scholarly journals Are Improvements in Cognitive Content and Depressive Symptoms Correlates or Mediators during Acute-Phase Cognitive Therapy for Recurrent Major Depressive Disorder?

2014 ◽  
Vol 7 (3) ◽  
pp. 251-271 ◽  
Author(s):  
Jeffrey R. Vittengl ◽  
Lee Anna Clark ◽  
Michael E. Thase ◽  
Robin B. Jarrett
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Symptoms ◽  
Depressive Disorder ◽  
Cognitive Therapy ◽  
Acute Phase ◽  
Cognitive Content ◽  
Major Depressive ◽  
Recurrent Major Depressive Disorder

scholarly journals Improved cognitive content endures for 2 years among unstable responders to acute-phase cognitive therapy for recurrent major depressive disorder

2015 ◽  
Vol 45 (15) ◽  
pp. 3191-3204 ◽  
Author(s):  
J. R. Vittengl ◽  
L. A. Clark ◽  
M. E. Thase ◽  
R. B. Jarrett
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Symptoms ◽  
Depressive Disorder ◽  
Cognitive Therapy ◽  
Acute Phase ◽  
Dysfunctional Attitudes ◽  
Cognitive Content ◽  
Major Depressive ◽  
Normal Ranges ◽  
Patient Reported

Background.The cognitive model of depression suggests that cognitive therapy (CT) improves major depressive disorder (MDD) in part by changing depressive cognitive content (e.g. dysfunctional attitudes, hopelessness). The current analyses clarified: (1) the durability of improvements in cognitive content made by acute-phase CT responders; (2) whether continuation-phase CT (C-CT) or fluoxetine (FLX) further improves cognitive content; and (3) the extent to which cognitive content mediates continuation treatments’ effects on depressive symptoms and major depressive relapse/recurrence.Method.Out-patients with recurrent MDD who responded to acute-phase CT (n = 241) were randomized to 8 months of C-CT, FLX or pill placebo (PBO) and followed for an 24 additional months. Cognitive content was assessed approximately every 4 months using five standard patient-report measures.Results.Large improvements in cognitive content made during acute-phase CT were maintained for 32 months, with 78–90% of patients scoring in normal ranges, on average. Cognitive content varied little between C-CT, FLX and PBO arms, overall. Small, transient improvements in cognitive content in C-CT or FLX compared with PBO patients did not clearly mediate the treatments’ effects on depressive symptoms or on major depressive relapse/recurrence.Conclusions.Outpatients with recurrent MDD who respond to acute-phase CT show durable improvements in cognitive content. C-CT or FLX may not continue to improve patient-reported cognitive content substantively, and thus may treat recurrent MDD by other paths.

scholarly journals The Role of Dyadic Discord in Outcomes in Acute Phase Cognitive Therapy for Adults With Recurrent Major Depressive Disorder

2019 ◽  
Vol 50 (4) ◽  
pp. 778-790 ◽  
Author(s):  
Joseph M. Trombello ◽  
Jeffrey R. Vittengl ◽  
Wayne H. Denton ◽  
Abu Minhajuddin ◽  
Michael E. Thase ◽  
...  
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Cognitive Therapy ◽  
Acute Phase ◽  
Major Depressive ◽  
Recurrent Major Depressive Disorder

scholarly journals Acute phase cognitive therapy for recurrent major depressive disorder: Who drops out and how much do patient skills influence response?

2013 ◽  
Vol 51 (4-5) ◽  
pp. 221-230 ◽  
Author(s):  
Robin B. Jarrett ◽  
Abu Minhajuddin ◽  
Julie L. Kangas ◽  
Edward S. Friedman ◽  
Judith A. Callan ◽  
...  
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Cognitive Therapy ◽  
Acute Phase ◽  
Major Depressive ◽  
Recurrent Major Depressive Disorder

Partner criticism during acute-phase cognitive therapy for recurrent major depressive disorder

2019 ◽  
Vol 113 ◽  
pp. 48-56
Author(s):  
Jeffrey R. Vittengl ◽  
Lee Anna Clark ◽  
Michael E. Thase ◽  
Robin B. Jarrett
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Cognitive Therapy ◽  
Acute Phase ◽  
Major Depressive ◽  
Recurrent Major Depressive Disorder

scholarly journals Baseline imbalance about depressive symptoms may overestimate the effectiveness of mindfulness-based cognitive therapy for anxiety disorders.

2020 ◽  
Author(s):  
Takuya Oka ◽  
Jun Watanabe ◽  
Yasushi Tsujimoto
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Symptoms ◽  
Depressive Disorder ◽  
Cognitive Therapy ◽  
Intervention Group ◽  
Self Report ◽  
Wait List ◽  
Major Depressive ◽  
Wait List Group ◽  
Baseline Imbalance

We read the article by Ninomiya et al. with great interest and appreciate the author's efforts to analyze the effect of primary mindfulness-based cognitive therapy (MBCT) in patients with anxiety disorder in secondary-care settings, compared with a waiting-list group. However, we have concerns about baseline imbalance of depressive symptoms that may influence the conclusion of the trial. Comorbid major depressive disorder can have caused an underestimation of anxiety symptoms in the waiting-list group and distort effectiveness of MBCT. The wait-list group had more severe depressive symptoms than the intervention group, about 7 points more in the Center for Epidemiologic Studies Depression Scale (CES-D) scores, and that group might have more major depressive disorder. Indeed, the rate of antidepressant use in the wait-list group was 25% higher than the intervention group. It is well known that major depressive disorder is associated with cognitive errors and underestimation of self-report outcomes. Baseline imbalance of depressive symptoms may therefore weaken the conclusion of the study, because all outcome measures were self-report questionnaires. The authors should acknowledge the limitation and provide information about the diagnosis of major depressive disorder.

scholarly journals A prognostic index for long-term outcome after successful acute phase cognitive therapy and interpersonal psychotherapy for major depressive disorder

2018 ◽  
Vol 36 (3) ◽  
pp. 252-261 ◽  
Author(s):  
Suzanne C. van Bronswijk ◽  
Lotte H.J.M. Lemmens ◽  
John R. Keefe ◽  
Marcus J.H. Huibers ◽  
Robert J. DeRubeis ◽  
...  
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Cognitive Therapy ◽  
Acute Phase ◽  
Prognostic Index ◽  
Interpersonal Psychotherapy ◽  
Major Depressive ◽  
Term Outcome ◽  
Long Term Outcome
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