Initial treatment success followed by failure: How do we deal with toxic core beliefs in the context of comorbid major depression with psychotic features, social phobia, and axis II pathology?

Clinical Case Studies

Volumn 8, Issue 3, 2009, Pages 193-209

  Prisciandaro, James J ^a   Roberts, John E ^a  

^a UNIVERSITY AT BUFFALO   (United States)

Author keywords

Case formulation; CBT; Comorbidity; Depression; Personality pathology; Social phobia; Treatment failure

Indexed keywords

ANTIDEPRESSANT AGENT;

ADULT; ANXIETY DISORDER; ARTICLE; AUDITORY HALLUCINATION; AVOIDANT PERSONALITY DISORDER; BECK ANXIETY INVENTORY; BECK DEPRESSION INVENTORY; CASE REPORT; CAUCASIAN; COGNITIVE THERAPY; COMORBIDITY; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; DISEASE ASSOCIATION; DISEASE SEVERITY; FAMILY HISTORY; FUNCTIONAL ASSESSMENT; FUNCTIONAL DISEASE; GENERAL CONDITION IMPROVEMENT; HUMAN; MAJOR DEPRESSION; MALE; MUSCLE RELAXATION; OBSESSIVE COMPULSIVE DISORDER; PARANOID PERSONALITY DISORDER; PSYCHOEDUCATION; PSYCHOSIS; PSYCHOTHERAPY; SELF CONCEPT; SLEEP DISORDER; SOCIAL ISOLATION; SOCIAL PHOBIA; STRUCTURED INTERVIEW; SUICIDE ATTEMPT; TREATMENT FAILURE; TREATMENT OUTCOME; TREATMENT WITHDRAWAL;

EID: 65649107622     PISSN: 15346501     EISSN: 15523802     Source Type: Journal    
DOI: 10.1177/1534650109334265     Document Type: Article

References (30)

