Positive cognitive behavior therapy in the treatment of depression: A randomized order within-subject comparison with traditional cognitive behavior therapy.
Abstract Previous research suggests that a stronger focus on positive emotions and positive mental health may improve efficacy of Cognitive Behavior Therapy (CBT). Objectives were to compare differential improvement of depressive symptoms (primary outcome), positive affect, and positive mental healt...
| Publicado en: | Behaviour Research & Therapy Vol. 116; pp. 119 - 131 |
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| Autores principales: | , , , |
| Formato: | Artículo |
| Publicado: |
Elsevier B.V.
May2019
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=135599440&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 135599440 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00057967 BHT jtl: Behaviour Research & Therapy issn: 00057967 maglogo: N pubinfo: dt: May2019 vid: 116 pid: 2410 pub: Elsevier B.V. artinfo: ui: 135599440 10.1016/j.brat.2019.03.005 ppf: 119 ppct: 12 formats: tig: atl: Positive cognitive behavior therapy in the treatment of depression: A randomized order within-subject comparison with traditional cognitive behavior therapy. aug: au: Geschwind, Nicole Arntz, Arnoud Bannink, Fredrike Peeters, Frenk affil: Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, the Netherlands Department of Clinical Psychology, Faculty of Social and Behavioural Sciences, University of Amsterdam, the Netherlands Owner Therapy, Training, Coaching and Mediation Practice Amsterdam, the Netherlands Department of Psychiatry and Psychology, Maastricht University Medical Center, School for Mental Health and Neuroscience, Faculty of Health, Medicine and Life Sciences, Maastricht University, the Netherlands su: Cognitive therapy Mental health services Behavior therapy Health facilities Positive psychology Attention sug: subj: Cognitive therapy Mental health services Behavior therapy Health facilities Positive psychology Attention All Other Outpatient Care Centers Offices of Mental Health Practitioners (except Physicians) Residential Mental Health and Substance Abuse Facilities Psychiatric and Substance Abuse Hospitals keyword: Cognitive behavior therapy Major depression Positive affect Psychotherapeutic interventions Solution focused brief therapy Cognitive behavior therapy Major depression Positive affect Psychotherapeutic interventions Solution focused brief therapy ab: Abstract Previous research suggests that a stronger focus on positive emotions and positive mental health may improve efficacy of Cognitive Behavior Therapy (CBT). Objectives were to compare differential improvement of depressive symptoms (primary outcome), positive affect, and positive mental health indices during positive CBT (P-CBT; CBT in a solution-focused framework, amplified with optional positive psychology exercises) versus traditional, problem-focused CBT (T-CBT). Forty-nine patients with major depressive disorder (recruited in an outpatient mental health care facility specialized in mood disorders) received two treatment blocks of eight sessions each (cross-over design, order randomized). Intention-To-Treat mixed regression modelling indicated that depressive symptoms improved similarly during the first, but significantly more in P-CBT compared to T-CBT during the second treatment block. Rate of improvement on the less-frequently measured secondary outcomes was not significantly different. However, P-CBT was associated with significantly higher rates of clinically significant or reliable change for depression, negative affect, and happiness. Effect sizes for the combined treatment were large (pre-post Cohen's d = 2.71 for participants ending with P-CBT, and 1.85 for participants ending with T-CBT). Positive affect, optimism, subjective happiness and mental health reached normative population averages after treatment. Overall, findings suggest that explicitly focusing on positive emotions efficiently counters depressive symptoms. Highlights • Positive CBT (P-CBT) has a solution focus and uses positive psychology exercises. • P-CBT resulted in stronger reduction of depression during 2nd phase of treatment. • P-CBT was associated with more clinically significant change than traditional CBT. • Dropout was significantly lower when starting with positive (cf. traditional) CBT. • The relative impact of solution focus and positive psychology is still unclear. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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