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How does cognitive therapy prevent relapse in residual depression? Evidence from a controlled trial

Lookup NU author(s): Marie Pope

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Abstract

This study examined the cognitive mediation of relapse prevention by cognitive therapy (CT) in a trial of 158 patients with residual depression. Scores based on agreement with item content of 5 questionnaires of depression-related cognition provided no evidence for cognitive mediation. A measure of the form of response to those questionnaires, the number of times patients used extreme response categories ("totally agree" and "totally disagree"), showed significant and substantial prediction of relapse, differential response to CT, and conformity to mediational criteria. CT reduced relapse through reductions in absolutist, dichotomous thinking style. CT may prevent relapse by training patients to change the way that they process depression-related material rather than by changing belief in depressive thought content.

Publication metadata

Author(s): Teasdale JD, Scott J, Moore RG, Hayhurst H, Pope M, Paykel ES

Publication type: Article

Publication status: Published

Journal: Journal of Consulting and Clinical Psychology

Year: 2001

Volume: 69

Issue: 3

Pages: 347-357

ISSN (print): 0022-006X

ISSN (electronic): 1939-2117

Publisher: American Psychological Association

URL: http://dx.doi.org/10.1037/0022-006X.69.3.347

DOI: 10.1037//0022-006X.69.3.347

PubMed id: 11495165

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