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Patients' interpersonal problems as moderators of depression outcomes in a randomized controlled trial comparing mindfulness‐based cognitive therapy and a group version of the cognitive‐behavioral analysis system of psychotherapy in chronic depression
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- 자료유형학술지논문
- 저자명Probst, Thomas,Schramm, Elisabeth,Heidenreich, Thomas,Klein, Jan‐Philipp,Michalak, Johannes
- 학회/출판사/기관명John Wiley & Sons, Ltd
- 출판년도2020
- 언어영어
- 학술지명/학위논문주기Journal of clinical psychology
- 발행사항Vol.76No.7[2020]_x000D_
- ISBN/ISSN0021-9762
- 소개/요약Objectives: Interpersonal problems were examined as moderators of depression outcomes between mindfulness-based cognitive therapy (MBCT) and cognitive behavioral analysis system of psychotherapy (CBASP) in patients with chronic depression. Methods: Patients received treatment-as-usual and, in addition, were randomized to 8-weeks of MBCT (n = 34) or 8-weeks of CBASP (n = 34). MBCT and CBASP were given in a group format. The Hamilton depression rating scale (HAM-D) was the primary and the Beck Depression Inventory (BDI-II) the secondary outcome. The subscales of the Inventory of interpersonal problems (IIP-32) were moderators. Multilevel models were performed. Results: Higher scores on the "vindictive/self-centered" subscale were associated with a better outcome in MBCT than in CBASP (HAM-D: p < .01; BDI-II: p < .01). Higher scores on the "nonassertive" subscale were associated with a better outcome in CBASP than in MBCT (HAM-D: p < .01; BDI-II: p < .01). Conclusions: If these results can be replicated in larger trials, MBCT should be preferred to CBASP in chronically depressed patients being vindictive/self-centered, whereas CBASP should be preferred to MBCT in chronically depressed patients being nonassertive.
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