Cognitive, assertive, and insight-oriented group therapies in the treatment of reactive depression in women

33 nonpsychotic, nonsuicidal women (mean age 35.1 yrs) who scored between 15 and 31 on the Beck Depression Inventory (BDI) and whose depression was situationally related were assigned to 6-wk cognitive, assertive, or insight-oriented group therapy. Ss were administered a standardized interview, BDI, Rathus Assertiveness Schedule, Personality Data Form, and 4 tape-recorded scenes requiring an assertive response before and after the groups and at a 2-mo follow-up. Results show all groups improved significantly in depression, rationality, and assertiveness. Assertive and insight groups improved significantly more in rationality regarding acceptance than the cognitive group. At follow-up, none of the assertive groups, 18% of the cognitive group, and 45% of the insight group had sought further treatment. Additionally, the assertive group was significantly more rational regarding frustrating events and self-worth. The assertive and insight groups made significantly more gains and were more assertive than the cognitive group. A 3 (change in depression) by 3 (treatment group) ANOVA showed high-depression-change and medium-depression-change Ss changed significantly more in assertiveness and rationally than low-depression change Ss. (36 ref)