Beneficial effects of training in self-distancing and perspective broadening for people with a history of recurrent depression
Cognitive training designed to recalibrate maladaptive aspects of cognitive-affective processing associated with the presence of emotional disorder can deliver clinical benefits. This study examined the ability of an integrated training in self-distancing and perspective broadening (SD-PB) with resp...
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Veröffentlicht in: | Behaviour research and therapy 2017-08, Vol.95, p.19-28 |
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description | Cognitive training designed to recalibrate maladaptive aspects of cognitive-affective processing associated with the presence of emotional disorder can deliver clinical benefits. This study examined the ability of an integrated training in self-distancing and perspective broadening (SD-PB) with respect to distressing experiences to deliver such benefits in individuals with a history of recurrent depression (≥3 prior episodes), currently in remission. Relative to an overcoming avoidance (OA) control condition, SD-PB: a) reduced distress to upsetting memories and to newly encountered events, both during training when explicitly instructed to apply SD-PB techniques, and after-training in the absence of explicit instructions; b) enhanced capacity to self-distance from and broaden perspectives on participants' experiences; c) reduced residual symptoms of depression. These data provide initial support for SD-PB as a low-intensity cognitive training providing a spectrum of cognitive and affective benefits for those with recurrent depression who are at elevated risk of future episodes.
•Self-distancing and perspective broadening is a promising clinical technique.•Trainees were able to distance and broaden perspectives on negative events.•Training reduced distress to upsetting memories and to newly encountered events.•Training also reduced residual depression symptoms in remitted depression. |
doi_str_mv | 10.1016/j.brat.2017.05.008 |
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•Self-distancing and perspective broadening is a promising clinical technique.•Trainees were able to distance and broaden perspectives on negative events.•Training reduced distress to upsetting memories and to newly encountered events.•Training also reduced residual depression symptoms in remitted depression.</description><identifier>ISSN: 0005-7967</identifier><identifier>EISSN: 1873-622X</identifier><identifier>DOI: 10.1016/j.brat.2017.05.008</identifier><identifier>PMID: 28525796</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adaptation, Psychological ; Adult ; Avoidance behavior ; Behavior modification ; Cognition & reasoning ; Cognitive ability ; Cognitive Behavioral Therapy - methods ; Cognitive skills training ; Cognitive training ; Decentering ; Depression ; Depression - psychology ; Depression - therapy ; Depressive Disorder, Major - psychology ; Depressive Disorder, Major - therapy ; Emotions ; Female ; Humans ; Information processing ; Male ; Memories ; Mental depression ; Middle Aged ; Perspective broadening ; Psychological distress ; Recurrence ; Recurrent ; Remission ; Remission (Medicine) ; Residual symptoms ; Self ; Self Concept ; Self-distancing ; Training</subject><ispartof>Behaviour research and therapy, 2017-08, Vol.95, p.19-28</ispartof><rights>2017 The Authors</rights><rights>Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.</rights><rights>Copyright Pergamon Press Inc. Aug 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-f90c7a14daff269cea7e0e9fd9a0d1b75f63d09ac0bbcb7dc231b4bf9b945b9b3</citedby><cites>FETCH-LOGICAL-c483t-f90c7a14daff269cea7e0e9fd9a0d1b75f63d09ac0bbcb7dc231b4bf9b945b9b3</cites><orcidid>0000-0002-2435-0713</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0005796717301018$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,30976,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28525796$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Travers-Hill, Emma</creatorcontrib><creatorcontrib>Dunn, Barnaby D.</creatorcontrib><creatorcontrib>Hoppitt, Laura</creatorcontrib><creatorcontrib>Hitchcock, Caitlin</creatorcontrib><creatorcontrib>Dalgleish, Tim</creatorcontrib><title>Beneficial effects of training in self-distancing and perspective broadening for people with a history of recurrent depression</title><title>Behaviour research and therapy</title><addtitle>Behav Res Ther</addtitle><description>Cognitive training designed to recalibrate maladaptive aspects of cognitive-affective processing associated with the presence of emotional disorder can deliver clinical benefits. This study examined the ability of an integrated training in self-distancing and perspective broadening (SD-PB) with respect to distressing experiences to deliver such benefits in individuals with a history of recurrent depression (≥3 prior episodes), currently in remission. Relative to an overcoming avoidance (OA) control condition, SD-PB: a) reduced distress to upsetting memories and to newly encountered events, both during training when explicitly instructed to apply SD-PB techniques, and after-training in the absence of explicit instructions; b) enhanced capacity to self-distance from and broaden perspectives on participants' experiences; c) reduced residual symptoms of depression. These data provide initial support for SD-PB as a low-intensity cognitive training providing a spectrum of cognitive and affective benefits for those with recurrent depression who are at elevated risk of future episodes.
