The DOI matches its Crossref record; 102 of the 106 references it cites were found in a registry or an index.
Avoidance and processing as predictors of symptom change and positive growth in an integrative therapy for depression
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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“Objective coding of those essays demonstrated that high levels of adaptive emotion processing in specific weeks of treatment were linked to greater improvement in depressive symptoms, positive self-views, and hope whereas greater avoidance on a specific”
From Examining domains of psychological flexibility and inflexibility as treatment mechanisms in acceptance and commitment therapy: A comprehensive systematic and meta-analytic review (2024) · cites this paper as Hayes et al., 2005
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Cites
Hamilton, M. (1960) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.23.1.56 · Cited by 32,817
Hierarchical Linear Models: Applications and Data Analysis Methods.
Longford, N. T., Bryk, A. S., & Raudenbush, S. W. (1993) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2075823 · Cited by 18,773
Fredrickson, B. L. (2001) · American Psychologist · doi:10.1037//0003-066x.56.3.218 · Cited by 18,025
Hierarchical Linear Models: Applications and Data Analysis Methods
Davidian, M. (2003) · Journal of the American Statistical Association · doi:10.1198/jasa.2003.s288 · Cited by 13,820
The emerging field of emotion regulation: an integrative review
Gross, J. J. (1998) · Review of General Psychology · doi:10.1037/1089-2680.2.3.271 · Cited by 9,916
Cognitive Therapy for Depression
(2012) · PsycEXTRA Dataset · doi:10.1037/e675542012-001 · Cited by 9,678
TARGET ARTICLE: "Posttraumatic Growth: Conceptual Foundations and Empirical Evidence"
Tedeschi, R. G., & Calhoun, L. G. (2004) · Psychological Inquiry · doi:10.1207/s15327965pli1501_01 · Cited by 7,154
Emotional processing of fear: Exposure to corrective information.
Foa, E. B., & Kozak, M. J. (1986) · Psychological Bulletin · doi:10.1037/0033-2909.99.1.20 · Cited by 5,396
Emotion regulation: affective, cognitive, and social consequences.
Gross, J. J. (2002) · Psychophysiology · doi:10.1017/s0048577201393198 · Cited by 4,890 · cited 2×
“Consistent with a large body of research on the psychological and health consequences of avoiding and suppressing emotions ( Gross, 2002; Keicolt-Glaser et al., 2002; Salovey et al., 2000; Segerstrom et al., 2003), peak avoidance scores during the exposure phase of therapy were associated with less change in depressio…”
BackgroundCognitive Therapy of Depression
HOLLON, S. D., & BECK, A. T. (1979) · Cognitive-Behavioral Interventions · doi:10.1016/b978-0-12-404480-7.50012-5 · Cited by 4,685
Research works printed but not linked: 5
- Greenberg, L. S., Elliott, R., & Foerster, F. (1990). Essential process in the psychotherapeutic treatment of depression. In D. McCann & N. Endler (Eds.), Depression: Development in theory, research, and practice (pp. 157–185). Toronto, Canada: Thompson.
- Greenberg, L. S., & Paivio, S. (1997). Working with emotion. New York: Guilford.
- Hayes, A. M, Feldman, G. C., & Goldfried, M. R. (in press). From insight to processing: Two measures of therapeutic change. In L. G. Castonguay & C. Hill Eds., Insight and change in psychotherapy . 00-00. Washington, DC: American Psychological Association.
- Martin, L. T., & Tesser, A. (1996). Some ruminative thoughts. In R. S. Wyer (Ed.), Ruminative thoughts (pp. 1–47). Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.
- Pennebaker, J. W., & Seagal, J. D. (1999). Forming a story: The health benefits of narrative. Journal of Clinical Psychology, 55, 1243–1254. · DOI
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Park, C. L. (2010) · Psychological Bulletin · doi:10.1037/a0018301 · Cited by 3,174
Effects of mindfulness on psychological health: A review of empirical studies
Keng, S.-L., Smoski, M. J., & Robins, C. J. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.04.006 · Cited by 2,687
Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J.-P. (2007) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-006-9035-8 · Cited by 1,630
“A core rationale for application of mindfulness to the treatment of depression and generalized anxiety disorder is to provide clients a contrasting mental habit to the excessive focus on the past (i.e., rumination) and future (i.e., worry) typical of the thought processes of individuals with these disorders ( Hayes et…”
BackgroundInfluentialSelf-citationAdler, J. M. (2012) · Journal of Personality and Social Psychology · doi:10.1037/a0025289 · Cited by 588
The bright side of being blue: depression as an adaptation for analyzing complex problems.
Andrews, P. W., & Thomson, J. A. (2009) · Psychological Review · doi:10.1037/a0016242 · Cited by 549
Metadata
- 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.
- Venue
- International Journal of Behavioral Medicine
- Published
- 2005-06
- Volume
- 12
- Issue
- 2
- Pages
- 111-122
- ISSN
- 1070-5503 (ISSN-L)
- 1532-7558
- 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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