When Are Therapists’ Efforts to Bring About Cognitive Change Effective? Considering Interpersonal Vulnerabilities as Contextual Factors

International Journal of Cognitive Therapy - Tập 14 - Trang 623-638 - 2021
Iony D. Ezawa1, Samuel T. Murphy1, Megan L. Whelen1, Daniel R. Strunk1
1Department of Psychology, The Ohio State University, Columbus, USA

Tóm tắt

We examined interpersonal variables as moderators of the relation between therapists’ use of cognitive change (CC) strategies and CC in a sample of 125 adults who participated in cognitive behavioral therapy for depression. We measured self-reported maladaptive personality characteristics, interpersonal problems, and social skills at intake. Observers rated therapist adherence to cognitive methods for the first five sessions. Patients reported in-session CC following each session. Cognitive methods predicted greater CC. The relation between cognitive methods and CC was moderated by maladaptive personality traits; this relation was stronger for patients with greater maladaptive personality traits. We encourage future research investigating moderators of therapist interventions of putative therapeutic mechanisms.

Tài liệu tham khảo

Anderson, J. L., Sellbom, M., & Salekin, R. T. (2018). Utility of the Personality Inventory for DSM–5–Brief Form (PID-5-BF) in the measurement of maladaptive personality and psychopathology. Assessment, 25, 596–607. https://doi.org/10.1177/1073191116676889

Arnold, M. (2021). ipcr: individual parameter contribution regression. R package version 0.2.0.

Arnold, M., Oberski, D. L., Brandmaier, A. M., & Voelkle, M. C. (2020). Identifying heterogeneity in dynamic panel models with individual parameter contribution regression. Structural Equation Modeling: A Multidisciplinary Journal, 27, 613–628. https://doi.org/10.1080/10705511.2019.1667240

Barkham, M., Hardy, G. E., & Startup, M. (1996). The IIP-32: A short version of the Inventory of Interpersonal Problems. British Journal of Clinical Psychology, 35, 21–35. https://doi.org/10.1111/j.2044-8260.1996.tb01159.x

Beck, A. T., Davis, D. D., & Freeman, A. (Eds.). (2015). Cognitive therapy of personality disorders. Guilford.

Bruijniks, S. J., Los, S. A., & Huibers, M. J. (2020). Direct effects of cognitive therapy skill acquisition on cognitive therapy skill use, idiosyncratic dysfunctional beliefs and emotions in distressed individuals: An experimental study. Journal of Behavior Therapy and Experimental Psychiatry, 67, 101460. https://doi.org/10.1016/j.jbtep.2019.02.005

Cohen, Z. D., & DeRubeis, R. J. (2018). Treatment selection in depression. Annual Review of Clinical Psychology, 14, 209–236. https://doi.org/10.1146/annurev-clinpsy-050817-084746

Curran, P. J., Howard, A. L., Bainter, S. A., Lane, S. T., & McGinley, J. S. (2014). The separation of between-person and within-person components of individual change over time: A latent curve model with structured residuals. Journal of Consulting and Clinical Psychology, 82, 879–894. https://doi.org/10.1037/a0035297

Driessen, E., & Hollon, S. D. (2010). Cognitive behavioral therapy for mood disorders: Efficacy, moderators and mediators. Psychiatric Clinics, 33, 537–555. https://doi.org/10.1016/j.psc.2010.04.005

Falkenström, F., Solomonov, N., & Rubel, J. (2020). Using time-lagged panel data analysis to study mechanisms of change in psychotherapy research: methodological recommendations. Counselling and Psychotherapy Research, 20, 435–441. https://doi.org/10.1002/capr.12293

First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured Clinical Interview for DSM-IV Axis I Disorders, Research Version, Non-patient Edition (SCID-I/NP). Biometrics Research, New York State Psychiatric Institute.

Fitzpatrick, O. M., Whelen, M. L., Falkenström, F., & Strunk, D. R. (2020). Who benefits the most from cognitive change in cognitive therapy of depression? A study of interpersonal factors. Journal of Consulting and Clinical Psychology, 88, 128–136. https://doi.org/10.1037/ccp0000463

Fossati, A., Somma, A., Borroni, S., Maffei, C., Markon, K. E., & Krueger, R. F. (2016). A head-to-head comparison of the Personality Inventory for DSM-5 (PID-5) with the Personality Diagnostic Questionnaire-4 (PDQ-4) in predicting the general level of personality pathology among community dwelling subjects. Journal of Personality Disorders, 30, 82–94. https://doi.org/10.1521/pedi_2015_29_184

Fournier, J. C., DeRubeis, R. J., Shelton, R. C., Gallop, R., Amsterdam, J. D., & Hollon, S. D. (2008). Antidepressant medications v. cognitive therapy in people with depression with or without personality disorder. The British Journal of Psychiatry, 192, 124–129. https://doi.org/10.1192/bjp.bp.107.037234

Hollon, S. D., Evans, M. D., Auerbach, A., DeRubeis, R. J., Elkin, I., Lowery, A., ... Piasecki, J. M. (1988). Development of a system for rating therapies for depression: differentiating cognitive therapy, interpersonal psychotherapy and clinical management pharmacotherapy. Unpublished manuscript.

