Gómez-Penedo, Juan Martín; Babl, Anna; Dyresen, Agnete; Fernández-Álvarez, Javier; Flückiger, Christoph; Grosse Holtforth, Martin (2023). Problem mastery and motivational clarification as mechanisms of change in cognitive-behavioral therapy for depression: Secondary analysis of a randomized controlled trial. Behaviour research and therapy, 167, p. 104343. Elsevier 10.1016/j.brat.2023.104343
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OBJECTIVE
In process-outcome research, there is a growing body of literature investigating the therapeutic mechanisms underlying the promotion of positive change. This study investigated the between- and within-patient effects of problem mastery and motivational clarification on outcome in patients receiving two variations of cognitive therapies for depression.
METHODS
This study drew on data of a randomized controlled trial conducted at an outpatient clinic and included 140 patients randomly assigned to 22 sessions of either cognitive-behavioral therapy or exposure-based cognitive therapy. To address the nested structure of the data and analyze mechanism effects, we used multilevel dynamic structural equations models.
RESULTS
We found significant within-patient effects of both problem mastery and motivational clarification on subsequent outcome.
CONCLUSION
The results suggest that changes in problem mastery and motivational clarification precede symptom improvement during cognitive therapy for depressed patients and thus there may be benefit in fostering these putative mechanisms during psychotherapy.
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 07 Faculty of Human Sciences > Institute of Psychology |
UniBE Contributor: |
Babl, Anna Margarete, Fernandez-Alvarez, Javier, Grosse Holtforth, Martin |
Subjects: |
600 Technology > 610 Medicine & health 100 Philosophy > 150 Psychology |
ISSN: |
1873-622X |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
13 Jun 2023 09:15 |
Last Modified: |
16 Jul 2023 00:16 |
Publisher DOI: |
10.1016/j.brat.2023.104343 |
PubMed ID: |
37307656 |
Uncontrolled Keywords: |
Cognitive-behavioral therapy Depression Mechanisms of change Motivational clarification Problem mastery |
BORIS DOI: |
10.48350/183358 |
URI: |
https://boris.unibe.ch/id/eprint/183358 |
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