Processes of change in CBT of adolescent depression: Review and recommendations

Journal of Clinical Child and Adolescent Psychology

Volumn 41, Issue 5, 2012, Pages 654-665

  Webb, Christian A ^a   Auerbach, Randy P ^b   DeRubeis, Robert J ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b MCLEAN HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; COGNITIVE THERAPY; DEPRESSION; HUMAN; METHODOLOGY; PSYCHOLOGICAL ASPECT; REVIEW; TREATMENT OUTCOME;

ADOLESCENT; COGNITIVE THERAPY; DEPRESSIVE DISORDER; HUMANS; TREATMENT OUTCOME;

EID: 84870274951     PISSN: 15374416     EISSN: None     Source Type: Journal    
DOI: 10.1080/15374416.2012.704842     Document Type: Review

References (91)

1. Abeles, P., Verduyn, C., Robinson, A., Smith, P., Yule, W., & Proudfoot, J. (2009). Computerised CBT for adolescent depression (stressbusters) and its initial evaluation through an extended case series. Behavioural and Cognitive Psychotherapy, 37, 151-165.
2. Ackerson, J., Scogin, F., McKendree-Smith, N., & Lyman, R. D. (1998). Cognitive bibliotherapy for mild and moderate adolescent depressive symptomatology. Journal of Consulting & Clinical Psychology, 66, 685-690.
3. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
4. Barber, J. P. (2009). Toward a working through of some core conflicts in psychotherapy research. Psychotherapy Research, 19, 1-12.
5. Barber, J. P., & DeRubeis, R. J. (1989). On second thought: Where the action is in cognitive therapy for depression. Cognitive Therapy and Research, 13, 441-457.
6. Barber, J. P., & DeRubeis, R. J. (1992). The Ways of Responding: A scale to assess compensatory skills taught in cognitive therapy. Behavioral Assessment, 14, 93-115.
7. Barber, J. P., Gallop, R., Crits-Christoph, P., Frank, A., Thase, M. E., Weiss, R. D., et al. (2006). The role of therapist adherence, therapist competence, and the alliance in predicting outcome of individual drug counseling: Results from the NIDA Collaborative Cocaine Treatment Study. Psychotherapy Research, 16, 229-240.
8. Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182.
9. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.
10. 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.
11. Brent, D., Emslie, G., Clarke, G., Wagner, K. D., Asarnow, J. R., Keller, M., et al. (2008). Switching to another SSRI or to venlafaxine with or without cognitive behavioral therapy for adolescents with SSRI-resistant depression: The TORDIA randomized controlled trial. Journal of the American Medical Association, 299, 901-913.
12. Brent, D. A., Holder, D., Kolko, D., Birmaher, B., Baugher, M., Roth, C., et al. (1997). A clinical psychotherapy trial for adolescent depression comparing cognitive, family, and supportive treatment. Archives of General Psychiatry, 54, 877-885.
13. Castonguay, L. G., Constantino, M. L., McAleavey, A. A., & Goldfried, M. R. (2010). The therapeutic alliance in cognitivebehavioral therapy. In J. C. Muran & J. P. Barber (Eds.), The therapeutic alliance: An evidence-based guide to practice. (pp. 150-171). New York: Guilford.
14. Castonguay, L. G., Goldfried, M. R., Wiser, S., Raue, P. J., & Hayes, A. M. (1996). Predicting the effect of cognitive therapy for depression: A study of unique and common factors. Journal of Consulting and Clinical Psychology, 64, 497-504.
15. Collins, L. M., & Graham, J. W. (2002). The effect of the timing and temporal spacing of observations in longitudinal studies of tobacco and other drug use: Temporal design considerations. Drug and Alcohol Dependence, 68, S85-S96.
16. Crits-Christoph, P., Gibbons, M. B. C., Crits-Christoph, K., Narducci, J., Schamberger, M., & Gallop, R. (2006). Can therapists be trained to improve their alliances? A preliminary study of alliance-fostering psychotherapy. Psychotherapy Research, 16, 268-281.
17. DeRubeis, R. J., & Feeley, M. (1990). Determinants of change in cognitive therapy for depression. Cognitive Therapy and Research, 14, 469-482.
