PMID- 32551725
OWN - NLM
STAT- MEDLINE
DCOM- 20201116
LR  - 20210107
IS  - 1939-2117 (Electronic)
IS  - 0022-006X (Linking)
VI  - 88
IP  - 8
DP  - 2020 Aug
TI  - Patterns of change and their relationship to outcome and follow-up in group and 
      individual psychotherapy for depression.
PG  - 757-773
LID - 10.1037/ccp0000562 [doi]
AB  - OBJECTIVE: The study explored the presence of different patterns of change in a 
      sample of patients who received cognitive therapy for depression sequentially in 
      two different formats: group and individual. Our hypothesis was that patients' 
      baseline characteristics (e.g., symptom severity, self-esteem) would discriminate 
      patterns of response to group and individual therapy. METHOD: 108 adults who met 
      criteria for depression and completed the treatments included in a randomized 
      controlled trial (RCT) were assessed with the Beck Depression Inventory-II 
      (BDI-II), the Clinical Outcome in Routine Evaluation-Short Form B (CORE-SFB), the 
      Global Assessment of Functioning (GAF), and the repertory grid technique. Growth 
      mixture modeling was carried out to identify the patterns of change. Mixed linear 
      models and repeated measures analysis of variance were performed to compare 
      patients' characteristics in each pattern. Multinomial logistic regression was 
      used to compute predictive models for the patterns from patients' 
      characteristics. Finally, hierarchical linear regression was used to establish 
      the power of each pattern to predict treatment outcome. RESULTS: A 3-class 
      solution was obtained: group therapy improvers, individual therapy improvers, and 
      nonimprovers. Group therapy improvers started therapy with less severe levels of 
      depression and psychological distress, higher functioning and self-esteem, lower 
      perceived social isolation, and lower dilemmatic construction of the self than 
      the other groups. Individual therapy improvers and nonimprovers presented similar 
      characteristics at baseline. However, a significant proportion of nonimprovers 
      presented a concurrent diagnosis of fibromyalgia. CONCLUSION: The greater the 
      impairment that patients present at baseline, the more likely they are to benefit 
      from individual therapy after group therapy. A diagnosis of fibromyalgia can be 
      considered a risk factor for therapy failure in the treatment of depression. 
      (PsycInfo Database Record (c) 2020 APA, all rights reserved).
FAU - Moggia, Danilo
AU  - Moggia D
AUID- ORCID: 0000-0001-6321-4450
AD  - Department of Clinical Psychology and Psychobiology.
FAU - Lutz, Wolfgang
AU  - Lutz W
AUID- ORCID: 0000-0002-5141-3847
AD  - Department of Clinical Psychology and Psychotherapy.
FAU - Arndt, Alice
AU  - Arndt A
AD  - Department of Clinical Psychology and Psychotherapy.
FAU - Feixas, Guillem
AU  - Feixas G
AUID- ORCID: 0000-0002-6288-6009
AD  - Department of Clinical Psychology and Psychobiology.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20200618
PL  - United States
TA  - J Consult Clin Psychol
JT  - Journal of consulting and clinical psychology
JID - 0136553
SB  - IM
MH  - Adult
MH  - *Cognitive Behavioral Therapy/methods
MH  - Depressive Disorder/*therapy
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Outcome Assessment, Health Care
MH  - *Psychotherapy, Group/methods
EDAT- 2020/06/20 06:00
MHDA- 2020/11/18 06:00
CRDT- 2020/06/20 06:00
PHST- 2020/06/20 06:00 [pubmed]
PHST- 2020/11/18 06:00 [medline]
PHST- 2020/06/20 06:00 [entrez]
AID - 2020-42063-001 [pii]
AID - 10.1037/ccp0000562 [doi]
PST - ppublish
SO  - J Consult Clin Psychol. 2020 Aug;88(8):757-773. doi: 10.1037/ccp0000562. Epub 
      2020 Jun 18.