Schema therapy for chronic depression: Results of a multiple single case series

Journal of Behavior Therapy and Experimental Psychiatry
Fritz RennerM J H Huibers

Abstract

The aim of this study was to test the effects of individual schema therapy (ST) for patients with chronic depression. Using a multiple-baseline single case series design, patients with chronic major depressive disorder (N = 25) first entered a 6-24 weeks baseline phase; this phase functioned as a no-treatment control condition. Then, patients started a 12 week exploration phase during which symptoms and underlying schemas were explored; this phase functioned as an attention control condition. Next, patients received up to 65 sessions of individual ST. The Beck Depression Inventory II (BDI-II) and the Quick Inventory of Depressive Symptomatology (QIDS) were the primary outcome measures. The BDI-II was assessed once a week during all phases of the study resulting in 100 repeated assessments per participant on average. Mixed regression analysis was used to contrast change in symptoms during the intervention with change in symptoms during the baseline and exploration control phases. When compared to the no-treatment control period, the intervention had a significant, large effect on depressive symptoms (Cohen's d BDI-II = 1.30; Cohen's d QIDS = 1.22). Effects on secondary continuous outcomes were moderate to large. The small sample...Continue Reading

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Citations

Jan 17, 2016·Annual Review of Clinical Psychology·Emily A HolmesFilip Raes
Sep 30, 2016·Frontiers in Psychology·Eva FassbinderArnoud Arntz
Mar 16, 2018·Clinical Psychology & Psychotherapy·Niko FlinkSari Lindeman
Jan 13, 2018·The Australian and New Zealand Journal of Psychiatry·Janet D CarterPeter R Joyce
Jun 26, 2018·International Journal of Offender Therapy and Comparative Criminology·Farzad JalaliAli Babaei
Jun 15, 2016·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Christof Loose, Reinhard Pietrowsky
Mar 11, 2020·Behavioural and Cognitive Psychotherapy·Arjan C VidelerMachteld A Ouwens
Oct 15, 2019·Current Opinion in Psychiatry·Henricus Van, Marit Kool
Jan 10, 2017·Frontiers in Psychology·Harold DadomoMarta Panzeri
Jan 19, 2018·Journal of Eating Disorders·Fiona CalvertSusan Simpson
Nov 10, 2017·Current Opinion in Psychiatry·Harold DadomoAlessandro Grecucci
Oct 17, 2017·Journal of Behavior Therapy and Experimental Psychiatry·Fritz RennerMarcus J H Huibers
Apr 16, 2021·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Mohammad Reza Raftar Aliabadi, Hossein Shareh
Jun 17, 2021·Clinical Psychology & Psychotherapy·Amy BishopPamela D Pilkington
Aug 10, 2021·Frontiers in Psychology·Barbara BasileFrancesco Mancini

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