18. DeRubeis, R. J., Hollon, S. D., Evans, M. D., Garvey, M. J., Grove, W. M., & Tuason, V. B. (1990). How does cognitive therapy work? Cognitive change and symptom change in cognitive therapy and pharmacotherapy for depression. Journal of Consulting and Clinical Psychology, 58, 862-869.
19. DeRubeis, R. J., Webb, C. A., Tang, T. Z., & Beck, A. T. (2010) Cognitive therapy. In K. S. Dobson (Ed.), Handbook of cognitive-behavioral therapies (3rd ed.). New York: Guilford.
20. Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., 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.
21. Dobson, K. S., Dimidjian, S., Kohlenberg, R. J., Rizvi, S. L., Dunner, D. L., Jacobson, N. S., et al. (2008). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the prevention of relapse and recurrence in major depression. Journal of Consulting and Clinical Psychology, 76, 468-477.
22. Dobson, K. S., & Dozois, D. J. A. (2010). Historical and philosophical bases of the cognitive-behavioral therapies. In K. S. Dobson (Ed.), Handbook of cognitive-behavioral therapies (3rd ed., pp. 3-38). New York: Guilford.
23. Dozois, D. J. A., Bieling, P. J., Patelis-Siotis, I., Hoar, L., Chudzik, S., McCabe, K., et al. (2009). Changes in self-schema structure in cognitive therapy for major depressive disorder: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 77, 1078-1088.
24. Elkin, I. (1988, June). Relationship of therapists' adherence to treatment outcome in the Treatment of Depression Collaborative Research Program. Paper presented at the meeting of the Society for Psychotherapy Research in Santa
25. Fe, NM. Elkin, I., Shea, M. T., Watkins, J. T., Imber, S. D., Sotsky, S. M., 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.
26. Eubanks-Carter, C., Muran, J. C., & Safran, J. D. (2010). Alliance ruptures and resolution. In J. C. Muran & J. P. Barber (Eds.), The therapeutic alliance: An evidence-based guide to practice. (pp. 74-94). New York: Guilford.
27. Feeley, M., DeRubeis, R. J., & Gelfand, L. (1999). The temporal relation of adherence and alliance to symptom change in cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 67, 578-582.
28. Garratt, G., Ingram, R. E., Rand, K. L., & Sawalani, G. (2007). Cognitive processes in cognitive therapy: Evaluation of the mechanisms of change in the treatment of depression. Clinical Psychology: Science and Practice, 14, 224-239.
29. Gaynor, S. T., Weersing, V. R., Kolko, D. J., Birmaher, B., Heo, J., & Brent, D. A. (2003). The prevalence and impact of large sudden improvements during adolescent therapy for depression: A comparison across cognitive-behavioral, family, and supportive therapy. Journal of Consulting and Clinical Psychology, 71, 386-393.
30. Haaga, D. A. F. (2007). Could we speed this up? Accelerating progress in research on mechanisms of change in cognitive therapy of depression. Clinical Psychology: Science and Practice, 14, 240-243.
31. Henggeler, S. W., Cunningham, P. B., Pickrel, S. G., Schoenwald, S. K., & Brondino, M. J. (1996). Multisystemic therapy: An effective violence prevention approach for serious juvenile offenders. Journal of Adolescence, 19, 47-61.
32. Henggeler, S. W., Melton, G. B., Brondino, M. J., Scherer, D. G., & Hanley, J. H. (1997). Multisystemic therapy with violent and chronic juvenile offenders and their families: The role of treatment fidelity in successful dissemination. Journal of Consulting Clinical Psychology, 65, 821-833.
33. Henggeler, S. W., Pickrel, S. G., & Brondino, M. J. (1999). Multisystemic treatment of substance abusing and dependent delinquents: Outcomes, treatment fidelity, and transportability. Mental Health Services Research, 3, 171-184.
34. Hilsenroth, M. J., Ackerman, S. J., Clemence, A. J., Strassle, C. G., & Handler, L. (2002). Effects of structured clinician training on patient and therapist perspectives of alliance early in psychotherapy. Psychotherapy: Theory, Research, Practice, and Training, 39, 309-323.
