Sudden gains in cognitive behavioral treatment for depression: when do they occur and do they matter?
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...
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| Veröffentlicht in: | Behaviour research and therapy 2005-06, Vol.43 (6), p.703-714 |
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| creator | Kelly, Morgen A.R. Roberts, John E. Ciesla, Jeffrey A. |
| description | 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. |
| doi_str_mv | 10.1016/j.brat.2004.06.002 |
| format | Article |
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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.</description><identifier>ISSN: 0005-7967</identifier><identifier>EISSN: 1873-622X</identifier><identifier>DOI: 10.1016/j.brat.2004.06.002</identifier><identifier>PMID: 15890164</identifier><identifier>CODEN: BRTHAA</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; Aged ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Cognitive style ; Cognitive Therapy ; Depression ; Depressive Disorder - diagnosis ; Depressive Disorder - psychology ; Depressive Disorder - therapy ; Female ; Humans ; Male ; Medical sciences ; Mental depression ; Middle Aged ; Prognosis ; Psychiatric Status Rating Scales ; Psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics ; Psychopathology. 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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.</description><subject>Adult</subject><subject>Aged</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Cognitive style</subject><subject>Cognitive Therapy</subject><subject>Depression</subject><subject>Depressive Disorder - diagnosis</subject><subject>Depressive Disorder - psychology</subject><subject>Depressive Disorder - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychopathology. Psychiatry</subject><subject>Self Concept</subject><subject>Sudden gains</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><issn>0005-7967</issn><issn>1873-622X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kUuLFDEUhYMoTjv6B1xIEHRXZR6VVEoGRAZfMOBCBXchldyaTlOVtEmqZf69abpxwIWry71853C4B6HnlLSUUPlm147JlJYR0rVEtoSwB2hDVc8bydjPh2hDCBFNP8j-Aj3JeVdXrhh5jC6oUEN16DYIvq3OQcC3xoeMfcA23gZf_AHwCFtz8DGZGZcEpiwQCp5iwg72CXL2MbzFv7dV7CIuW7jD0do1YRPc38tiSoH07il6NJk5w7PzvEQ_Pn74fv25ufn66cv1-5vGdpSWRgAZiOQ13CAVlWLoJquUmWgHXHKpLOHODUIpasdplONgKCd8lLYXgkMn-CV6ffLdp_hrhVz04rOFeTYB4pq17BWjPaMVfPkPuItrCjWbZrTrGBdCVoidIJtizgkmvU9-MelOU6KPDeidPjagjw1oInVtoIpenJ3XcQF3Lzm_vAKvzoDJ1sxTMsH6fM_JfugGceSuThzUhx08JJ2th2DB-QS2aBf9_3L8AQU8oyo</recordid><startdate>20050601</startdate><enddate>20050601</enddate><creator>Kelly, Morgen A.R.</creator><creator>Roberts, John E.</creator><creator>Ciesla, Jeffrey A.</creator><general>Elsevier Ltd</general><general>Elsevier Science</general><general>Elsevier Science Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>20050601</creationdate><title>Sudden gains in cognitive behavioral treatment for depression: when do they occur and do they matter?</title><author>Kelly, Morgen A.R. ; Roberts, John E. ; Ciesla, Jeffrey A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-5e0906358996816594fc88af14e36368c03dd95881cbfb6b9a1303b6c7553e453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Behavior therapy. Cognitive therapy</topic><topic>Biological and medical sciences</topic><topic>Cognitive style</topic><topic>Cognitive Therapy</topic><topic>Depression</topic><topic>Depressive Disorder - diagnosis</topic><topic>Depressive Disorder - psychology</topic><topic>Depressive Disorder - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics</topic><topic>Psychopathology. Psychiatry</topic><topic>Self Concept</topic><topic>Sudden gains</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kelly, Morgen A.R.</creatorcontrib><creatorcontrib>Roberts, John E.</creatorcontrib><creatorcontrib>Ciesla, Jeffrey A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Behaviour research and therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kelly, Morgen A.R.</au><au>Roberts, John E.</au><au>Ciesla, Jeffrey A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sudden gains in cognitive behavioral treatment for depression: when do they occur and do they matter?</atitle><jtitle>Behaviour research and therapy</jtitle><addtitle>Behav Res Ther</addtitle><date>2005-06-01</date><risdate>2005</risdate><volume>43</volume><issue>6</issue><spage>703</spage><epage>714</epage><pages>703-714</pages><issn>0005-7967</issn><eissn>1873-622X</eissn><coden>BRTHAA</coden><abstract>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.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>15890164</pmid><doi>10.1016/j.brat.2004.06.002</doi><tpages>12</tpages></addata></record> |
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| subjects | Adult Aged Behavior therapy. Cognitive therapy Biological and medical sciences Cognitive style Cognitive Therapy Depression Depressive Disorder - diagnosis Depressive Disorder - psychology Depressive Disorder - therapy Female Humans Male Medical sciences Mental depression Middle Aged Prognosis Psychiatric Status Rating Scales Psychology Psychology. Psychoanalysis. Psychiatry Psychometrics Psychopathology. Psychiatry Self Concept Sudden gains Treatment Outcome Treatments |
| title | Sudden gains in cognitive behavioral treatment for depression: when do they occur and do they matter? |
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