Interpersonal Psychotherapy Versus Cognitive Therapy for Depression: How They Work, How Long, and for Whom—Key Findings From an RCT

Lemmens, Lotte H.J.M.; Bronswijk, Suzanne C van; Peeters, Frenk; Arntz, Arnoud; Roefs, Anne; Hollon, Steven D.; DeRubeis, Robert J.; Huibers, Marcus J.H.

doi:10.1176/appi.psychotherapy.20190030

Cited by 10 publications

(3 citation statements)

References 27 publications

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“…Both treatments performed equally well in reducing suicide ideation, depression, and prevention of reattempts and also performed as well as other well‐established cognitive or dialectical behavior therapies for this population (Esposito‐Smythers et al., 2019; McCauley et al., 2018). Because no treatment differences were found (Diamond et al., 2019), this paper explores if the pathway through which change occurs differs in the two treatments (Lemmens et al., 2020). Specifically, we aimed to explore if treatment adherence in either treatment is associated with outcomes and if alliance contributes to that association.…”

Section: Adherence Process Researchmentioning

confidence: 99%

Therapist Adherence to Two Treatments for Adolescent Suicide Risk: Association to Outcomes and Role of Therapeutic Alliance

et al. 2021

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In psychotherapy research, adherence refers to the extent to which therapists deliver a treatment as intended. This study examined whether therapist adherence to two different manualized treatments was associated with improved client outcomes and whether the association was moderated by therapeutic alliance. The study sample included 320 video recordings of therapy sessions from 118 cases in a randomized controlled trial (RCT) comparing attachment‐based family therapy (ABFT) with family‐enhanced nondirective supportive therapy (FE‐NST). Recordings were selected from early, middle, and late stages of treatment. The adherence measure consisted of 24 items representing essential therapist interventions from both treatments. Trained raters coded tapes from both therapies. Adolescent self‐report of alliance was measured at session 4. Adherence to ABFT was associated with a significant increase in family cohesion at mid‐treatment but not at posttreatment. Adherence to FE‐NST was significantly associated with an increase in suicide ideation posttreatment. Using therapeutic alliance as a moderator, adherence to ABFT was significantly associated with a reduction in suicide ideation, family conflict, and higher client satisfaction posttreatment. Alliance did not positively affect the association of FE‐NST adherence to outcomes. Findings suggest that adherence to ABFT interventions may be better linked to treatment outcomes when adolescents feel a strong alliance with their therapist. Implications for future research and therapist training are explored.

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Section: Adherence Process Researchmentioning

confidence: 99%

Therapist Adherence to Two Treatments for Adolescent Suicide Risk: Association to Outcomes and Role of Therapeutic Alliance

et al. 2021

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“…On the one hand, individuals with relative deficits in domains targeted by ESTEEM, such as social isolation or difficulties with emotion regulation, may have a preferential response to the intervention. On the other hand, CBTs for depression sometimes yield stronger effects when building on an individual’s strengths rather than focusing on areas of deficit (Cheavens et al, 2012; Lemmens et al, 2020; Murphy et al, 2021). Therefore, deficits in these treatment facilitators might be associated with less benefit upon receiving ESTEEM.…”

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confidence: 99%

Moderators of LGBQ-affirmative cognitive behavioral therapy: ESTEEM is especially effective among Black and Latino sexual minority men.

Keefe¹,

Rodriguez‐Seijas²,

Jackson³

et al. 2023

Journal of Consulting and Clinical Psychology

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Objective: Lesbian, gay, bisexual, and queer (LGBQ)-affirmative cognitive behavioral therapy (CBT) focused on minority stress processes can address gay and bisexual men’s transdiagnostic mental and behavioral health concerns. Identifying moderators of treatment outcomes may inform the mechanisms of LGBQ-affirmative CBT and subpopulations who may derive particular benefit. Method: Data were from a clinical trial in which gay and bisexual men with mental and behavioral health concerns were randomized to receive Effective Skills to Empower Effective Men (ESTEEM; an LGBQ-affirmative transdiagnostic CBT; n = 100) or one of two control conditions (n = 154): LGBQ-affirmative community mental health treatment (CMHT) or HIV counseling and testing (HCT). The preregistered outcome was a comorbidity index of depression, anxiety, alcohol/drug problems, and human immunodeficiency virus (HIV) transmission risk behavior at 8-month follow-up (i.e., 4 months postintervention). A two-step exploratory machine learning process was employed for 20 theoretically informed baseline variables identified by study therapists as potential moderators of ESTEEM efficacy. Potential moderators included demographic factors, pretreatment comorbidities, clinical facilitators, and minority stress factors. Results: Racial/ethnic minority identification, namely as Black or Latino, was the only statistically significant moderator of treatment efficacy (B = −3.23, 95% CI [−5.03, −1.64]), t(197) = −3.88, p < .001. Racially/ethnically minoritized recipients (d = −0.71, p < .001), but not White/non-Latino recipients (d = 0.22, p = .391), had greater reductions in comorbidity index scores in ESTEEM compared to the control conditions. This moderation was driven by improvements in anxiety and alcohol/drug use problems. Discussion: Black and Latino gay and bisexual men experiencing comorbid mental and behavioral health risks might particularly benefit from a minority stress–focused LGBQ-affirmative CBT. Future research should identify mechanisms for this moderation to inform targeted treatment delivery and dissemination.

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“…Due to ethical considerations, the 'pre-treatment' measure of the WLC condition was assessed at a different time point than the treatment condition, and therefore comparison was not possible. In line with secondary analyses of the STEPd study, the current study only included the treatment conditions (seeLemmens et al, 2020 for an overview).…”

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confidence: 99%

Exploring differences in quality of life in clinical populations of depressed outpatients with and without personality disorders

Kool

Lemmens

Hartog

et al. 2021

Journal of Affective Disorders

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Interpersonal Psychotherapy Versus Cognitive Therapy for Depression: How They Work, How Long, and for Whom—Key Findings From an RCT

Cited by 10 publications

References 27 publications

Therapist Adherence to Two Treatments for Adolescent Suicide Risk: Association to Outcomes and Role of Therapeutic Alliance

Therapist Adherence to Two Treatments for Adolescent Suicide Risk: Association to Outcomes and Role of Therapeutic Alliance

Moderators of LGBQ-affirmative cognitive behavioral therapy: ESTEEM is especially effective among Black and Latino sexual minority men.

Exploring differences in quality of life in clinical populations of depressed outpatients with and without personality disorders

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