Autonomous and controlled motivation and interpersonal therapy for depression: moderating role of recurrent depression

The British Journal of Clinical Psychology
C McBrideR M Bagby

Abstract

We examined the moderating role of depression recurrence on the relation between autonomous and controlled motivation and interpersonal therapy (IPT) treatment outcome. The investigation was conducted in an out-patient mood disorders clinic of a large university-affiliated psychiatric hospital. The sample represents a subset of a larger naturalistic database of patients seen in the clinic. We examined 74 depressed out-patients who received 16 sessions of IPT. The Beck Depression Inventory-II, administered at pre-treatment and post-treatment, served as a measure of depressive severity. Measures of motivation and therapeutic alliance were collected at the third session. In the entire sample, both the therapeutic alliance and autonomous motivation predicted higher probability of achieving remission; however, the relation differed for those with highly recurrent depression compared to those with less recurrent depression. For those with highly recurrent depression, the therapeutic alliance predicted remission whereas autonomous motivation had no effect on remission. For those with less recurrent depression, both autonomous motivation and the therapeutic alliance predicted better achieving remission. Controlled motivation emerged as...Continue Reading

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Citations

Mar 7, 2014·Psychological Reports·Rostyslaw W RobakPaul W Griffin
Oct 5, 2011·Journal of Clinical Psychology·Paula RavitzRobert Maunder
Sep 5, 2013·Journal of Clinical Psychology·Samantha L BerneckerCarolina McBride
Feb 16, 2017·Stress and Health : Journal of the International Society for the Investigation of Stress·José Antonio CecchiniJosé Antonio Arruza
Jan 11, 2018·Community Mental Health Journal·Tyrone C Cheng, Celia C Lo
Jan 21, 2019·Journal of Personality·Daniel C Kopala-Sibley, David C Zuroff
Mar 19, 2019·Harvard Review of Psychiatry·Paula RavitzHolly A Swartz
Mar 19, 2020·Journal of Personality Disorders·Igor Weinberg, Elsa Ronningstam

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