Symptom Severity at Week 4 of Cognitive-Behavior Therapy Predicts Depression Remission.

We examined the strength of the relationship between early response and remission in 82 patients who received naturalistic cognitive-behavior therapy in a private practice setting, and 158 patients who received protocol cognitive therapy in a research setting. We predicted that the relationship between early response and remission would be substantial enough to guide clinical decision making in both samples, and that a simple model of severity at Week 4 of treatment would predict remission as effectively as a more complex change score. Logistic regressions showed that a simple model based on the Week 4 Beck Depression Inventory (BDI) score was as predictive of remission as more complex models of early change. A receiver operating characteristics analysis showed that BDI score at Week 4 was substantially predictive of remission in both the naturalistic and research protocol samples; the area under the curve was .80 and .84 in the naturalistic and protocol samples, respectively. To guide clinical decision making, we identified threshold scores on the BDI corresponding to various negative predictive values (probability of nonremission when nonremission is predicted). Our results indicate that depressed patients who remain severely depressed at Week 4 of cognitive therapy are unlikely to reach remission at the end of relatively brief (maximum 20 sessions) treatment. We discuss implications of our findings for clinical decision making and treatment development. PMID: 31208688...
Source: Behavior Therapy - Category: Psychiatry & Psychology Authors: Tags: Behav Ther Source Type: research

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Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research
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Source: Current Psychiatry Reports - Category: Psychiatry Source Type: research
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Source: Current Treatment Options in Neurology - Category: Neurology Source Type: research
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Source: Journal of Consulting and Clinical Psychology - Category: Psychiatry & Psychology Source Type: research
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Source: Psych Central - Category: Psychiatry Authors: Tags: Bipolar Disorders General Psychotherapy Self-Help Treatment Bipolar Disorder bipolar disorder treatment Cbt IPSRT managing bipolar disorder opposite action Source Type: news
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Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research
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Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
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Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research
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Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
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Source: Psychiatr News - Category: Psychiatry Tags: CBT cognitive-behavior therapy guided CBT JAMA Psychiatry Pim Cuijpers unguided CBT Source Type: research
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