT in reducing depression compared to a wait-list control condition. Forty-eight participants in a balanced design will be allocated randomly to a treatment group or a wait-list control group. Metta-based group meditation will be offered in eight weekly sessions and one additional half-day retreat. Subsequent individual CBT will be conducted in eight fortnightly sessions. Outcome measures will be assessed at four time points: before intervention (T0); after group meditation (T1); after individual CBT (T2); and, in the treated group only, at 6-month follow-up (T3). Changes in depressive symptoms (clinician rating), assessed with the Quick Inventory of Depressive Symptoms (QIDS-C) are the primary outcome. We expect a significant decline of depressive symptoms at T2 compared to the wait-list control group. Secondary outcome measures include self-rated depression, mindfulness, benevolence, rumination, emotion regulation, social connectedness, social functioning, as well as behavioral and cognitive avoidance. We will explore changes at T1 and T2 in all these secondary outcome variables.DiscussionTo our knowledge this is the first study to combine a group program focusing on Metta meditation with state-of-the art individual CBT specifically tailored to chronic depression. Implications for further refinement and examination of the treatment program are discussed.Trial registrationISRCTN, ISRCTN97264476. Registered 29 March 2018 (applied on 14 December 2017)—retrospectively registered.

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Changes in depressed patients’ self-statements

Cited by 6 publications

References 60 publications

Effects of patient–therapist interpersonal complementarity on alliance and outcome in cognitive–behavioral therapies for depression: Moving toward interpersonal responsiveness.

Effects of patient–therapist interpersonal complementarity on alliance and outcome in cognitive–behavioral therapies for depression: Moving toward interpersonal responsiveness.

Initial Study on COMT and DRD2 Gene Polymorphisms as Well as the Influence of Temperament and Character Trait on the Severity of Alcohol Craving in Alcohol-Dependent Patients

Metta-based group meditation and individual cognitive behavioral therapy (MeCBT) for chronic depression: study protocol for a randomized controlled trial

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