The relationship between interpersonal problems, negative cognitions, and outcomes from cognitive behavioral group therapy for depression
Open accessAbstract
Background Interpersonal functioning is a key determinant of psychological well-being, and interpersonal problems (IPs) are common among individuals with psychiatric disorders. However, IPs are rarely formally assessed in clinical practice or within cognitive behavior therapy research trials as predictors of treatment attrition and outcome. The main aim of this study was to investigate the relationship between IPs, depressogenic cognitions, and treatment outcome in a large clinical sample receiving cognitive behavioral group therapy (CBGT) for depression in a community clinic. Methods Patients (N=144) referred for treatment completed measures of IPs, negative cognitions, depression symptoms, and quality of life (QoL) before and at the completion of a 12-week manualized CBGT protocol. Results Two IPs at pre-treatment, 'finding it hard to be supportive of others' and 'not being open about problems,' were associated with higher attrition. Pre-treatment IPs also predicted higher post-treatment depression symptoms (but not QoL) after controlling for pre-treatment symptoms, negative cognitions, demographics, and comorbidity. In particular, 'difficulty being assertive' and a 'tendency to subjugate one's needs' were associated with higher post-treatment depression symptoms. Changes in IPs did not predict post-treatment depression symptoms or QoL when controlling for changes in negative cognitions, pre-treatment symptoms, demographics, and comorbidity. In contrast, changes in negative cognitions predicted both post-treatment depression and QoL, even after controlling for changes in IPs and the other covariates. Limitations Correlational design, potential attrition bias, generalizability to other disorders and treatments needs to be evaluated. Conclusions Pre-treatment IPs may increase risk of dropout and predict poorer outcomes, but changes in negative cognitions during treatment were most strongly associated with improvement in symptoms and QoL during CBGT.
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Researches done on this variable in other therapies are in line with the results of this research (Borge et al., 2008; McEvoy et al., 2013).
“Although no researches have been found on the effectiveness of ACT on interpersonal problems, the researches done on this variable in other therapies are in line with the results of this research (Borge, Hoffart, Sexton, Clark, Markowitz, & McManus, 2008; McEvoy, Burgess, & Nathan, 2013).”
From Effectiveness of Acceptance and Commitment Therapy on Interpersonal Problemsand Psychological Flexibility in Female High School Students With Social Anxiety Disorder (2015) · cites this paper as McEvoy, Burgess, & Nathan, 2013
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- Authors
- McEvoy, P. M., Burgess, M. M., & Nathan, P.
- Affiliations
- The University of Western Australia (AU)
- Centre for Clinical Interventions (AU)
- Corresponding author
- McEvoy, Peter M.
- ORCID
- McEvoy, Peter M.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2013-09
- Volume
- 150
- Issue
- 2
- Pages
- 266-275
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W1979342180
- Cited by
- 34
- References
- 73
- Citations by year
- 2026: 2 · 2025: 4 · 2022: 2 · 2020: 3 · 2019: 3 · 2018: 4 · 2017: 7 · 2016: 4 · 2015: 1 · 2014: 4
- FWCI
- 3.70
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- eSpace (Curtin University) (submittedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- interpersonal problems, negative thinking, group cognitive behavioral therapy, depression, treatment discontinuation, treatment outcomes, quality of life, assertiveness, community mental health centers
- MeSH terms
- Adolescent, Adult, Aged, Cognition, Depressive Disorder, Female, Humans, Interpersonal Relations, Male, Middle Aged, Prognosis, Psychotherapy, Group, Quality of Life, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult
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