What Predicts Outcome, Response, and Drop-out in CBT of Depressive Adults? A Naturalistic Study

Publikationstyp:
Zeitschriftenaufsatz
Metadaten:
Autoren
  • Amrei Schindler
  • Wolfgang Hiller
  • Michael Witthoeft
Autoren-URL
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000317069300010&DestLinkType=FullRecord&DestApp=WOS_CPL
DOI
10.1017/S1352465812001063
eISSN
1469-1833
Externe Identifier
  • Clarivate Analytics Document Solution ID: 119AQ
  • PubMed Identifier: 23211066
ISSN
1352-4658
Ausgabe der Veröffentlichung
3
Zeitschrift
BEHAVIOURAL AND COGNITIVE PSYCHOTHERAPY
Schlüsselwörter
  • CBT for depression
  • naturalistic design
  • symptomatic outcome
  • response
  • drop-out
Paginierung
365 - 370
Datum der Veröffentlichung
2013
Status
Published
Titel
What Predicts Outcome, Response, and Drop-out in CBT of Depressive Adults? A Naturalistic Study
Sub types
  • Article
Ausgabe der Zeitschrift
41

Datenquelle: Web of Science (Lite)

Andere Metadatenquellen:
Abstract
<jats:p><jats:bold>Background:</jats:bold> The efficacy of CBT for unipolar depressive disorders is well established, yet not all patients improve or tolerate treatment. <jats:bold>Aims:</jats:bold> To identify factors associated with symptomatic outcome, response, and drop-out in depressive patients under naturalistic CBT. <jats:bold>Method:</jats:bold> 193 patients with major depression or dysthymia were tested. Sociodemographic and clinical variables were entered as predictors in hierarchical regression analyses. <jats:bold>Results:</jats:bold> A higher degree of pretreatment depression, early improvement, and completion of therapy were identified as predictors for symptomatic change and response. Drop-out was predicted by concurrent personality disorder, less positive outcome expectancies, and by failure to improve early in treatment. <jats:bold>Conclusions:</jats:bold> Our results highlight the importance of early response to predict improvement in routine CBT. Attempts to refine the quality of treatment programs should focus on avoiding premature termination (drop-out) and consider motivational factors in more depth. Routinely administered standardized assessments would enhance symptom monitoring and help to identify persons at risk of not improving under therapy.</jats:p>
Autoren
  • Amrei Schindler
  • Wolfgang Hiller
  • Michael Witthöft
DOI
10.1017/s1352465812001063
eISSN
1469-1833
ISSN
1352-4658
Ausgabe der Veröffentlichung
3
Zeitschrift
Behavioural and Cognitive Psychotherapy
Sprache
en
Online publication date
2012
Paginierung
365 - 370
Datum der Veröffentlichung
2013
Status
Published
Herausgeber
Cambridge University Press (CUP)
Herausgeber URL
http://dx.doi.org/10.1017/s1352465812001063
Datum der Datenerfassung
2019
Titel
What Predicts Outcome, Response, and Drop-out in CBT of Depressive Adults? A Naturalistic Study
Ausgabe der Zeitschrift
41

Datenquelle: Crossref

Abstract
<h4>Background</h4>The efficacy of CBT for unipolar depressive disorders is well established, yet not all patients improve or tolerate treatment.<h4>Aims</h4>To identify factors associated with symptomatic outcome, response, and drop-out in depressive patients under naturalistic CBT.<h4>Method</h4>193 patients with major depression or dysthymia were tested. Sociodemographic and clinical variables were entered as predictors in hierarchical regression analyses.<h4>Results</h4>A higher degree of pretreatment depression, early improvement, and completion of therapy were identified as predictors for symptomatic change and response. Drop-out was predicted by concurrent personality disorder, less positive outcome expectancies, and by failure to improve early in treatment.<h4>Conclusions</h4>Our results highlight the importance of early response to predict improvement in routine CBT. Attempts to refine the quality of treatment programs should focus on avoiding premature termination (drop-out) and consider motivational factors in more depth. Routinely administered standardized assessments would enhance symptom monitoring and help to identify persons at risk of not improving under therapy.
Addresses
  • Department of Psychology, University of Mainz, 55122 Mainz, Germany. schindam@uni-mainz.de
Autoren
  • Amrei Schindler
  • Wolfgang Hiller
  • Michael Witthöft
DOI
10.1017/s1352465812001063
eISSN
1469-1833
Externe Identifier
  • PubMed Identifier: 23211066
Open access
false
ISSN
1352-4658
Ausgabe der Veröffentlichung
3
Zeitschrift
Behavioural and cognitive psychotherapy
Schlüsselwörter
  • Humans
  • Prognosis
  • Motivation
  • Professional-Patient Relations
  • Depressive Disorder, Major
  • Dysthymic Disorder
  • Personality Disorders
  • Comorbidity
  • Culture
  • Adult
  • Middle Aged
  • Patient Dropouts
  • Germany
  • Female
  • Male
  • Cognitive Behavioral Therapy
  • Outcome and Process Assessment, Health Care
Sprache
eng
Medium
Print-Electronic
Online publication date
2012
Paginierung
365 - 370
Datum der Veröffentlichung
2013
Status
Published
Datum der Datenerfassung
2012
Titel
What predicts outcome, response, and drop-out in CBT of depressive adults? a naturalistic study.
Sub types
  • Journal Article
Ausgabe der Zeitschrift
41

Datenquelle: Europe PubMed Central

Abstract
BACKGROUND: The efficacy of CBT for unipolar depressive disorders is well established, yet not all patients improve or tolerate treatment. AIMS: To identify factors associated with symptomatic outcome, response, and drop-out in depressive patients under naturalistic CBT. METHOD: 193 patients with major depression or dysthymia were tested. Sociodemographic and clinical variables were entered as predictors in hierarchical regression analyses. RESULTS: A higher degree of pretreatment depression, early improvement, and completion of therapy were identified as predictors for symptomatic change and response. Drop-out was predicted by concurrent personality disorder, less positive outcome expectancies, and by failure to improve early in treatment. CONCLUSIONS: Our results highlight the importance of early response to predict improvement in routine CBT. Attempts to refine the quality of treatment programs should focus on avoiding premature termination (drop-out) and consider motivational factors in more depth. Routinely administered standardized assessments would enhance symptom monitoring and help to identify persons at risk of not improving under therapy.
Autoren
  • Amrei Schindler
  • Wolfgang Hiller
  • Michael Witthöft
Autoren-URL
https://www.ncbi.nlm.nih.gov/pubmed/23211066
DOI
10.1017/S1352465812001063
eISSN
1469-1833
Ausgabe der Veröffentlichung
3
Zeitschrift
Behav Cogn Psychother
Schlüsselwörter
  • Adult
  • Cognitive Behavioral Therapy
  • Comorbidity
  • Culture
  • Depressive Disorder, Major
  • Dysthymic Disorder
  • Female
  • Germany
  • Humans
  • Male
  • Middle Aged
  • Motivation
  • Outcome and Process Assessment, Health Care
  • Patient Dropouts
  • Personality Disorders
  • Professional-Patient Relations
  • Prognosis
Sprache
eng
Country
United States
Paginierung
365 - 370
PII
S1352465812001063
Datum der Veröffentlichung
2013
Status
Published
Datum, an dem der Datensatz öffentlich gemacht wurde
2013
Titel
What predicts outcome, response, and drop-out in CBT of depressive adults? a naturalistic study.
Sub types
  • Journal Article
Ausgabe der Zeitschrift
41

Datenquelle: PubMed

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