Publicação
Time to improve and recover from depressive symptoms and interpersonal problems in a clinical trial
| Resumo: | 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. |
|---|---|
| Autores principais: | Lopes, Rodrigo da Cunha Teixeira |
| Outros Autores: | Gonçalves, Miguel M.; Fassnacht, Daniel Benjamin; Machado, Paulo P. P.; Sousa, Inês |
| Assunto: | Depression Treatment of depression Psychological treatment of depression Empirically Supported Therapy (EST) Narrative therapy Cognitive–behavioural therapy Survival analysis |
| Ano: | 2015 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade do Minho |
| Idioma: | inglês |
| Origem: | RepositóriUM - Universidade do Minho |
| _version_ | 1866269407185993728 |
|---|---|
| author | Lopes, Rodrigo da Cunha Teixeira |
| author2 | Gonçalves, Miguel M. Fassnacht, Daniel Benjamin Machado, Paulo P. P. Sousa, Inês |
| author2_role | author author author author |
| author_facet | Lopes, Rodrigo da Cunha Teixeira Gonçalves, Miguel M. Fassnacht, Daniel Benjamin Machado, Paulo P. P. Sousa, Inês |
| author_role | author |
| contributor_name_str_mv | Universidade do Minho |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Lopes, Rodrigo da Cunha Teixeira\"},{\"Person.name\":\"Gonçalves, Miguel M.\"},{\"Person.name\":\"Fassnacht, Daniel Benjamin\"},{\"Person.name\":\"Machado, Paulo P. P.\"},{\"Person.name\":\"Sousa, Inês\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Universidade do Minho |
| datacite.creators.creator.creatorName.fl_str_mv | Lopes, Rodrigo da Cunha Teixeira Gonçalves, Miguel M. Fassnacht, Daniel Benjamin Machado, Paulo P. P. Sousa, Inês |
| datacite.date.Accepted.fl_str_mv | 2015-01-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2014-11-12T16:17:05Z |
| datacite.date.embargoed.fl_str_mv | 2014-11-12T16:17:05Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Depression Treatment of depression Psychological treatment of depression Empirically Supported Therapy (EST) Narrative therapy Cognitive–behavioural therapy Survival analysis |
| datacite.titles.title.fl_str_mv | Time to improve and recover from depressive symptoms and interpersonal problems in a clinical trial |
| dc.contributor.none.fl_str_mv | Universidade do Minho |
| dc.creator.none.fl_str_mv | Lopes, Rodrigo da Cunha Teixeira Gonçalves, Miguel M. Fassnacht, Daniel Benjamin Machado, Paulo P. P. Sousa, Inês |
| dc.date.Accepted.fl_str_mv | 2015-01-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2014-11-12T16:17:05Z |
| dc.date.embargoed.fl_str_mv | 2014-11-12T16:17:05Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://hdl.handle.net/1822/30880 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | John Wiley and Sons |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Depression Treatment of depression Psychological treatment of depression Empirically Supported Therapy (EST) Narrative therapy Cognitive–behavioural therapy Survival analysis |
| dc.title.fl_str_mv | Time to improve and recover from depressive symptoms and interpersonal problems in a clinical trial |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | 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. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| fulltext.url.fl_str_mv | https://prod-dspace.uminho.pt/bitstreams/2707f458-5535-42f9-8745-5813c0ad0bcb/download |
| id | rum_dfcd0a9b8a2fceea80e0e5a81a287b3c |
| identifier.url.fl_str_mv | https://hdl.handle.net/1822/30880 |
| instacron_str | repositorium |
| institution | Universidade do Minho |
| instname_str | Universidade do Minho |
| language | eng |
| network_acronym_str | rum |
| network_name_str | RepositóriUM - Universidade do Minho |
| oai_identifier_str | oai:repositorium.uminho.pt:1822/30880 |
| organization_str_mv | urn:organizationAcronym:repositorium |
| person_str_mv | Lopes, Rodrigo da Cunha Teixeira Gonçalves, Miguel M. Fassnacht, Daniel Benjamin Machado, Paulo P. P. Sousa, Inês |
| publishDate | 2015 |
| publisher.none.fl_str_mv | John Wiley and Sons |
| reponame_str | RepositóriUM - Universidade do Minho |
| repository_id_str | urn:repositoryAcronym:rum |
| service_str_mv | urn:repositoryAcronym:rum |
| spelling | engJohn Wiley and SonsporResults 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.application/pdfporTime to improve and recover from depressive symptoms and interpersonal problems in a clinical trialLopes, Rodrigo da Cunha TeixeiraGonçalves, Miguel M.Fassnacht, Daniel BenjaminMachado, Paulo P. P.Sousa, InêsHostingInstitutionOrganizationalUniversidade do Minhoe-mailmailto:repositorium@usdb.uminho.ptrepositorium@usdb.uminho.ptISSNIsPartOf1063-3995DOIIsPartOf10.1002/cpp.18732014-11-12T16:17:05Z20152015-01-01T00:00:00ZHandlehttps://hdl.handle.net/1822/30880http://purl.org/coar/access_right/c_abf2open accessDepressionTreatment of depressionPsychological treatment of depressionEmpirically Supported Therapy (EST)Narrative therapyCognitive–behavioural therapySurvival analysis326281 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://prod-dspace.uminho.pt/bitstreams/2707f458-5535-42f9-8745-5813c0ad0bcb/download |
| 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 |
| status | SINGLETON |
| subject.fl_str_mv | Depression Treatment of depression Psychological treatment of depression Empirically Supported Therapy (EST) Narrative therapy Cognitive–behavioural therapy Survival analysis |
| title | 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_short | 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 |
| topic | Depression Treatment of depression Psychological treatment of depression Empirically Supported Therapy (EST) Narrative therapy Cognitive–behavioural therapy Survival analysis |
| topic_facet | Depression Treatment of depression Psychological treatment of depression Empirically Supported Therapy (EST) Narrative therapy Cognitive–behavioural therapy Survival analysis |
| url | https://hdl.handle.net/1822/30880 |
| visible | 1 |