Cited by 163Psychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health via Writing

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Avoidance and processing as predictors of symptom change and positive growth in an integrative therapy for depression

Hayes, Adele M., Beevers, Christopher G., Feldman, Greg C., Laurenceau, Jean-Philippe, Perlman, Carol·2005·International Journal of Behavioral Medicine

DOI 10.1207/s15327558ijbm1202_9

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Abstract

Depression is a leading cause of disability worldwide and can worsen the course of a variety of medical illnesses. There is a clear need to develop more potent treatments for this debilitating disorder and prevent its return. We are developing a promising psychotherapy that integrates components of current, empirically supported therapies for depression and also teaches healthy lifestyle and emotion regulation habits to promote psychological health. In the 1st open trial, growth curve analyses revealed a significant linear decrease in symptoms of depression in a sample of 29 clients who completed the therapy. Participants wrote essays about their depression each week, and the content was analyzed using a new coding system of change processes. Hierarchical linear modeling (HLM) revealed that peak levels of processing in the essays were associated with more improvement in depression and with the expression of more hope and of both negative and positive views of the self, presumably as clients explored their depressive views of self. Peak levels of avoidance were associated with less improvement in depression and with more hopelessness and negative views of the self. These preliminary results suggest possible targets of change that can facilitate symptom reduction and perhaps also promote psychological health.

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Authors: Hayes, A. M., Beevers, C. G., Feldman, G. C., Laurenceau, J.-P., & Perlman, C.
Affiliations: University of Delaware (US)
The University of Texas at Austin (US)
University of Miami (US)
Massachusetts General Hospital (US)
Corresponding author: Hayes, Adele M.
ORCID: Hayes, Adele M.
Beevers, Christopher G.
Feldman, Greg C.
Laurenceau, Jean-Philippe
Venue: International Journal of Behavioral Medicine
Publisher: Springer Science and Business Media LLC
Published: 2005-06
Volume: 12
Issue: 2
Pages: 111-122
ISSN: 1070-5503 (ISSN-L)
1532-7558
DOI: 10.1207/s15327558ijbm1202_9
OpenAlex: W1998058368
Cited by: 163
References: 106
Citations by year: 2025: 4 · 2024: 4 · 2023: 8 · 2022: 4 · 2021: 12 · 2020: 11 · 2019: 9 · 2018: 6 · 2017: 11 · 2016: 13 · 2015: 14 · 2014: 10 · 2013: 8 · 2012: 10
FWCI: 6.94
Type: journal article
Language: en
Open access: closed
Locations: International Journal of Behavioral Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (R21MH062662, R21-MH62662)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Social Psychology › Mental Health via Writing
Keywords: depression, integrative psychotherapy, avoidance, processing, symptom change, positive growth, hope, hopelessness, self-view, emotion regulation, healthy lifestyle, change processes
MeSH terms: Affect, Cognition, Major Depressive Disorder, Depressive Disorder, Major, Female, Humans, Male, Perception, Social Behavior, Verbal Behavior

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Avoidance and processing as predictors of symptom change and positive growth in an integrative therapy for depression

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