Patients' interpersonal problems as moderators of depression outcomes in a randomized controlled trial comparing mindfulness‐based cognitive therapy and a group version of the cognitive‐behavioral analysis system of psychotherapy in chronic depression

Probst, Thomas; Schramm, Elisabeth; Heidenreich, Thomas; Klein, Jan Philipp; Michalak, Johannes

doi:10.1002/jclp.22931

Cited by 10 publications

(6 citation statements)

References 59 publications

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“…If patient assignment could be improved, we expect that drop‐out rates would decrease. For example, a recent study on interpersonal problems indicated that Group‐CBASP should be preferred in persistently depressed patients being non‐assertive, but not in those patients being vindictive or self‐centred (Probst et al ., 2020).…”

Section: Discussionmentioning

confidence: 99%

Group Cognitive Behavioural Analysis System of Psychotherapy (CBASP) for persistently depressed outpatients: a retrospective chart review

Potijk

Rot

Parlevliet

et al. 2020

British J Clinic Psychol

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Background. Cognitive behavioural analysis system of psychotherapy (CBASP) is an effective individual treatment for persistent depressive disorder (PDD), but evidence on group treatment (Group-CBASP) is limited. Our aim was to review the effect of Group-CBASP on self-report depression severity in outpatients with PDD, overall and by age of depression-onset. Methods. A retrospective chart review study (November 2011-March 2017) in 54 patients with PDD (29 late-onset, 25 early-onset). Patients were previously treated by pharmacotherapy (92.6%), psychotherapy (98.1%) and/or electroconvulsive therapy (11.1%). Group-CBASP involved 24 weekly sessions during 6 months, followed by individual appointments over 6 months. The Inventory of Depressive Symptoms-self rating(IDS-SR) was used at baseline and after 3, 6, 9 and 12 months, computing mean differences and response rates. Results. The mean IDS-SR score decreased significantly from 39.83 at baseline to 33.78 at 6 months: a decrease from severe to moderate depression after 24 weeks of Group-CBASP, with a medium effect size (Cohen's d = .49). At 12 months, the mean IDS-SR score was 32.81, indicating moderate symptom levels remained. At 6 and 12 months, mean IDS-SR scores were similar among late-versus early-onset patients, but at 12 months response rates were higher among late-onset patients. Limitations. Although results of our study provide valuable input for future prospective studies, limitations were the use of a retrospective design and the small group size. Conclusion. Group-CBASP offered to an outpatient population with PDD was associated with clinically relevant decrease in self-reported symptom severity, and with sustained response particularly in patients with late onset of depression. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Section: Discussionmentioning

confidence: 99%

Group Cognitive Behavioural Analysis System of Psychotherapy (CBASP) for persistently depressed outpatients: a retrospective chart review

Potijk

Rot

Parlevliet

et al. 2020

British J Clinic Psychol

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“…(Schanche et al, 2021) Dalam penelitiannya mengungkapkan bahwa Ketika terjadi kesalahan atau sesuatu berjalan tidak semestinya, orang-orang yang mengikuti MBCT tampak lebih mampu mentolerir kesalahan, mampu untuk mengendalikan kecenderungan untuk mengkritik diri sendiri, tidak terlalu memikirkan kekurangan diri sendiri, serta merasa tidak teralalu pantas untuk dikritik, (Huang et al, 2019) terjadi penurunan skor secara signifikan pada kesedihan (TRIG), emosi negatif (GAD-7 dan Depresi), dan kesulitan pengaturan emosi (DERS) sedangkan tingkat kesadaran (total skor FFMQ) meningkat secara signifikan. (Bang et al, 2023) MBCT secara signifikan penurunan skor pada gejala panik (Probst et al, 2020) memberikan manfaat bagi pasien depresi kronis yang lebih pendendam/ berpusat pada diri sendiri untuk belajar fokus membuat pengalaman baru dengan proses kognitif dan melaksanakan praktek mindfulness. 8 minggu pelatihan sistematis mampu membawa perubahan dalam kebiasaan lama.…”

Section: B Pembahasanunclassified

Intervensi Mindfuness Behavior Cognitive Therapy (MBCT) dalam Meningkatkan Self Esteem pada Remaja: Literature Review

Larbona,

Wahyuni

2023

jiip

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Self Esteem merupakan bentuk sikap menerima diri yang ditunjukan dengan besarnya kepercayaan terhadap kemampuan, keberartian, kesuksesan dan keberhargaan. Disisi lain, self esteem yang rendah mengakibatkan adanya kecenderungan depresi, mudah putus asa dan rentan mengalami perilaku menyimpang. Intervensi MBCT terbukti secara efektif meningkatkan self esteem, mengurangi depresi dan disregulasi suasana hati, emosi negatif serta berbagai dampak negative lain yang ditimbulkan dari rendahnya self esteem. MBCT terbuktu memberikan manfaat bagi remaja yang menjalankan therapy ini diantaranya adalah ketrampilang untuk focus pada masa kini, melakukan penerimaan, membingkai ulang kognitif, meningkatkan kemampuan pengelolaan stress dan emosi yang sulit (kemarahan dan kecemasan).

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“…So konnte gezeigt werden, dass Patient*innen in einer CBASP-Behandlung im Vergleich zu denen einer Supportiven Psychotherapie über eine bessere therapeutische Beziehung berichten, die wiederum mit einer stärkeren Abnahme von sozial-vermeidendem Verhalten assoziiert war [22,42].…”

Section: Reduktion Der Interpersonellen Funktionsdefiziteunclassified

“…Diese Analysen beantworten die Frage, ob sich in einer Subgruppe ein besonderer Vorteil zugunsten einer bestimmten Therapie ergibt. [22,42], einer Beobachtungsstudie [3] und einer experimentellen unkontrollierten Studie [28].…”

Section: Bei Wem Wirkt Cbasp Am Besten?unclassified

CBASP – eine evidenzbasierte und praxisorientierte Einführung

2022

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Das Cognitive Behavioral Analysis System of Psychotherapy (CBASP) ist die bislang einzige störungsspezifische Psychotherapie, welche sich mit den psychopathologischen Besonderheiten von Patient*innen mit chronischen Depressionen befasst. Dieser Beitrag will die Ergebnisse der bisher erfolgten Forschung zu CBASP übersichtlich und für die praktische Anwendung komprimiert zusammenfassen und die Anwendung des CBASP-Verfahrens anhand eines Beispiels veranschaulichen.

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Patients' interpersonal problems as moderators of depression outcomes in a randomized controlled trial comparing mindfulness‐based cognitive therapy and a group version of the cognitive‐behavioral analysis system of psychotherapy in chronic depression

Cited by 10 publications

References 59 publications

Group Cognitive Behavioural Analysis System of Psychotherapy (CBASP) for persistently depressed outpatients: a retrospective chart review

Group Cognitive Behavioural Analysis System of Psychotherapy (CBASP) for persistently depressed outpatients: a retrospective chart review

Intervensi Mindfuness Behavior Cognitive Therapy (MBCT) dalam Meningkatkan Self Esteem pada Remaja: Literature Review

CBASP – eine evidenzbasierte und praxisorientierte Einführung

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