Cited by 198Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and ApplicationsPsychological Treatments and Assessments

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Discontinuities and cognitive changes in an exposure-based cognitive therapy for depression

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Hayes, Adele M., Feldman, Greg C., Beevers, Christopher G., Laurenceau, Jean-Philippe, Cardaciotto, LeeAnn, Lewis-Smith, Jamie·2007·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.75.3.409PMC PMC6961653

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Abstract

Significant shifts or discontinuities in symptom course can mark points of transition and reveal important change processes. The authors investigated 2 patterns of change in depression-the rapid early response and a transient period of apparent worsening that the authors call a depression spike. Participants were 29 patients diagnosed with major depressive disorder who enrolled in an open trial of an exposure-based cognitive therapy. Hierarchical linear modeling revealed an overall cubic shape of symptom change and that both the rapid response and spike patterns predicted lower posttreatment depression. Patients wrote weekly narratives about their depression. Early narratives of rapid responders were coded as having more hope than those of nonrapid responders. The narratives of patients with a depression spike had more cognitive-emotional processing during this period of arousal than those without a spike. Findings are discussed in the context of cognitive-emotional processing theories in depression and anxiety disorders.

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Authors: Hayes, A. M., Feldman, G. C., Beevers, C. G., Laurenceau, J.-P., Cardaciotto, L., & Lewis-Smith, J.
Affiliations: University of Delaware (US)
Simmons University (US)
The University of Texas at Austin (US)
University of Miami (US)
ORCID: Hayes, Adele M.
Feldman, Greg C.
Beevers, Christopher G.
Laurenceau, Jean-Philippe
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2007-06
Volume: 75
Issue: 3
Pages: 409-421
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.75.3.409
PMC: PMC6961653
OpenAlex: W2118653600
Cited by: 198
References: 108
Citations by year: 2026: 3 · 2025: 8 · 2024: 17 · 2023: 9 · 2022: 6 · 2021: 9 · 2020: 11 · 2019: 9 · 2018: 6 · 2017: 8 · 2016: 13 · 2015: 11 · 2014: 15 · 2013: 15 · 2012: 12
FWCI: 13.65
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (R21-MH62662)
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: major depressive disorder, hope, patient narratives
MeSH terms: Adolescent, Adult, Affect, Cognition Disorders, Major Depressive Disorder, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Severity of Illness Index, Cognitive Behavioral Therapy, Treatment Outcome

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Discontinuities and cognitive changes in an exposure-based cognitive therapy for depression

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