•Self-distancing and perspective broadening is a promising clinical technique.•Trainees were able to distance and broaden perspectives on negative events.•Training reduced distress to upsetting memories and to newly encountered events.•Training also reduced residual depression symptoms in remitted depression.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Avoidance behavior</subject><subject>Behavior modification</subject><subject>Cognition & reasoning</subject><subject>Cognitive ability</subject><subject>Cognitive Behavioral Therapy - methods</subject><subject>Cognitive skills training</subject><subject>Cognitive training</subject><subject>Decentering</subject><subject>Depression</subject><subject>Depression - psychology</subject><subject>Depression - therapy</subject><subject>Depressive Disorder, Major - psychology</subject><subject>Depressive Disorder, Major - therapy</subject><subject>Emotions</subject><subject>Female</subject><subject>Humans</subject><subject>Information processing</subject><subject>Male</subject><subject>Memories</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Perspective broadening</subject><subject>Psychological distress</subject><subject>Recurrence</subject><subject>Recurrent</subject><subject>Remission</subject><subject>Remission (Medicine)</subject><subject>Residual symptoms</subject><subject>Self</subject><subject>Self Concept</subject><subject>Self-distancing</subject><subject>Training</subject><issn>0005-7967</issn><issn>1873-622X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kUuLFDEUhYMoTtv6B1xIwI2bKpN6pQIijMP4gAE3Cu5CHjfTaaqTMkm1zMbfPil7HNSFm4Tkfvdw7zkIPaekpoQOr_e1ijLXDaGsJn1NyPgAbejI2mpomm8P0YYQ0leMD-wMPUlpX57t2JDH6KwZ-6YvhQ36-Q48WKednDBYCzonHCzOUTrv_DV2HieYbGVcytLr9Ut6g2eIaS6wOwJWMUgDv2gbYimFeQL8w-UdlnhX-kK8WTUj6CVG8BkbmCOk5IJ_ih5ZOSV4dndv0df3l18uPlZXnz98uji_qnQ3trmynGgmaWektc3ANUgGBLg1XBJDFevt0BrCpSZKacWMblqqOmW54l2vuGq36O1Jd17UAYwuU0Q5iTm6g4w3Ikgn_q54txPX4SiGgXako0Xg1Z1ADN8XSFkcXNIwTdJDWJKgvNjfdowOBX35D7oPS_RlvUK1xXZWzkI1J0rHkFIEez8MJWKNV-zFGq9Y4xWkF6v-Fr34c437lt95FuDNCYBi5tFBFEk78BqMK_ZnYYL7n_4tZL67cw</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Travers-Hill, Emma</creator><creator>Dunn, Barnaby D.</creator><creator>Hoppitt, Laura</creator><creator>Hitchcock, Caitlin</creator><creator>Dalgleish, Tim</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>6I.</scope><scope>AAFTH</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><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2435-0713</orcidid></search><sort><creationdate>20170801</creationdate><title>Beneficial effects of training in self-distancing and perspective broadening for people with a history of recurrent depression</title><author>Travers-Hill, Emma ; Dunn, Barnaby D. ; Hoppitt, Laura ; Hitchcock, Caitlin ; Dalgleish, Tim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-f90c7a14daff269cea7e0e9fd9a0d1b75f63d09ac0bbcb7dc231b4bf9b945b9b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Avoidance behavior</topic><topic>Behavior modification</topic><topic>Cognition & reasoning</topic><topic>Cognitive ability</topic><topic>Cognitive Behavioral Therapy - methods</topic><topic>Cognitive skills training</topic><topic>Cognitive training</topic><topic>Decentering</topic><topic>Depression</topic><topic>Depression - psychology</topic><topic>Depression - therapy</topic><topic>Depressive Disorder, Major - psychology</topic><topic>Depressive Disorder, Major - therapy</topic><topic>Emotions</topic><topic>Female</topic><topic>Humans</topic><topic>Information processing</topic><topic>Male</topic><topic>Memories</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Perspective broadening</topic><topic>Psychological distress</topic><topic>Recurrence</topic><topic>Recurrent</topic><topic>Remission</topic><topic>Remission (Medicine)</topic><topic>Residual symptoms</topic><topic>Self</topic><topic>Self Concept</topic><topic>Self-distancing</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Travers-Hill, Emma</creatorcontrib><creatorcontrib>Dunn, Barnaby D.