The process of change in cognitive therapy for depression when combined with antidepressant medication: Predictors of early intersession symptom gains.

ABSTRACT:

Objective

Previous studies of cognitive therapy (CT) for depression have examined therapist adherence and the therapeutic alliance as predictors of subsequent symptom change. However, little is known about these CT process variables when CT is delivered in combination with antidepressant medication.

Method

In a sample of 176 depressed outpatients randomized to the combined condition of a clinical trial, we examined ratings of adherence and alliance as predictors of subsequent session-to-session symptom change across early CT sessions.

Results

Both adherence to Behavioral Methods/Homework and the therapeutic alliance significantly predicted session-to-session symptom change. In models in which patients' medication regimen and prior symptom change were covaried, only Be

SUBMITTER: Strunk DR 

PROVIDER: S-EPMC3458155 | biostudies-literature | 2012 Oct

REPOSITORIES: biostudies-literature