Long-term effects of psychotherapy on moderate depression: a comparative study of narrative therapy and cognitive-behavioral therapy

Lopes, Rodrigo T., Gonçalves, Miguel M., Fassnacht, Daniel B., Machado, Paulo P.P., and Sousa, Inês (2014) Long-term effects of psychotherapy on moderate depression: a comparative study of narrative therapy and cognitive-behavioral therapy. Journal of Affective Disorders, 167. pp. 64-73.

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Abstract

Background

In a previous clinical controlled trial (Lopes et al., 2014), narrative therapy (NT) showed promising results in ameliorating depressive symptoms with comparable outcomes to cognitive-behavioral therapy (CBT) when patients completed treatment. This paper aims to assess depressive symptoms and interpersonal problems in this clinical sample at follow-up.

Methods

Using the Beck Depression Inventory-II and Outcome Questionnaire-45.2 Interpersonal Relations Scale, naturalistic prospective follow-up assessment was conducted at 21 and 31 months after the last treatment session.

Results

At follow-up, patients kept improving in terms of depressive symptoms and interpersonal problems. The odds that a patient maintained recovery from depressive symptoms at follow-up were five times higher than the odds that a patient maintained recovery from interpersonal problems. In the same way, the odds of a patient never recovering from interpersonal problems were five times higher than the odds of never recovering from depressive symptoms.

Limitations

The study did not control for the natural course of depression or treatment continuation.

Conclusions

For depressed patients with greater interpersonal disabilities, longer treatment plans and alternative continuation treatments should be considered.

Item ID: 36110
Item Type: Article (Research - C1)
ISSN: 1573-2517
Keywords: unipolar depression, psychological treatment of depression, long-term effects of psychological treatment, empirically supported therapies (ESTs), narrative therapy, cognitive-behavioral therapy
Funders: Portuguese Foundation for Science and Technology (FCT)
Projects and Grants: FCT Research Project PTDC/PSI-PCL/121525/2010, FCT Doctoral Grant SFRH/BD/47343/2008
Date Deposited: 12 Nov 2014 11:58
FoR Codes: 17 PSYCHOLOGY AND COGNITIVE SCIENCES > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health @ 100%
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