</creatorcontrib><creatorcontrib>Hoppitt, Laura</creatorcontrib><creatorcontrib>Hitchcock, Caitlin</creatorcontrib><creatorcontrib>Dalgleish, Tim</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Behaviour research and therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Travers-Hill, Emma</au><au>Dunn, Barnaby D.</au><au>Hoppitt, Laura</au><au>Hitchcock, Caitlin</au><au>Dalgleish, Tim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Beneficial effects of training in self-distancing and perspective broadening for people with a history of recurrent depression</atitle><jtitle>Behaviour research and therapy</jtitle><addtitle>Behav Res Ther</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>95</volume><spage>19</spage><epage>28</epage><pages>19-28</pages><issn>0005-7967</issn><eissn>1873-622X</eissn><abstract>Cognitive training designed to recalibrate maladaptive aspects of cognitive-affective processing associated with the presence of emotional disorder can deliver clinical benefits. This study examined the ability of an integrated training in self-distancing and perspective broadening (SD-PB) with respect to distressing experiences to deliver such benefits in individuals with a history of recurrent depression (≥3 prior episodes), currently in remission. Relative to an overcoming avoidance (OA) control condition, SD-PB: a) reduced distress to upsetting memories and to newly encountered events, both during training when explicitly instructed to apply SD-PB techniques, and after-training in the absence of explicit instructions; b) enhanced capacity to self-distance from and broaden perspectives on participants' experiences; c) reduced residual symptoms of depression. These data provide initial support for SD-PB as a low-intensity cognitive training providing a spectrum of cognitive and affective benefits for those with recurrent depression who are at elevated risk of future episodes.
•Self-distancing and perspective broadening is a promising clinical technique.•Trainees were able to distance and broaden perspectives on negative events.•Training reduced distress to upsetting memories and to newly encountered events.•Training also reduced residual depression symptoms in remitted depression.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>28525796</pmid><doi>10.1016/j.brat.2017.05.008</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-2435-0713</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adaptation, Psychological Adult Avoidance behavior Behavior modification Cognition & reasoning Cognitive ability Cognitive Behavioral Therapy - methods Cognitive skills training Cognitive training Decentering Depression Depression - psychology Depression - therapy Depressive Disorder, Major - psychology Depressive Disorder, Major - therapy Emotions Female Humans Information processing Male Memories Mental depression Middle Aged Perspective broadening Psychological distress Recurrence Recurrent Remission Remission (Medicine) Residual symptoms Self Self Concept Self-distancing Training |
title | Beneficial effects of training in self-distancing and perspective broadening for people with a history of recurrent depression |
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