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A re-examination of process–outcome relations in cognitive therapy for depression: Disaggregating within-patient and between-patient effects.

Authors :
Sasso, Katherine E.
Strunk, Daniel R.
Braun, Justin D.
DeRubeis, Robert J.
Brotman, Melissa A.
Source :
Psychotherapy Research. Jul2016, Vol. 26 Issue 4, p387-398. 12p.
Publication Year :
2016

Abstract

Objective:We previously examined alliance and therapist adherence as predictors of symptom change. Applying a new analytic strategy, we can ensure that any relations identified were not attributable to stable patient characteristics.Method:Participants were 57 depressed cognitive therapy patients. We disaggregated within- and between-patient variation in process measures.Results:Between-patients, variability in adherence to Cognitive Methods and Negotiating/Structuring predicted patients' symptom change. Within-patients, only variability in ratings of adherence to Cognitive Methods predicted next-session symptom change.Conclusions:Relations involving between-patient process variables are potentially attributable to stable patient characteristics. However, the relation of within-patient Cognitive Methods and session-to-session symptom change cannot be attributed to stable characteristics and is consistent with a causal relationship. [ABSTRACT FROM PUBLISHER]

Details

Language :
English
ISSN :
10503307
Volume :
26
Issue :
4
Database :
Academic Search Index
Journal :
Psychotherapy Research
Publication Type :
Academic Journal
Accession number :
116415500
Full Text :
https://doi.org/10.1080/10503307.2015.1026423