Time to Improve and Recover from Depressive Symptoms and Interpersonal Problems in a Clinical Trial

Rodrigo T. Lopes; Miguel M. Goncalves; Daniel Fassnacht; Paulo P. P. Machado; Ines Sousa

doi:10.1002/cpp.1873

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Time to Improve and Recover from Depressive Symptoms and Interpersonal Problems in a Clinical Trial

Journal article

Peer reviewed

Time to Improve and Recover from Depressive Symptoms and Interpersonal Problems in a Clinical Trial

Rodrigo T. Lopes, Miguel M. Goncalves, Daniel Fassnacht, Paulo P. P. Machado and Ines Sousa

Clinical Psychology and Psychotherapy, Vol.22(2), pp.97-105

2015

DOI: https://doi.org/10.1002/cpp.1873

PMID: 24166937

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Abstract

depression

treatment of depression

psychological treatment of depression

empirically supported therapy (EST)

narrative therapy

cognitive-behaviouiral therapy

survival analysis

Results from an earlier clinical trial comparing narrative therapy with cognitive-behavioural therapy (Lopes et al., 2013) suggested that narrative therapy is efficacious for depression. However, there were significant differences in symptom reduction on the Beck Depression Inventory-II, favouring cognitive-behavioural therapy, if dropouts were included in the analysis, suggesting that time to recovery or improvement would differ in both treatments. Contrarily, results showed that treatment assignment was not a predictor for differential effect. Using a survival analytic approach, it was found that four sessions were necessary for 50% improvement and 16 sessions for 50% recovery. Additionally, depressive symptoms changes occurred significantly faster than interpersonal changes, again regardless of treatment assignment. These results support previous findings of the dose-response literature and of the phase model of change, with the advantage of being specific to psychotherapy with depressive clients.

Details

Title: Time to Improve and Recover from Depressive Symptoms and Interpersonal Problems in a Clinical Trial
Authors: Rodrigo T. Lopes (Corresponding Author) - University of Minho
Miguel M. Goncalves (Author) - University of Minho
Daniel Fassnacht (Author) - James Cook University Singapore
Paulo P. P. Machado (Author) - University of Minho
Ines Sousa (Author) - University of Minho
Publication details: Clinical Psychology and Psychotherapy, Vol.22(2), pp.97-105
Publisher: John Wiley & Sons Ltd.
DOI: 10.1002/cpp.1873
ISSN: 1099-0879
PMID: 24166937
Grant note: Portuguese Foundation for Science and Technology (FCT); Fundacao para a Ciencia e a Tecnologia (FCT) SFRH/BD/47343/2008 / Fundao para a Cincia e a Tecnologia
Organisation Unit: School of Health - Psychology
Language: English
Record Identifier: 99727711602621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Psychology, Clinical

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