The Relation between Changes in Patients' Interpersonal Impact Messages and Outcome in Treatment for Chronic Depression

Autor/inn/en	Constantino, Michael J.; Laws, Holly B.; Arnow, Bruce A.; Klein, Daniel N.; Rothbaum, Barbara O.; Manber, Rachel
Titel	The Relation between Changes in Patients' Interpersonal Impact Messages and Outcome in Treatment for Chronic Depression
Quelle	In: Journal of Consulting and Clinical Psychology, 80 (2012) 3, S.354-364 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0028351
Schlagwörter	Depression (Psychology); Psychotherapy; Patients; Correlation; Interpersonal Communication; Outcomes of Treatment; Cognitive Restructuring; Behavior Modification; Scores; Regression (Statistics); Drug Therapy + Suchen Sie Ihr Suchwort? Psychotherapie; Patient; Korrelation; Interpersonale Kommunikation; Behaviour modification; Verhaltensänderung; Regression; Regressionsanalyse
Abstract	Objective: Interpersonal theories posit that chronically depressed individuals have hostile and submissive styles in their social interactions, which may undermine their interpersonal effectiveness and maintain their depression. Recent findings support this theory and also show that patients' interpersonal impact messages, as perceived by their psychotherapists, change in theoretically predicted ways following cognitive-behavioral analysis system of psychotherapy (CBASP) alone or with medication. This study extended these previous findings by examining whether such changes were associated with their depression change and response status. Method: Data derived from a large clinical trial for chronic depression compared the efficacy of CBASP, nefazodone, and their combination. To assess patients' impact messages, CBASP clinicians completed the Impact Message Inventory (IMI; Kiesler & Schmidt, 1993) following an early and late session. Our subsample (N = 259) consisted of patients in the CBASP and combined conditions who had depression severity data for at least 1 post-randomization visit and whose clinicians completed at least 1 IMI rating. We used hierarchical linear modeling (HLM) to calculate IMI change scores and to model depression change. We used HLM and logistic regression to test our predictor questions. Results: As hypothesized, decreases in patients' hostile-submissive impact messages were significantly associated with depression reduction ([gamma] = 0.27, 95% CI [0.11, 0.43], p less than 0.01) and favorable treatment response (B = -0.05, 95% CI [-0.09, -0.01], p = 0.03), regardless of treatment condition. Conclusions: The findings support CBASP theory, suggesting that interpersonal change is related to depression reduction among chronically depressed patients. (Contains 3 tables, 3 figures and 7 footnotes.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10