Cognitive–behavioral treatment for depression: Relapse prevention.
Abstract
This study presents 2-year follow-up data of a comparison between complete cognitive-behavioral therapy for depression (CT) and its 2 major components: behavioral activation and behavioral activation with automatic thought modification. Data are reported on 137 participants who were randomly assigned to 1 of these 3 treatments for up to 20 sessions with experienced cognitive-behavioral therapists. Long-term effects of the therapy were evaluated through relapse rates, number of asymptomatic or minimally symptomatic weeks, and survival times at 6-, 12-, 18-, and 24-month follow-ups. CT was no more effective than its components in preventing relapse. Both clinical and theoretical implications of these findings are discussed.
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Relapse rates after treatment are 29-54% during 1-2 years posttreatment.
“The benefits are also likely to be temporary, with studies showing 29–54% relapse rates during the time span of 1–2 years posttreatment (Dobson et al., 2008; Gortner, Gollan, Dobson, & Jacobson, 1998; Ramana et al., 1995; Shea et al., 1992; Vittengl, Clark, Dunn, & Jarrett, 2007).”
From A mindful yoga intervention for young women with major depressive disorder: Design and baseline sample characteristics of a randomized controlled trial (2020) · cites this paper as Gortner, Gollan, Dobson, & Jacobson, 1998
Current evidence-based treatment packages for MDD are suboptimal in relapse.
“and (c) relapse (Dobson et al., 2008; Gortner et al., 1998; Ramana et al., 1995; Shea et al., 1992; Vittengl et al., 2007)”
From A mindful yoga intervention for young women with major depressive disorder: Design and baseline sample characteristics of a randomized controlled trial (2020) · cites this paper as Gortner et al., 1998
Component analysis studies have generally failed to find support for the importance of direct cognitive change strategies.
“Component analysis studies have generally failed to find support for the importance of direct cognitive change strategies, which was the common sense lynch pin of CBT”
From Acceptance and commitment therapy: model, processes and outcomes (2006) · cites this paper as Gortner, Gollan, Dobson, & Jacobson, 1998
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References 21 · Cited by 341
- Authors
- Gortner, E. T., Gollan, J. K., Dobson, K. S., & Jacobson, N. S.
- Affiliations
- University of Washington (US)
- University of Calgary (CA)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1998
- Volume
- 66
- Issue
- 2
- Pages
- 377-384
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W1999478458
- Cited by
- 341
- References
- 21
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 4 · 2023: 6 · 2022: 9 · 2021: 8 · 2020: 13 · 2019: 12 · 2018: 11 · 2017: 14 · 2016: 14 · 2015: 12 · 2014: 13 · 2013: 14 · 2012: 19
- FWCI
- 15.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh044063-07, 5k02mh000868-07)
- National Institute of Mental Health (2R01 MH44063-06, 5K02 MH00868-05)
- 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
- relapse prevention, behavioral activation, treatment components, long-term follow-up, relapse rate, treatment survival
- MeSH terms
- Adult, Depressive Disorder, Female, Follow-Up Studies, Humans, Internal-External Control, Male, Personality Assessment, Recurrence, Thinking, Cognitive Behavioral Therapy
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