Iony D Ezawa, Samuel T Murphy, Megan L Whelen, Daniel R Strunk
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When Are Therapists' Efforts to Bring about Cognitive Change Effective? Considering Interpersonal Vulnerabilities as Contextual Factors.
We examined interpersonal variables as moderators of the relation between therapists' use of cognitive change (CC) strategies and CC in a sample of 125 adults who participated in cognitive behavioral therapy for depression. We measured self-reported maladaptive personality characteristics, interpersonal problems, and social skills at intake. Observers rated therapist adherence to cognitive methods for the first five sessions. Patients reported in-session CC following each session. Cognitive methods predicted greater CC. The relation between cognitive methods and CC was moderated by maladaptive personality traits; this relation was stronger for patients with greater maladaptive personality traits. We encourage future research investigating moderators of therapist interventions of putative therapeutic mechanisms.
期刊介绍：
From an editorial board of leading international authorities, this state-of-the-science journal addresses all scientific and clinical aspects of cognitive therapy. Featured are:
Empirical research studies
Cutting-edge theoretical articles
Literature reviews and meta-analyses
Special focus issues
The scope of coverage encompasses basic research on cognitive clinical processes, innovative assessment and treatment technologies, expert perspectives on specific clinical problems and populations, and critical issues in translating research to practice. Recent thematic issues have included Recent Advances in Suicide Research: Mediators and Moderators of Risk and Resilience; Cognitive Mechanisms of Change in the Treatment of Depression; and Combined CBT and Pharmacotherapy.
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