Self‐criticism predicts differential response to treatment for major depression

Marshall, Margarita B.; Zuroff, David C.; McBride, Carolina; Bagby, R. Michael

doi:10.1002/jclp.20438

Cited by 74 publications

(62 citation statements)

References 36 publications

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“…The investigation was conducted in an outpatient mood disorders clinic of a large university-affiliated psychiatric hospital. Other articles derived from this study are Bulmash, Harkness, Bagby, and Stewart (2009) ;Marshall, Zuroff, McBride, and Bagby (2008); Quilty, McBride, and Bagby (2008); and Zuroff et al (2007).…”

Section: Methodsmentioning

confidence: 99%

Therapist's Autonomy Support and Patient's Self-Criticism Predict Motivation during Brief Treatments for Depression

Zuroff¹,

Koestner²,

Moskowitz³

et al. 2012

Journal of Social and Clinical Psychology

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Section: Methodsmentioning

confidence: 99%

Therapist's Autonomy Support and Patient's Self-Criticism Predict Motivation during Brief Treatments for Depression

Zuroff¹,

Koestner²,

Moskowitz³

et al. 2012

Journal of Social and Clinical Psychology

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“…1. Thirty-five studies met inclusion criteria [2][3][4]5,6,8,[15][16][17][18]20,21,24,27,31,33,34,[40][41][42][43]45,46,[50][51][52][53][56][57][58][60][61][62]65,66]. Fig.…”

Section: Selection and Inclusion Of Studiesmentioning

confidence: 99%

The Effects of Blinding on the Outcomes of Psychotherapy and Pharmacotherapy for Adult Depression: a Meta-Analysis

et al. 2015

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BackgroundRandomized trials with antidepressants are often run under double blind placebo-controlled conditions, whereas those with psychotherapies are mostly unblinded. This can introduce bias in favor of psychotherapy when the treatments are directly compared. In this meta-analysis, we examine this potential source of bias.MethodsWe searched Pubmed, PsycInfo, Embase and the Cochrane database (1966 to January 2014) by combining terms indicative of psychological treatment and depression, and limited to randomized trials. We included 35 trials (with 3721 patients) in which psychotherapy and pharmacotherapy for adult depression were directly compared with each other. We calculated effect sizes for each study indicating the difference between psychotherapy and pharmacotherapy at post-test. Then, we examined the difference between studies with a placebo condition and those without in moderator analyses.ResultsWe did not find a significant difference between the studies with and those without a placebo condition. The studies in which a placebo condition was included indicated no significant difference between psychotherapy and pharmacotherapy (g = −0.07; NNT = 25). Studies in which no placebo condition was included (and patients and clinicians in both conditions were not blinded), resulted in a small, but significant difference between psychotherapy and pharmacotherapy in favor of pharmacotherapy (g = −0.13; NNT = 14).ConclusionsStudies comparing psychotherapy and pharmacotherapy in which both groups of patients (and therapists) are not blinded (no placebo condition is included) result in a very small, but significantly higher effect for pharmacotherapy.

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“…Previous studies have revealed conflicting findings in the contribution of dependency and self-criticism to poor treatment response in depression (e.g., Blatt et al, 1995; Marshall et al, 2008). Our finding that initial dependency but not self-criticism predicted treatment response could be a sample-specific finding.…”

Section: Discussionmentioning

confidence: 97%

Dependency and self-criticism in treatments for depression.

Chui¹,

Zilcha‐Mano²,

Dinger³

et al. 2016

Journal of Counseling Psychology

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Dependency and self-criticism are vulnerability factors for depression. How these personality factors change with treatment for depression, and how they relate to symptom change across different types of treatment require further research. In addition, cultural differences that interact with the dependency/self-criticism-depression relation remain under-investigated. One hundred and forty-nine adults with major depression were randomly assigned to receive active medication (MED; n = 50), supportive-expressive therapy (SET; n = 49), or placebo pill (PBO; n = 50). Participants completed the Depressive Experiences Questionnaire (DEQ; Blatt, D'Afflitti, & Quinlan, 1976) before and after treatment, and were administered the Hamilton Rating Scale for Depression (Hamilton, 1967) throughout the course of treatment. Self-criticism as measured on the DEQ decreased with treatment similarly across conditions. DEQ Dependency decreased in MED but remained unchanged in SET and PBO. Higher initial dependency, but not higher initial self-criticism, predicted poor treatment response across conditions. Greater reduction in self-criticism was associated with greater reduction in depressive symptoms, but the effect was weaker for racial minorities (vs. White). Increase in connectedness, an adaptive form of dependency, was associated with symptom improvement in SET but not MED. Hence, different pathways of change seem to be implicated in the treatment of depression depending on culture and type of intervention. Implications for future research are discussed.

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Self‐criticism predicts differential response to treatment for major depression

Cited by 74 publications

References 36 publications

Therapist's Autonomy Support and Patient's Self-Criticism Predict Motivation during Brief Treatments for Depression

Therapist's Autonomy Support and Patient's Self-Criticism Predict Motivation during Brief Treatments for Depression

The Effects of Blinding on the Outcomes of Psychotherapy and Pharmacotherapy for Adult Depression: a Meta-Analysis

Dependency and self-criticism in treatments for depression.

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