Sudden gains in cognitive behavioral treatment for depression: when do they occur and do they matter?
نویسندگان
چکیده
Despite the use of efficacious treatments for depression, individuals differ in both the degree to which they recover and the rate at which recovery occurs. Tang and colleagues found that depressed patients who had sudden improvements in their symptomatology not only maintained these gains, but also enjoyed more improvement and higher rates of recovery than those without sudden gains (J. Consulting Clin. Psychol. 67(6) (1999) 894; J. Consulting Clin. Psychol. 70(2) (2002) 444). Our study examined the role of sudden gains in a cognitive-behavioral group treatment for depression. Results indicated that 41.9% of patients experienced sudden gains. Furthermore, sudden gains occurring in the first third of treatment appear to have special importance. Participants enjoying early sudden gains had significantly larger changes in depressive symptom scores over the course of treatment than those without sudden gains and were marginally more likely to be treatment responders compared to those without early sudden gains. In contrast to Tang and DeRubeis (J. Consulting Clin. Psychol. 67(6) (1999) 894), however, sudden gains were not associated with cognitive changes.
منابع مشابه
Non-treatment-related sudden gains in depression: the role of self-evaluation.
A number of studies have demonstrated that recovery from depression is often marked by precipitous improvements during the course of treatment. The present research examined sudden gains occurring outside of the context of treatment in a sample of college students with current major depressive disorder (n=60), and tested whether variables pertaining to cognitive style, hope, self-evaluation, an...
متن کاملDo pre-performance routines have a role in free throws accuracy of basketball players?
A significant portion of research exploring pre-performance routines in sport has focused on the behavioral and temporal characteristics of the routines. This study aimed to investigate the role of behavioral and temporal consistency in those pre-performance routines. The duration and dominant behavioral patterns exhibited before each free throw (N = 1025) were observed during a total of 60 Ira...
متن کاملSudden gains during cognitive-behavioral group therapy for anxiety disorders.
Sudden gains in psychotherapy are characterized by large and relatively stable decreases in psychiatric symptoms and have been associated with cognitive shifts in clients and shown to predict superior treatment outcomes in studies of depression and, to a lesser extent, anxiety disorders. The purpose of this study was to examine prevalence and impact of sudden gains during a transdiagnostic cogn...
متن کاملSudden gains during psychological treatments of anxiety and depression: a meta-analysis.
OBJECTIVE The present study quantitatively reviewed the literature on sudden gains in psychological treatments for anxiety and depression. The authors examined the short- and long-term effects of sudden gains on treatment outcome as well as moderators of these effects. METHOD The authors conducted a literature search using PubMed, PsycINFO, the Cochrane Library, and manual searches. The meta-...
متن کاملThe Effectiveness of Cognitive-Behavioral Therapy on Psychological Distress in People with Bulimia Nervosa
Introduction & Objective: Eating disorders are one of the most common mental/psychological disorders that cause many problems in physical health and mental function and also impair the quality of life of the sufferer and cause death. Eating disorders can cause eating disorders and threaten a person's health by altering their diet and receiving poor nutrients. Overeating disorder is an eating an...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Behaviour research and therapy
دوره 43 6 شماره
صفحات -
تاریخ انتشار 2005