35. Hogue, A., Henderson, C. E., Dauber, S., Barajas, P. S., Fried, A., & Liddle, H. A. (2008). Treatment adherence, competence, and outcome in individual and family therapy for adolescent behavior problems. Journal of Consulting and Clinical Psychology, 76, 544-555.
36. Hollon, S. D., DeRubeis, R. J., & Evans, M. (1988). Causal mediation of change in treatment for depression: Discriminating between nonspecificity and noncausality. Psychological Bulletin, 102, 139-149.
37. Hollon, S. D., DeRubeis, R. J., Shelton, R. C., Amsterdam, J. D., Salomon, R. M., O'Reardon, J. P., et al. (2005). Prevention of relapse following cognitive therapy vs. medications in moderate to severe depression. Archives of General Psychiatry, 62, 417-422.
38. Hollon, S. D., & Kendall, P. C. (1980). Cognitive self-statements in depression. Development of an Automatic Thoughts Questionnaire. Cognitive Therapy and Research, 4, 383-395.
39. Holtforth, M., & Castonguay, L. (2005). Relationship and techniques in cognitive behavioral therapy-A motivational approach. Psychotherapy: Theory, Research, Practice, Training, 42, 443-455.
40. Horvath, A. O., & Bedi, R. P. (2002). The alliance. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Therapists contributions and responsiveness to patients (pp. 37-69). New York: Oxford University Press.
41. Horvath, A. O., Del Re, A. C., Fluckiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. Psychotherapy, 48, 9-16.
42. Huey, S. J., Henggeler, S. W., Brondino, M. J., & Pickrel, S. G. (2000). Mechanisms of change in multisystemic therapy: Reducing delinquent behavior through therapist adherence and improved family and peer functioning. Journal of Consulting and Clinical Psychology, 68, 451-467.
43. Jacobs, R. H., Reinecke, M. A., Gollan, J. K., Jordan, N., Silva, S. G., & March, J. S. (2010). Extreme thinking in clinically depressed adolescents: Results from the Treatment for Adolescents with Depression Study (TADS). Behavior Research and Therapy, 48, 1155-1159.
44. Jacobson, N. S., Dobson, K. S., Truax, P. A., Addis, M. E., Koerner, K., Gollan, J. K., et al. (1996). A component analysis of cognitive-behavioral treatment for depression. Journal of Consulting and Clinical Psychology, 64, 295-304.
45. Jarrett, R. B., Vittengl, J. R., Clark, L. A., & Thase, M. E. (2011). Skills cognitive therapy (SoCT): A new measure of patients' comprehension and use. Psychological Assessment. Advance online publication. doi: 10.1037=a0022485
46. Jarrett, R. B., Vittengl, J., Doyle, K., & Clark L. (2007). Changes in cognitive content during and following cognitive therapy for recurrent depression: Substantial and enduring, but not predictive of change in depressive symptoms. Journal of Consulting and Clinical Psychology, 75, 432-446.
47. Karver, M., Shirk, S., Handelsman, J., Fields, S., Crisp, H., Gudmundsen, G., et al. (2008). Relationship processes in youth psychotherapy: Measuring alliance, alliance-building behaviors, and client involvement. Journal of Emotional and Behavioral Disorders, 16, 15-28.
48. Kaufman, N. K., Rohde, P., Seeley, J. R., Clarke, G. N., & Stice, E. (2005). Potential mediators of cognitive-behavioral therapy for adolescents with comorbid major depression and conduct disorder. Journal of Consulting and Clinical Psychology, 73, 38-46.
49. Kazdin, A. E. (2007). Mediators and mechanisms of change in psychotherapy research. Annual Review of Clinical Psychology, 3, 1-27.
50. Kazdin, A. E., & Nock, M. K. (2003). Delineating mechanisms of change in child and adolescent therapy: Methodological issues and research recommendations. Journal of Child Psychology and Psychiatry, 44, 1116-1129.
51. Klein, J. S., Jacobs, R. H., & Reinecke, M. A. (2007). Cognitive behavioral therapy for adolescent depression: A meta-analytic investigation of changes in effect-size estimates. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1403-1413.
