A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-up

BACKGROUND: Since long ago it has been asserted that internal conflicts are relevant to the understanding and treatment of mental disorders, but little research has been conducted to support the claim. The aim of this study was to test the differential efficacy of group cognitive behavioral therapy...

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Autores: Feixas, Guillem, Bados, Arturo, García-Grau, Eugeni, Paz, Clara, Montesano, Adrián, Compañ, Victoria, Salla, Marta, Aguilera, Mari, Trujillo, Adriana, Cañete-Crespillo, Josep, Medeiros-Ferreira, Leticia, Soriano, José, Ibarra Jato, Montserrat, Medina, Joan Carles, Ortíz, Eliana, Lana, Fernando
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2016
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/27301
Acceso en línea:http://hdl.handle.net/10230/27301
http://dx.doi.org/10.1002/da.22510
Access Level:acceso abierto
Palabra clave:Depressió psíquica
Psicoteràpia
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spelling A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-upFeixas, GuillemBados, ArturoGarcía-Grau, EugeniPaz, ClaraMontesano, AdriánCompañ, VictoriaSalla, MartaAguilera, MariTrujillo, AdrianaCañete-Crespillo, JosepMedeiros-Ferreira, LeticiaSoriano, JoséIbarra Jato, MontserratMedina, Joan CarlesOrtíz, ElianaLana, FernandoDepressió psíquicaPsicoteràpiaBACKGROUND: Since long ago it has been asserted that internal conflicts are relevant to the understanding and treatment of mental disorders, but little research has been conducted to support the claim. The aim of this study was to test the differential efficacy of group cognitive behavioral therapy (CBT) plus an intervention focused on the dilemma(s) detected for each patient versus group individual CBT plus individual CBT for treating depression. A comparative controlled trial with a 3-month follow-up was conducted. METHODS: One hundred twenty-eight adults meeting criteria for MDD and/or dysthymia, presenting at least one cognitive conflict (implicative dilemma or dilemmatic construct, assessed by the repertory grid technique) and who had completed seven sessions of group CBT were randomly assigned to eight sessions of individual manualized CBT or dilemma-focused therapy (DFT). The Beck Depression Inventory-II was administered at baseline, at the end of therapy and after 3 months' follow-up. RESULTS: Multilevel mixed effects modeling yielded no significant differences between CBT and DFT with the intention-to-treat sample. Equivalent effect sizes, remission, and response rates were found with completers as well. In combination with group CBT, both individual CBT and DFT significantly reduced depressive symptoms. CONCLUSIONS: Both conditions obtained comparable results to those in the literature. Thus, the superiority of the adjunctive DFT was not demonstrated. Working with dilemmas can be seen as a promising additional target in the psychotherapy of depression, but further research is still required.Contract grant sponsor: Ministry of Economy and Competitiveness of Spain; Contract grant number: PSI2011-23246; Contract grant sponsor: Eliana Ortíz’s predoctoral fellowship by the “Secretariat” for Universities and Research, “Conselleria” of Economy and Knowledge, “Generalitat de Catalunya” (Government of Catalonia, Spain).Wiley20162016info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/27301http://dx.doi.org/10.1002/da.22510reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésDepression and Anxiety. 2016 Sep;33(9):862-9This is the pre-peer reviewed version of the following article: Feixas G, Bados A, García-Grau E, Paz C, Montesano A, Compañ V. et al. A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-up. Depress Anxiety. 2016 Sep;33(9):862-9, which has been published in final form at http://dx.doi.org/10.1002/da.22510. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/273012026-06-12T07:21:37Z
dc.title.none.fl_str_mv A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-up
title A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-up
spellingShingle A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-up
Feixas, Guillem
Depressió psíquica
Psicoteràpia
title_short A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-up
title_full A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-up
title_fullStr A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-up
title_full_unstemmed A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-up
title_sort A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-up
dc.creator.none.fl_str_mv Feixas, Guillem
Bados, Arturo
García-Grau, Eugeni
Paz, Clara
Montesano, Adrián
Compañ, Victoria
Salla, Marta
Aguilera, Mari
Trujillo, Adriana
Cañete-Crespillo, Josep
Medeiros-Ferreira, Leticia
Soriano, José
Ibarra Jato, Montserrat
Medina, Joan Carles
Ortíz, Eliana
Lana, Fernando
author Feixas, Guillem
author_facet Feixas, Guillem
Bados, Arturo
García-Grau, Eugeni
Paz, Clara
Montesano, Adrián
Compañ, Victoria
Salla, Marta
Aguilera, Mari
Trujillo, Adriana
Cañete-Crespillo, Josep
Medeiros-Ferreira, Leticia
Soriano, José
Ibarra Jato, Montserrat
Medina, Joan Carles
Ortíz, Eliana
Lana, Fernando
author_role author
author2 Bados, Arturo
García-Grau, Eugeni
Paz, Clara
Montesano, Adrián
Compañ, Victoria
Salla, Marta
Aguilera, Mari
Trujillo, Adriana
Cañete-Crespillo, Josep
Medeiros-Ferreira, Leticia
Soriano, José
Ibarra Jato, Montserrat
Medina, Joan Carles
Ortíz, Eliana
Lana, Fernando
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Depressió psíquica
Psicoteràpia
topic Depressió psíquica
Psicoteràpia
description BACKGROUND: Since long ago it has been asserted that internal conflicts are relevant to the understanding and treatment of mental disorders, but little research has been conducted to support the claim. The aim of this study was to test the differential efficacy of group cognitive behavioral therapy (CBT) plus an intervention focused on the dilemma(s) detected for each patient versus group individual CBT plus individual CBT for treating depression. A comparative controlled trial with a 3-month follow-up was conducted. METHODS: One hundred twenty-eight adults meeting criteria for MDD and/or dysthymia, presenting at least one cognitive conflict (implicative dilemma or dilemmatic construct, assessed by the repertory grid technique) and who had completed seven sessions of group CBT were randomly assigned to eight sessions of individual manualized CBT or dilemma-focused therapy (DFT). The Beck Depression Inventory-II was administered at baseline, at the end of therapy and after 3 months' follow-up. RESULTS: Multilevel mixed effects modeling yielded no significant differences between CBT and DFT with the intention-to-treat sample. Equivalent effect sizes, remission, and response rates were found with completers as well. In combination with group CBT, both individual CBT and DFT significantly reduced depressive symptoms. CONCLUSIONS: Both conditions obtained comparable results to those in the literature. Thus, the superiority of the adjunctive DFT was not demonstrated. Working with dilemmas can be seen as a promising additional target in the psychotherapy of depression, but further research is still required.
publishDate 2016
dc.date.none.fl_str_mv 2016
2016
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/27301
http://dx.doi.org/10.1002/da.22510
url http://hdl.handle.net/10230/27301
http://dx.doi.org/10.1002/da.22510
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Depression and Anxiety. 2016 Sep;33(9):862-9
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.81155

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