Discrepant negative self-associations as a risk factor for depressive deterioration after outpatient psychotherapy.

Gómez Penedo, Juan Martin; Krieger, Tobias; Koditek, Marie Christine; grosse Holtforth, Martin (2020). Discrepant negative self-associations as a risk factor for depressive deterioration after outpatient psychotherapy. Journal of Behavior Therapy and Experimental Psychiatry, 69, p. 101576. Elsevier 10.1016/j.jbtep.2020.101576

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BACKGROUND AND OBJECTIVES

This paper examines the discrepancy between implicit and explicit negative self-associations (NSA) after cognitive psychotherapy for depression as a predictor of long-term outcome.

METHODS

One hundred and twenty patients completed an Implicit-Association Test relating the self with depressive attributes and a self-report questionnaire with identical item content, at the end of time-limited outpatient depression psychotherapy. At post-treatment and at 3-, 6-, and 12-month follow-up, patients completed the BDI-II. We used different strategies to operationalized implicit and explicit NSA discrepancies and three-level Hierarchical linear models to analyze the effects.

RESULTS

We found significant interactive effects of discrepancy between implicit and explicit NSA and the direction of the discrepancy on long-term outcome. In patients with a greater explicit than implicit NSA (a damaged self-esteem pattern) a greater absolute discrepancy was associated with worse long-term outcome in terms of BDI scores at the end of follow-up and rate of change during follow-up. Consistently, with an alternative method, we found that damaged self-esteem discrepancies were associated with worse estimated BDI-II scores at the end of follow-up.

LIMITATIONS

The inclusion in the sample of only treatment completers limits the generalizability of the results. Furthermore, the follow-up period captured only the first 12 months after treatment.

CONCLUSIONS

Our results support the notion that a discrepancy between implicit and explicit negative self-associations may pose a risk factor for deterioration after psychotherapy for depression.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology > Centre of Competence for Psychosomatic Medicine
07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy

UniBE Contributor:

Gomez Penedo, Juan Martin; Krieger, Tobias and grosse Holtforth, Martin

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0005-7916

Publisher:

Elsevier

Language:

English

Submitter:

Annette Barbara Kocher

Date Deposited:

26 Jan 2021 16:16

Last Modified:

03 Feb 2021 11:04

Publisher DOI:

10.1016/j.jbtep.2020.101576

PubMed ID:

32470685

Uncontrolled Keywords:

Depression Deterioration Discrepancy Explicit self-associations Implicit self-associations Implicit-association test

BORIS DOI:

10.48350/150754

URI:

https://boris.unibe.ch/id/eprint/150754

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