Fostering Cognitive-Emotional Processing in the Treatment of Depression: A Preliminary Investigation in Exposure-Based Cognitive Therapy

Holtforth, Martin Grosse; Hayes, Adele M.; Sutter, Marielle; Wilm, Katharina; Schmied, Emma; Laurenceau, Jean-Philippe; Caspar, Franz

doi:10.1159/000336813

Cited by 43 publications

(47 citation statements)

References 40 publications

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“…For example, for depressive episodes brought on by adaptations designed to promote analytical thinking or accepting defeat, treatment interventions that reduce avoidance and increase rather than decrease the cognitive processing of the problems that an individual is facing may help resolve symptoms. This theoretical framework may explain data showing the potential benefits of "exposure-based" ruminative processing for treating depression (Baikie et al, 2012;Grosse Holtforth et al, 2012;Hayes et al, 2007Hayes et al, , 2005Pennebaker, 1997;Resick et al, 2002). A recent study of patients with MDD showed that exposure-based expressive writing exercises resulted in a persistent Fig.…”

Section: Implications For the Use Of Psychotherapymentioning

confidence: 94%

An adaptationist perspective on the etiology of depression

Durisko

Mulsant

Andrews

2015

Journal of Affective Disorders

116

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Section: Implications For the Use Of Psychotherapymentioning

confidence: 94%

An adaptationist perspective on the etiology of depression

Durisko

Mulsant

Andrews

2015

Journal of Affective Disorders

116

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“…Finally, interventions that focus on enhancing ER, such as emotion-focused therapy [46], dialectical behavioral therapy [47] and exposure-based cognitive therapy [48] have been shown to be effective in MDD [48,49,50,51,52,53,54]. …”

Section: Introductionmentioning

confidence: 99%

Emotion Regulation Skills Training Enhances the Efficacy of Inpatient Cognitive Behavioral Therapy for Major Depressive Disorder: A Randomized Controlled Trial

Berking

Ebert

Cuijpers³

et al. 2013

Psychother Psychosom

267

171

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Background: Deficits in emotion regulation skills are possible factors maintaining major depressive disorder (MDD). Therefore, the aim of the study was to test whether integrating a systematic emotion regulation training (ERT) enhances the efficacy of routine inpatient cognitive behavioral therapy (CBT) for MDD. Methods: In a prospective randomized controlled trial, 432 inpatients meeting criteria for MDD were assigned to receive either routine CBT or CBT enriched with an intense emotion regulation skills training (CBT-ERT). Results: Participants in the CBT-ERT condition demonstrated a significantly greater reduction in depression (response rates - CBT: 75.5%, CBT-ERT: 84.9%; remission rates - CBT: 51.1%, CBT-ERT: 65.1%). Moreover, CBT-ERT participants demonstrated a significantly greater reduction of negative affect, as well as a greater increase of well-being and emotion regulation skills particularly relevant for mental health. Conclusions: Integrating strategies that target emotion regulation skills improves the efficacy of CBT for MDD.

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“…This is completed in-session with the therapist, and between sessions via EW. EBCT has been associated with a significant decrease in depressive symptoms and with large effect sizes in pre-to posttreatment depression scores (Grosse Holtforth et al, 2012;Hayes et al, 2005;Hayes et al, 2007). For more informa tion, readers are advised to consult Hayes et al (2005 and2007).…”

Section: Clinical Examplesmentioning

confidence: 99%

Expressive writing in psychotherapy: A tool to promote and track therapeutic change.

Cummings¹,

Hayes²,

Saint³

et al. 2014

Professional Psychology: Research and Practice

Self Cite

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Expressive writing (EW) can be a useful supplement to psychotherapy, regardless of therapeutic orientation. In an open trial of exposure-based cognitive therapy for depression, 43 participants used EW before each session, producing 928 EW samples. Using examples from these, we discuss how EW can be used to both promote and track therapeutic change. Specifically, we review the impact of EW on therapeutic growth, via self-monitoring, increased awareness, and exposure/emotional processing. We then discuss how EW can be used to track important predictors of change such as symptoms, therapeutic alliance, social support, avoidance, and hopelessness. We conclude by discussing potential limitations to the use of EW in therapy and by recommending specific strategies for incorporating EW into clinical practice.Expressive writing (EW) can be a useful supplement to psycho therapy, regardless of therapeutic orientation. As we will review, several therapy frameworks incorporate EW, and a robust body of This article was published Online First August 25, 2014. J o r d e n A . C u m m in g s received her PhD in clinical psychology from the University of Delaware. She is currently an assistant professor in the Department of Psychology at the University of Saskatchewan. Her areas of professional interest include components of psychotherapy that promote and hinder change, as well as the bidirectional relationship between inter personal connections and psychopathology. A d e l e M . H a y e s received her PhD in clinical psychology from State University of New York, Stony Brook and completed a postdoctoral fellowship at Duke University Medical Center. She is currently a professor in the Department of Psychology at the University of Delaware. Her areas of professional interest include examination of the process of change in psychotherapies for depression and anxiety, as well as treatment develop ment and prevention research.D. S e b a s t ia n S a in t received his BA (Honours) in psychology from the University of Calgary. He is currently a PhD candidate in clinical psychol ogy at the University of Saskatchewan. His areas of professional interest include depression, expressive writing, and social support.J e f f P a r k received his PhD in curriculum studies at University of Saskatchewan. He is currently an associate professor in Curriculum Studies at the University of Saskatchewan. His main areas of research include writing theory, creativity, curriculum theory and history, narrative, artbased research methodologies, and literacy issues.T h is r e s e a r c h w a s su pp o r t e d in part by research indicates that stand-alone EW is linked to change. The purpose of this article is threefold. First, we briefly review literature on the impact of EW on clinical psychotherapy outcomes. Second, we discuss how EW can be used to promote therapeutic change and track treatment progress vis-h-vis a discussion of the relevant underlying principles. We illustrate these aforementioned points using case ex amples derived from an open trial of expo...

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Fostering Cognitive-Emotional Processing in the Treatment of Depression: A Preliminary Investigation in Exposure-Based Cognitive Therapy

Cited by 43 publications

References 40 publications

An adaptationist perspective on the etiology of depression

An adaptationist perspective on the etiology of depression

Emotion Regulation Skills Training Enhances the Efficacy of Inpatient Cognitive Behavioral Therapy for Major Depressive Disorder: A Randomized Controlled Trial

Expressive writing in psychotherapy: A tool to promote and track therapeutic change.

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