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Cognitive Therapy and Research

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21.10.2016 | Original Article

The Effects of Psychotherapy for Major Depressive Disorder on Daily Mood and Functioning: A Longitudinal Experience Sampling Study

verfasst von: Kari M. Eddington, Chris J. Burgin, Paul J. Silvia, Niloofar Fallah, Catherine Majestic, Thomas R. Kwapil

Erschienen in: Cognitive Therapy and Research | Ausgabe 2/2017

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Abstract

Experience sampling methodology (ESM) was used in a randomized controlled trial of short-term therapy to examine changes in daily affect and reactivity to daily event appraisals among depressed patients. Fifty-five depressed adults (mean age 37 years, 80 % female) were randomly assigned to one of two therapy conditions. Using an interactive voice response system, participants rated activities and emotional functioning eight times per day for 7 days. Twenty-nine participants completed treatment and repeated ESM at post-treatment. Broad improvements in mood, cognition, and physical functioning were similar across treatment conditions, with the largest improvements for markers of positive affect. Participants demonstrated increased resilience, i.e., diminished reactivity to stressors, at post-treatment. Changes in reactivity to positive daily situations were minimal. Findings underscore the utility of ESM in psychotherapy research and the importance of including measures of both positive and negative affect and experiences.

Of the 44 exclusions, 38 % had an exclusionary diagnosis (e.g., bipolar); 35 % had subclinical depressive symptoms; 27 % had other exclusionary concerns (e.g., taking antidepressants, unable to follow through with study procedures).

Specifically, at baseline, people who were assigned to CBT had lower values (M = 4.34) than people assigned to SST (M = 4.84), but the means were similar post-treatment (CBT M = 4.78, SST M = 4.60).

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Titel: The Effects of Psychotherapy for Major Depressive Disorder on Daily Mood and Functioning: A Longitudinal Experience Sampling Study
verfasst von: Kari M. Eddington
Chris J. Burgin
Paul J. Silvia
Niloofar Fallah
Catherine Majestic
Thomas R. Kwapil
Publikationsdatum: 21.10.2016
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research / Ausgabe 2/2017
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-016-9816-7

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The Effects of Psychotherapy for Major Depressive Disorder on Daily Mood and Functioning: A Longitudinal Experience Sampling Study

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