Abstract
Objectives: Interpersonal problems were examined as moderators of depression outcomes between mindfulness-based cognitive therapy (MBCT) and cognitive behavioral analysis system of psychotherapy (CBASP) in patients with chronic depression. Methods: Patients received treatment-as-usual and, in addition, were randomized to 8-weeks of MBCT (n = 34) or 8-weeks of CBASP (n = 34). MBCT and CBASP were given in a group format. The Hamilton depression rating scale (HAM-D) was the primary and the Beck Depression Inventory (BDI-II) the secondary outcome. The subscales of the Inventory of interpersonal problems (IIP-32) were moderators. Multilevel models were performed. Results: Higher scores on the “vindictive/self-centered” subscale were associated with a better outcome in MBCT than in CBASP (HAM-D: p <.01; BDI-II: p <.01). Higher scores on the “nonassertive” subscale were associated with a better outcome in CBASP than in MBCT (HAM-D: p <.01; BDI-II: p <.01). Conclusions: If these results can be replicated in larger trials, MBCT should be preferred to CBASP in chronically depressed patients being vindictive/self-centered, whereas CBASP should be preferred to MBCT in chronically depressed patients being nonassertive.
Original language | English |
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Journal | Journal of Clinical Psychology |
Volume | 76 |
Issue number | 7 |
Pages (from-to) | 1241-1254 |
Number of pages | 14 |
ISSN | 0021-9762 |
DOIs | |
Publication status | Published - 01.07.2020 |
Research Areas and Centers
- Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)