52. Kolko, D. J., Brent, D. A., Baugher, M., Bridge, J., & Birmaher, B. (2000). Cognitive and family therapies for adolescent depression: Treatment specificity, mediation, and moderation. Journal of Consulting and Clinical Psychology, 68, 603-614.
53. Kraemer, H. C., Wilson, T., Fairburn, C. G., & Agras, S. (2002). Mediators and moderators of treatment effects in randomized clinical trials. Archives of General Psychiatry, 59, 877-883.
54. Kuyken, W., & Tsivrikos, D. (2009). Therapist competence, co-morbidity and cognitive-behavioral therapy for depression. Psychotherapy and Psychosomatics, 78, 42-48.
55. Laurenceau, J. P., Hayes, A. M., & Feldman, G. C. (2007). Some methodological and statistical issues in the study of change processes in psychotherapy. Clinical Psychology Review, 27, 682-695.
56. MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7, 83-104.
57. Martin, D., Garske, J. P., & Davis, K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytical review. Journal of Consulting and Clinical Psychology, 68, 438-450.
58. McNamara, K., & Horan, J. J. (1986). Experimental construct validity in the evaluation of cognitive and behavioral treatments for depression. Journal of Counseling Psychology, 33, 23-30.
59. Orlinsky, D. E., & Howard, K. I. (1986). Process and outcome in psychotherapy. In S. L. Garfield & A. E. Bergin (Eds.), Handbook of psychotherapy and behaviour change (pp. 311-385). New York: Wiley and Sons.
60. Perepletchikova, F., Treat, T. A., & Kazdin, A. E. (2007). Treatment integrity in psychotherapy research: Analysis of the studies and examination of the associated factors. Journal of Consulting and Clinical Psychology, 75, 829-841.
61. Robbins, M. S., Feaster, D. J., Horigian, V. E., Puccinelli, M. J., Henderson, C., & Szapocznik, J. (2011). Therapist adherence in Brief Strategic Family Therapy for adolescent substance abusers. Journal of Consulting and Clinical Psychology, 79, 43-53.
62. Rohde, P., Clarke, G. N., Mace, D. E., Jorgensen, J. S., & Seeley, J. R. (2004). An efficacy=effectiveness study of cognitive-behavioral treatment for adolescents with comorbid major depression and conduct disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 660-668.
63. Safran, J. D., & Segal, Z. V. (1990). Interpersonal process in cognitive therapy. New York: Basic Books.
64. Segal, Z. V., Gemar, M., & Williams, S. (1999). Differential cognitive response to a mood challenge following successful cognitive therapy or pharmacotherapy for unipolar depression. Journal of Abnormal Psychology, 108, 3-10.
65. Segal, Z. V., Kennedy, M. D., Gemar, M., Hood, K., Pedersen, R., Buis, T., et al. (2006). Cognitive reactivity to sad mood provocation and the prediction of depressive relapse. Archives of General Psychiatry, 63, 749-755.
66. Sharpless, B. A., & Barber, J. P. (2009). A conceptual and empirical review of the meaning, measurement, development, and teaching of intervention competence in clinical psychology. Clinical Psychology Review, 29, 47-56.
67. Shaw, B. F., Elkin, I., Yamaguchi, J., Olmsted, M., Vallis, T. M., Dobson, K. S., et al. (1999). Therapist competence ratings in relation to clinical outcome in cognitive therapy of depression. Journal of Consulting and Clinical Psychology, 67, 837-846.
68. Shirk, S. R., Gudmundsen, G., Kaplinski, H. C., & McMakin, D. L. (2008). Alliance and outcome in cognitive-behavioral therapy for adolescent depression. Journal of Clinical Child and Adolescent Psychology, 37, 631-663.
69. Shirk, S., & Karver, M. (2003). Prediction of treatment outcome from relationship variables in child and adolescent therapy: A metaanalytic review. Journal of Consulting and Clinical Psychology, 71, 462-471.
70. Shirk, S., & Karver, M. (2006). Process issues in cognitive-behavioral therapy for youth. In P. C. Kendall (Ed.), Child and adolescent therapy: Cognitive-behavioral procedures (3rd ed., pp. 465-491). New York: Guilford.
