Changes in causal attributions and relationship representations: Are they specific or common mechanisms in the treatment of depression?

Journal of Affective Disorders
Sigal Zilcha-ManoJacques P Barber

Abstract

The goal of the study was to examine two central theory-driven mechanisms of change, causal attributions and relational representations, to account for symptomatic improvement in psychodynamic treatment and supportive clinical management, combined with either pharmacotherapy or placebo, in a randomized control trial (RCT) for depression. We used data from an RCT for depression, which reported non-significant differences in outcome among patients (N=149) who received supportive-expressive psychotherapy (SET), clinical management combined with pharmacotherapy (CM+MED), or clinical management with placebo pill (CM+PBO) (Barber et al., 2012). Mechanism and outcome measures were administered at intake, mid-treatment, end of treatment, and at a 4-month follow-up. Improvements in causal attributions and in relational representations were found across treatments. Changes in causal attributions did not predict subsequent symptomatic level when controlling for prior symptomatic level. In contrast, decrease in negative relational representations predicted subsequent symptom reduction across all treatments, and increase in positive relational representations predicted subsequent symptom reduction only in SET. The study is limited by its mo...Continue Reading

References

Mar 1, 1985·Archives of General Psychiatry·I ElkinJ H Autry
Dec 1, 1967·The British Journal of Social and Clinical Psychology·M Hamilton
Aug 10, 2001·Journal of Consulting and Clinical Psychology·J D TeasdaleE S Paykel
Jan 29, 2003·Progress in Neuro-psychopharmacology & Biological Psychiatry·Meera VaswaniSubramanyam Ramesh
Feb 26, 2004·Psychological Bulletin·Steve Stewart-Williams, John Podd
Jul 15, 2004·Psychological Bulletin·J Stuart Ablon, Carl Marci
Dec 31, 2004·Journal of Clinical Psychology·Jacques P BarberLynne Siqueland
Apr 1, 2005·The American Journal of Psychiatry·Virginia V W McIntoshPeter R Joyce
Aug 25, 2007·Annual Review of Clinical Psychology·Alan E Kazdin
Aug 25, 2007·Annual Review of Clinical Psychology·Andrew Mathews, Colin MacLeod
Dec 3, 2008·Journal of Consulting and Clinical Psychology·Pim CuijpersPatricia van Oppen
Feb 12, 2009·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Jacques P Barber
Oct 7, 2009·Journal of Consulting and Clinical Psychology·Mary Beth Connolly GibbonsSarah Ring-Kurtz
Jan 26, 2010·Psychotherapy Research : Journal of the Society for Psychotherapy Research·James W LougheadRuben C Gur
Feb 10, 2010·The American Psychologist·Jonathan Shedler
Sep 9, 2010·Psychological Methods·Kristopher J PreacherZhen Zhang
Dec 4, 2010·Journal of Clinical Psychology·Michael J ConstantinoJuliAnna Z Smith
Apr 15, 2011·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Louis G Castonguay
Oct 1, 2006·Psychotherapy·Louis G CastonguayMartin Grosse Holtforth
Apr 18, 2012·Journal of Consulting and Clinical Psychology·Eleanor Donegan, Michel J Dugas
Jul 21, 2012·Journal of Personality·Mario MikulincerEty Berant
Jan 16, 2013·The American Journal of Psychiatry·Bret R Rutherford, Steven P Roose
Nov 28, 2013·Journal of Consulting and Clinical Psychology·Sigal Zilcha-ManoJacques P Barber
Apr 4, 2015·Psychotherapy and Psychosomatics·Sigal Zilcha-ManoBret R Rutherford
Aug 5, 2015·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Matthew B WarrenCatherine J Harmer

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Citations

Feb 8, 2018·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Sigal Zilcha-Mano
Dec 10, 2019·American Journal of Psychotherapy·Cory K ChenRobert W Bailey

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