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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

  • Objectives: 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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Metadaten
Author:T. Probst, E. Schramm, T. Heidenreich, J.-P. Klein, J. Michalak
DOI:https://doi.org/10.1002/jclp.22931
Parent Title (English):Journal of Clinical Psychology
Publisher:Wiley-Blackwell
Place of publication:Hoboken, NJ
Document Type:Article
Language:English
Year of Completion:2020
Release Date:2021/01/28
Volume:76
Issue:7
Pagenumber:14
First Page:1
Last Page:14
Institutes:Fakultäten / Soziale Arbeit, Gesundheit und Pflege
Open Access:nur im Hochschulnetz
Relevance:Peer reviewed Publikation in Thomson-Reuters-Listung
Licence (German):License LogoVeröffentlichungsvertrag ohne Print-on-Demand