1. Abramson, L.Y., Alloy, L.B., Hankin, B.L., Haeffel, G.J., MacCoon, D.G., & Gibb, B.E. (2002). Cognitive vulnerability-stress models of depression in a self-regulatory and psychobiological context. In I. H. Gotlib & C. L. Hammen (Eds.), Handbook of depression. New York: Guilford.
2. Albus, M., & Scheibe, G. (1993). Outcome of panic disorder with or without concomitant depression: A 2-year prospective follow-up study. American Journal of Psychiatry, 150, 1878-1880. (Pubitemid 23356585)
3. Bajaj, P., & Tyrer, P. (2005). Managing mood disorders and comorbid personality disorders. Current Opinion in Psychiatry, 18, 27-31. (Pubitemid 40332015)
4. Beck, A.T., Freeman, A., Davis, D.D., & Associates. (2004). Cognitive therapy of personality disorders. New York: Guilford.
5. Beck, J.S. (1995). Cognitive therapy: Basics and beyond. New York: Guilford.
6. Bottonari, K.A., Roberts, J.E., Thomas, S.N., & Read, J.P. (2008). Stop thinking and start doing: Switching from cognitive therapy to behavioral activation in a case of chronic treatment resistant depression. Cognitive and Behavioral Practice, 15, 376-386.
7. Butler, A.C., Chapman, J.E., Forman, E.M., & Beck, A.T. (2006). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26, 17-31. (Pubitemid 41803609)
8. Candrian, M., Farabaugh, A., Pizzagalli, D.A., Baer, L., & Fava, M. (2007). Perceived stress and cognitive vulnerability mediate the effects of Personality Disorder comorbidity on treatment outcome in Major Depressive Disorder: A path analysis study. Journal of Nervous and Mental Disease, 195, 729-737.
9. Dimidjian, S., Hollon, S.D., Dobson, K.S., Schmaling, K.B., Kohlenberg, R., Addis, M., et al. (2006). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74, 658-670. (Pubitemid 44199118)
10. Elkin, I., Shea, M.T., Watkins, J.T., Imber, S.D., Sosky, S.N., Collins, J.F., et al. (1989). National Institute of Mental Health Treatment of Depression Collaborative Research Program: General effectiveness of treatments. Archives of General Psychiatry, 46, 971-982. (Pubitemid 19278225)
11. Erwin, B.A., Heimberg, R.G., Juster, H., & Mindlin, M. (2002). Comorbid anxiety and mood disorders among persons with social anxiety disorder. Behaviour Research and Therapy, 40, 19-35. (Pubitemid 33064419)
12. Fournier, J.C., DeRubeis, R.J., Shelton, R.C., Gallop, R., Amsterdam, J.D., & Hollon, S.D. (2008). Antidepressant medication v. cognitive therapy in people with depression with or without personality disorder. British Journal of Psychiatry, 192, 124-129.
13. Frank, E., Shear, M.K., Rucci, P., Cyranowski, J., Endicott, J., Fagiolini, A., et al. (2000). Influence of panicagoraphobic spectrum symptoms on treatment response in patients with recurrent major depression. Archives of General Psychiatry, 157, 1101-1107. (Pubitemid 30432491)
14. Hayes, S.C., Strosahl, K.D., & Wilson, K.G. (2003). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford.
15. Heimberg, R.G., & Becker, R.E. (2002). Cognitive-behavioral group therapy for social phobia. New York: Guilford.
16. Ilardi, S.S., & Craighead, W.E. (1999). The relationship between personality pathology and dysfunctional cognitions in previously depressed adults. Journal of Abnormal Psychology, 108, 51-57. (Pubitemid 29108309)
17. Ilardi, S.S., Craighead, W.E., & Evans, D.D. (1997). Modeling relapse in unipolar depression: The effects of dysfunctional cognitions and personality disorders. Journal of Consulting and Clinical Psychology, 65, 381-391. (Pubitemid 27246779)
18. Leahy, R. L. (Ed.). (2004). Contemporary cognitive therapy: Theory, research, and practice. New York: Guilford.
19. Massion, A.O., Dyck, I.R., Shea, M.T., Phillips, K.A., Warshaw, M.G., & Keller, M.B. (2002). Personality disorders and time to remission in generalized anxiety disorder, social phobia, and panic disorder. Archives of General Psychiatry, 59, 434-440. (Pubitemid 34477678)
20. Miller, W.R., & Rollnick, S. (2003). Motivational interviewing (2 nd ed.). New York: Guilford.
21. Morin, C.M. (1993). Insomnia: Psychological assessment and management. New York: Guilford.
22. Persons, J.B., & Davidson, J. (2001). Cognitive-behavioral case formulation. In K. Dobson (Ed.), Handbook of cognitive-behavioral therapies (2 nd ed.). New York: Guilford.
23. R Development Core Team. (2007). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing. Available from http://www.R-project.org
24. Reich, J. (2003). The effect of Axis II disorders on the outcome of treatment of anxiety and unipolar depressive disorders: A review. Journal of Personality Disorders, 17, 387-405. (Pubitemid 37409815)
25. Slotsky, S.M., Glass, D.R., Shea, M.T., Pilkonis, P.A., Collins, J.F., Elkin, I., et al. (1991). Patient predictors of response to psychotherapy and pharmacotherapy: Findings in the NIMH treatment of depression collaborative research program. American Journal of Psychiatry, 148, 997-1008.
26. Smith, J.M., Grandin, L.D., Alloy, L.B., & Abramson, L.Y. (2006). Cognitive vulnerability to depression and Axis II personality dysfunction. Cognitive Therapy Research, 30, 609-621.
27. Voncken, M.J., Bogels, S.M., & Peeters, F. (2007). Specificity of interpretation and judgmental biases in social phobia versus depression. Psychology and Psychotherapy: Theory, Research, and Practice, 80, 443-453. (Pubitemid 47547204)
28. Westen, D., Novotny, C.M., & Thompson-Brenner, H. (2004). The empirical status of empirically supported psychotherapies: Assumptions, findings, and reporting in controlled clinical trials. Psychological Bulletin, 130, 631-663. (Pubitemid 38882639)
29. Young, J.E., Klosko, J.S., & Weishaar, M.E. (2003). Schema therapy: A practitioner's guide. New York: Guilford.
30. Young, J.E., Weinberger, A.D., & Beck, A.T. (2001). Cognitive therapy for depression. In D. Barlow (Ed.), Clinical handbook of psychological disorders (3 rd ed.). New York: Guilford.