How does cognitive therapy work? Cognitive change and symptom change in cognitive therapy and pharmacotherapy for depression.
Abstract
The effects of changes in depression-relevant cognition were examined in relation to subsequent change in depressive symptoms for outpatients with major depressive disorder randomly assigned to cognitive therapy (CT; n = 32) versus those assigned to pharmacotherapy only (NoCT; n = 32). Depression severity scores were obtained at the beginning, middle, and end of the 12-week treatment period, as were scores on 4 measures of cognition: Attributional Styles Questionnaire (ASQ), Automatic Thoughts Questionnaire (ATQ), Dysfunctional Attitudes Scale (DAS), and the Hopelessness Scale (HS). Change from pretreatment to midtreatment on the ASQ, DAS, and HS predicted change in depression from midtreatment to posttreatment in the CT group, but not in the NoCT group. It is concluded that cognitive phenomena play mediational roles in cognitive therapy. However, data do not support their status as sufficient mediators.
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Cognitive skills are an important mediator of symptom change.
“research supports that cognitive skills are an important mediator of symptom change [22].”
From Efficacy of a web-based, crowdsourced peer-to-peer cognitive reappraisal platform for depression: Randomized controlled trial (2015) · cites this paper as [22]
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- Authors
- DeRubeis, R. J., Evans, M. D., Hollon, S. D., Garvey, M. J., Grove, W. M., & Tuason, V. B.
- Affiliations
- University of Pennsylvania (US)
- Regions Hospital (US)
- Vanderbilt University (US)
- University of Iowa (US)
- University of Minnesota (US)
- Presbyterian Kaseman Hospital (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1990
- Volume
- 58
- Issue
- 6
- Pages
- 862-869
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2094093745
- Cited by
- 341
- References
- 35
- Citations by year
- 2026: 5 · 2025: 1 · 2024: 3 · 2023: 7 · 2022: 5 · 2021: 7 · 2020: 8 · 2019: 15 · 2018: 8 · 2017: 11 · 2016: 10 · 2015: 14 · 2014: 14 · 2013: 19 · 2012: 15
- FWCI
- 5.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH 19604, MH33209)
- 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
- cognitive therapy, major depressive disorder, depression, cognitive change, attributional style, dysfunctional attitudes, hopelessness, automatic thoughts, antidepressant treatment, treatment response prediction
- MeSH terms
- Adolescent, Adult, Combined Modality Therapy, Depressive Disorder, Female, Humans, Imipramine, Male, Middle Aged, Cognitive Behavioral Therapy
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