Time to improve and recover from depressive symptoms and interpersonal problems in a clinical trial

Detalhes bibliográficos
Autor(a) principal: Lopes, Rodrigo da Cunha Teixeira
Data de Publicação: 2015
Outros Autores: Gonçalves, Miguel M., Fassnacht, Daniel Benjamin, Machado, Paulo P. P., Sousa, Inês
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/1822/30880
Resumo: 28 Oct. 2013 [Epub ahead of print]
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spelling Time to improve and recover from depressive symptoms and interpersonal problems in a clinical trialDepressionTreatment of depressionPsychological treatment of depressionEmpirically Supported Therapy (EST)Narrative therapyCognitive–behavioural therapySurvival analysisSocial Sciences28 Oct. 2013 [Epub ahead of print]Results froman earlier clinical trial comparing narrative therapywith 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 psychotherapywith depressive clients. Practitioner Message For 50% of clients with major depressive disorder, it takes four sessions to improve and 16 sessions to recover, regardless of whether they were treated with narrative therapy or cognitive-behavioural therapy. For those clients who recover, they do so by session 11.Clients change depressive symptoms more consistently and much faster than they change interpersonal problems. For clients who will not recover during brief interventions and especially for clients who present strong interpersonal problems at onset, long-term treatment plans should be considered.More emphasis should be laid on symptomatic relief in the early stages of treatment and on interpersonal issues at later stages.This article was supported by the Portuguese Foundation for Science and Technology (FCT), by the grant PTDC/PSI-PCL/121525/2010 (Ambivalence and unsuccessful psychotherapy, 2011-2014) and by the PhD grant [SFRH/BD/47343/2008]. The authors would like to kindly thank Michael J. Lambert for the valuable input on the data analysis and encouragement. An earlier version of this article was presented at the 43rd International Meeting of the Society for Psychotherapy Research (SPR) held in Virginia Beach, VA, USA, in June 2012.John Wiley and SonsUniversidade do MinhoLopes, Rodrigo da Cunha TeixeiraGonçalves, Miguel M.Fassnacht, Daniel BenjaminMachado, Paulo P. P.Sousa, Inês20152015-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/30880engLopes, R. T., Goncalves, M. M., Fassnacht, D., Machado, P. P. P., & Sousa, I. (2015). Time to Improve and Recover from Depressive Symptoms and Interpersonal Problems in a Clinical Trial. Clinical Psychology & Psychotherapy, 22(2), 97-105. doi: 10.1002/cpp.18731063-39951099-087910.1002/cpp.187324166937info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:03:06Zoai:repositorium.sdum.uminho.pt:1822/30880Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:53:11.668364Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Time to improve and recover from depressive symptoms and interpersonal problems in a clinical trial
title Time to improve and recover from depressive symptoms and interpersonal problems in a clinical trial
spellingShingle Time to improve and recover from depressive symptoms and interpersonal problems in a clinical trial
Lopes, Rodrigo da Cunha Teixeira
Depression
Treatment of depression
Psychological treatment of depression
Empirically Supported Therapy (EST)
Narrative therapy
Cognitive–behavioural therapy
Survival analysis
Social Sciences
title_short Time to improve and recover from depressive symptoms and interpersonal problems in a clinical trial
title_full Time to improve and recover from depressive symptoms and interpersonal problems in a clinical trial
title_fullStr Time to improve and recover from depressive symptoms and interpersonal problems in a clinical trial
title_full_unstemmed Time to improve and recover from depressive symptoms and interpersonal problems in a clinical trial
title_sort Time to improve and recover from depressive symptoms and interpersonal problems in a clinical trial
author Lopes, Rodrigo da Cunha Teixeira
author_facet Lopes, Rodrigo da Cunha Teixeira
Gonçalves, Miguel M.
Fassnacht, Daniel Benjamin
Machado, Paulo P. P.
Sousa, Inês
author_role author
author2 Gonçalves, Miguel M.
Fassnacht, Daniel Benjamin
Machado, Paulo P. P.
Sousa, Inês
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidade do Minho
dc.contributor.author.fl_str_mv Lopes, Rodrigo da Cunha Teixeira
Gonçalves, Miguel M.
Fassnacht, Daniel Benjamin
Machado, Paulo P. P.
Sousa, Inês
dc.subject.por.fl_str_mv Depression
Treatment of depression
Psychological treatment of depression
Empirically Supported Therapy (EST)
Narrative therapy
Cognitive–behavioural therapy
Survival analysis
Social Sciences
topic Depression
Treatment of depression
Psychological treatment of depression
Empirically Supported Therapy (EST)
Narrative therapy
Cognitive–behavioural therapy
Survival analysis
Social Sciences
description 28 Oct. 2013 [Epub ahead of print]
publishDate 2015
dc.date.none.fl_str_mv 2015
2015-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1822/30880
url http://hdl.handle.net/1822/30880
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Lopes, R. T., Goncalves, M. M., Fassnacht, D., Machado, P. P. P., & Sousa, I. (2015). Time to Improve and Recover from Depressive Symptoms and Interpersonal Problems in a Clinical Trial. Clinical Psychology & Psychotherapy, 22(2), 97-105. doi: 10.1002/cpp.1873
1063-3995
1099-0879
10.1002/cpp.1873
24166937
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv John Wiley and Sons
publisher.none.fl_str_mv John Wiley and Sons
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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