71. Shirk, S. R., Karver, M. S., & Brown, R. (2011). The alliance in child and adolescent psychotherapy. Psychotherapy, 48, 17-24.
72. Stiles, W. B., Honos-Webb, L., & Surko, M. (1998). Responsiveness in psychotherapy. Clinical Psychology: Science and Practice 5, 439-458.
73. Stiles, W. B., Shapiro, D. A., & Elliott, R. (1986). Are all psychotherapies equivalent? American Psychologist, 41, 65-80.
74. Storer, J. L. (2010). Therapeutic alliance with adolescent clients: The role of attachment style and parent-adolescent agreement regarding targets of therapy and problem severity. Unpublished master's thesis, Ohio University, Athens.
75. Strunk, D. R., Brotman, M. A., & DeRubeis, R. J. (2009). The process of change in cognitive therapy for depression: Predictors of early inter-session symptom gains and continued response (Unpublished manuscript). University of Pennsylvania, Philadelphia.
76. Strunk, D. R., Brotman, M. A., & DeRubeis, R. J. (2010). The process of change in cognitive therapy for depression: Predictors of early inter-session symptom gains. Behavior Research and Therapy, 48, 599-606.
77. Strunk, D. R., Brotman, M. A., DeRubeis, R. J., & Hollon, S. D. (2010). Therapist competence in cognitive therapy for depression: Predicting subsequent symptom change. Journal of Consulting and Clinical Psychology, 78, 429-437.
78. Strunk, D. R., DeRubeis, R. J., Chui, A., & Alvarez, J. A. (2007). Patients' competence in and performance of cognitive therapy skills: Relation to the reduction of relapse risk following treatment for depression. Journal of Consulting and Clinical Psychology, 75, 523-530.
79. Szapocznik, J., Hervis, U., & Schwartz, S. (2003). Brief strategic family therapy for adolescent drug abuse (NIH Publication No. 03-4751). Bethesda, MD: National Institute on Drug Abuse.
80. Tang, T. Z., & DeRubeis, R. J. (1999). Sudden gains and critical sessions in cognitive behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 67, 894-904.
81. Tang, T. Z., DeRubeis, R. J., Beberman, R., & Pham, T. (2005). Cognitive changes, critical sessions, and sudden gains in cognitive-behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 73, 168-172.
82. Webb, C. A., DeRubeis, R. J., & Barber, J. P. (2010). Therapist adherence=competence and treatment outcome: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 200-211.
83. Weersing, V. R., & Gonzalez, A. (2009). Effectiveness of interventions for adolescent depression: Reason for hope or cause for concern? In S. Nolen-Hoeksema & L. M. Hilt (Eds.), Handbook of depression in adolescents. (pp. 589-616). New York: Routledge.
84. Weersing, V. R., Rozenman, M., & Gonzalez, A. (2009). Core components of therapy in youth: Do we know what to disseminate? Behavior Modification, 33, 24-47.
85. Weissman, M. M., & Beck, A. T. (1978, August). Development and validation of the Dysfunctional Attitude Scale. Paper presented at the meeting of the Association for the Advancement of Behavior Therapy, Chicago.
86. Weisz, J. R., Doss, A. J., & Hawley, K. M. (2005). Youth psychotherapy outcome research: A review and critique of the evidence base. Annual Review of Psychology, 56, 337-363.
87. Weisz, J. R., McCarty, C. A., & Valeri, S. M. (2006). Effects of psychotherapy for depression in children and adolescents: A meta-analysis. Psychological Bulletin, 132, 132-149.
88. Wilson, P. H., Goldin, J. C., & Charbonneau-Powis, M. (1983). Comparative efficacy of behavioral and cognitive treatments of depression. Cognitive Therapy and Research, 7, 111-124.
89. Young, J., & Beck, A. T. (1980). Cognitive Therapy Scale: Rating manual (Unpublished manuscript). University of Pennsylvania, Philadelphia.
90. Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide. New York: Guilford.
91. Zack, S. E., Castonguay, L. G., & Boswell, J. F. (2007). Youth working alliance: A core clinical construct in need of empirical maturity. Harvard Review of Psychiatry, 15, 278-288.