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.
J Clin Psychol
; 76(7): 1241-1254, 2020 07.
Article
em En
| MEDLINE
| ID: mdl-31997369
ABSTRACT
OBJECTIVES:
Interpersonal problems were examined as moderators of depression outcomes between mindfulness-based cognitive therapy (MBCT) and cognitive behavioral analysis system of psychotherapy (CBASP) in patients with chronic depression.METHODS:
Patients received treatment-as-usual and, in addition, were randomized to 8-weeks of MBCT (n = 34) or 8-weeks of CBASP (n = 34). MBCT and CBASP were given in a group format. The Hamilton depression rating scale (HAM-D) was the primary and the Beck Depression Inventory (BDI-II) the secondary outcome. The subscales of the Inventory of interpersonal problems (IIP-32) were moderators. Multilevel models were performed.RESULTS:
Higher scores on the "vindictive/self-centered" subscale were associated with a better outcome in MBCT than in CBASP (HAM-D p < .01; BDI-II p < .01). Higher scores on the "nonassertive" subscale were associated with a better outcome in CBASP than in MBCT (HAM-D p < .01; BDI-II p < .01).CONCLUSIONS:
If these results can be replicated in larger trials, MBCT should be preferred to CBASP in chronically depressed patients being vindictive/self-centered, whereas CBASP should be preferred to MBCT in chronically depressed patients being nonassertive.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Personalidade
/
Psicoterapia de Grupo
/
Terapia Cognitivo-Comportamental
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Transtorno Depressivo
/
Relações Interpessoais
Tipo de estudo:
Clinical_trials
/
Prognostic_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Clin Psychol
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Áustria