Huibers, M. J. H., Lorenzo-Luaces, L., Cuijpers, P., & Kazantzis, N. (2021). On the road to personalized psychotherapy: A research agenda based on cognitive behavior therapy for depression. Frontiers in Psychiatry., 11, 607508. https://doi.org/10.3389/fpsyt.2020.607508

Johnsen, T. J., & Friborg, O. (2015). The effects of cognitive behavioral therapy as an anti-depressive treatment is falling: A meta-analysis. Psychological Bulletin, 141, 747–768. https://doi.org/10.1037/bul0000015

Keefe, J. R., Webb, C. A., & DeRubeis, R. J. (2016). In cognitive therapy for depression, early focus on maladaptive beliefs may be especially efficacious for patients with personality disorders. Journal of Consulting and Clinical Psychology, 84, 353–364. https://doi.org/10.1037/ccp0000071

Krueger, R. F., Derringer, J., Markon, K. E., Watson, D., & Skodol, A. E. (2013). The Personality Inventory for DSM–5—Brief Form (PID-5-BF)—Adult. American Psychiatric Association.

Lorenzo-Luaces, L., German, R. E., & DeRubeis, R. J. (2015). It’s complicated: The relation between cognitive change procedures, cognitive change, and symptom change in cognitive therapy for depression. Clinical Psychology Review, 41, 3–15. https://doi.org/10.1097/NMD.0b013e3181663520

Oberski, D. L. (2013). A flexible method to explain differences in structural equation model parameters over subgroups. Retrieved from http://daob.nl/wp-content/uploads/2013/06/SEM-IPC-manuscript-new.pdf

Renner, F., Lobbestael, J., Peeters, F., Arntz, A., & Huibers, M. (2012). Early maladaptive schemas in depressed patients: Stability and relation with depressive symptoms over the course of treatment. Journal of Affective Disorders, 136, 581–590. https://doi.org/10.1016/j.jad.2011.10.027

Sasso, K. E., Strunk, D. R., Braun, J. D., DeRubeis, R. J., & Brotman, M. A. (2015). Identifying moderators of the adherence-outcome relation in cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 83, 976–984. https://doi.org/10.1037/ccp0000045

Sasso, K. E., Strunk, D. R., Braun, J. D., DeRubeis, R. J., & Brotman, M. A. (2016). A re-examination of process–outcome relations in cognitive therapy for depression: Disaggregating within-patient and between-patient effects. Psychotherapy Research, 26, 387–398. https://doi.org/10.1080/10503307.2015.1026423

Schmidt, I. D., Pfeifer, B. J., & Strunk, D. R. (2019). Putting the “cognitive” back in cognitive therapy: Sustained cognitive change as a mediator of in-session insights and depressive symptom improvement. Journal of Consulting and Clinical Psychology, 87, 446–456. https://doi.org/10.1037/ccp0000392

Stekhoven, D. J., & Bühlmann, P. (2012). MissForest—non-parametric missing value imputation for mixed-type data. Bioinformatics, 28, 112–118. https://doi.org/10.1093/bioinformatics/btr597

Tang, T. Z., & DeRubeis, R. J. (1999). Sudden gains and critical sessions in cognitive-behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 67, 894–904. https://doi.org/10.1037/0022-006X.67.6.894

Tang, T. Z., DeRubeis, R. J., Hollon, S. D., Amsterdam, J., & Shelton, R. (2007). Sudden gains in cognitive therapy of depression and depression relapse/recurrence. Journal of Consulting and Clinical Psychology, 75, 404–408. https://doi.org/10.1037/0022-006X.75.3.404

Uebelacker, L. A., Battle, C. L., Friedman, M. A., Cardemil, E. V., Beevers, C. G., & Miller, I. W. (2008). The importance of interpersonal treatment goals for depressed inpatients. Journal of Nervous and Mental Disease, 196, 217–222. https://doi.org/10.1097/NMD.0b013e3181663520

Wang, L. P., & Maxwell, S. E. (2015). On disaggregating between-person and within person effects with longitudinal data using multilevel models. Psychological Methods, 20, 63–83. https://doi.org/10.1037/met0000030