Mechanisms of Change in the Treatment of Depression: On the Role of Attachment, Reappraisal and Suppression.

ABSTRACT: Identifying mechanisms of change in psychotherapy is imperative to optimize treatment effectiveness for depression. Research has identified specific mechanisms, primarily in outpatient pathology. However, the transdiagnostic robustness of these mechanisms remains to be quantified in more severely affected populations. This study aims to delineate the role of anxious and avoidant attachment, expressive suppression and cognitive reappraisal as within-person mechanisms of change in inpatient schema therapy and cognitive behaviour therapy for patients acutely and severely affected by major depressive disorder. A secondary analysis of a randomized clinical trial in an intensive multimodal inpatient and day-clinic setting with 198 patients was conducted. To differentiate stable between-person tr

SUBMITTER: Egli S 

PROVIDER: S-EPMC13626740 | biostudies-literature | 2026 Sep-Oct

REPOSITORIES: biostudies-literature