Self-directed affiliation and autonomy across acute and continuation phase cognitive therapy for recurrent depression

Jeffrey R. Vittengl, Lee Anna Clark, Robin B. Jarrett

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Using Benjamin's (2000) Structural Analysis of Social Behavior, we evaluated change in "self-directed" affiliation and autonomy and prediction of treatment response and relapse/recurrence among adult outpatients with recurrent major depressive disorder consenting to acute phase cognitive therapy (A-CT; Beck, Rush, Shaw, & Emery, 1979; N = 156); A-CT responders randomized (N = 84) to 8 months of continuation phase cognitive therapy (C-CT; Jarrett, 1989; Jarrett et al., 1998; Jarrett & Kraft, 1997) or assessment-only control; and C-CT and control patients entering a 16-month, assessment-only follow-up (N = 74). Self-directed affiliation and autonomy increased after A-CT, and C-CT further increased affiliation and autonomy. Affiliation and autonomy did not predict A-CT response, but lower affiliation and higher autonomy pre-A-CT predicted relapse/recurrence post-A-CT. We discuss potential clinical implications of these results and present case examples to illustrate patterns of change.

Original languageEnglish (US)
Pages (from-to)235-247
Number of pages13
JournalJournal of Personality Assessment
Volume83
Issue number3
StatePublished - Dec 2004

Fingerprint

Cognitive Therapy
Depression
Recurrence
Social Behavior
Major Depressive Disorder
Outpatients
Therapeutics

ASJC Scopus subject areas

  • Psychology(all)
  • Clinical Psychology
  • Social Psychology

Cite this

Self-directed affiliation and autonomy across acute and continuation phase cognitive therapy for recurrent depression. / Vittengl, Jeffrey R.; Clark, Lee Anna; Jarrett, Robin B.

In: Journal of Personality Assessment, Vol. 83, No. 3, 12.2004, p. 235-247.

Research output: Contribution to journalArticle

@article{ec4530612e3c47a199cb9331d849f01c,
title = "Self-directed affiliation and autonomy across acute and continuation phase cognitive therapy for recurrent depression",
abstract = "Using Benjamin's (2000) Structural Analysis of Social Behavior, we evaluated change in {"}self-directed{"} affiliation and autonomy and prediction of treatment response and relapse/recurrence among adult outpatients with recurrent major depressive disorder consenting to acute phase cognitive therapy (A-CT; Beck, Rush, Shaw, & Emery, 1979; N = 156); A-CT responders randomized (N = 84) to 8 months of continuation phase cognitive therapy (C-CT; Jarrett, 1989; Jarrett et al., 1998; Jarrett & Kraft, 1997) or assessment-only control; and C-CT and control patients entering a 16-month, assessment-only follow-up (N = 74). Self-directed affiliation and autonomy increased after A-CT, and C-CT further increased affiliation and autonomy. Affiliation and autonomy did not predict A-CT response, but lower affiliation and higher autonomy pre-A-CT predicted relapse/recurrence post-A-CT. We discuss potential clinical implications of these results and present case examples to illustrate patterns of change.",
author = "Vittengl, {Jeffrey R.} and Clark, {Lee Anna} and Jarrett, {Robin B.}",
year = "2004",
month = "12",
language = "English (US)",
volume = "83",
pages = "235--247",
journal = "Journal of Personality Assessment",
issn = "0022-3891",
publisher = "Taylor and Francis Ltd.",
number = "3",

}

TY - JOUR

T1 - Self-directed affiliation and autonomy across acute and continuation phase cognitive therapy for recurrent depression

AU - Vittengl, Jeffrey R.

AU - Clark, Lee Anna

AU - Jarrett, Robin B.

PY - 2004/12

Y1 - 2004/12

N2 - Using Benjamin's (2000) Structural Analysis of Social Behavior, we evaluated change in "self-directed" affiliation and autonomy and prediction of treatment response and relapse/recurrence among adult outpatients with recurrent major depressive disorder consenting to acute phase cognitive therapy (A-CT; Beck, Rush, Shaw, & Emery, 1979; N = 156); A-CT responders randomized (N = 84) to 8 months of continuation phase cognitive therapy (C-CT; Jarrett, 1989; Jarrett et al., 1998; Jarrett & Kraft, 1997) or assessment-only control; and C-CT and control patients entering a 16-month, assessment-only follow-up (N = 74). Self-directed affiliation and autonomy increased after A-CT, and C-CT further increased affiliation and autonomy. Affiliation and autonomy did not predict A-CT response, but lower affiliation and higher autonomy pre-A-CT predicted relapse/recurrence post-A-CT. We discuss potential clinical implications of these results and present case examples to illustrate patterns of change.

AB - Using Benjamin's (2000) Structural Analysis of Social Behavior, we evaluated change in "self-directed" affiliation and autonomy and prediction of treatment response and relapse/recurrence among adult outpatients with recurrent major depressive disorder consenting to acute phase cognitive therapy (A-CT; Beck, Rush, Shaw, & Emery, 1979; N = 156); A-CT responders randomized (N = 84) to 8 months of continuation phase cognitive therapy (C-CT; Jarrett, 1989; Jarrett et al., 1998; Jarrett & Kraft, 1997) or assessment-only control; and C-CT and control patients entering a 16-month, assessment-only follow-up (N = 74). Self-directed affiliation and autonomy increased after A-CT, and C-CT further increased affiliation and autonomy. Affiliation and autonomy did not predict A-CT response, but lower affiliation and higher autonomy pre-A-CT predicted relapse/recurrence post-A-CT. We discuss potential clinical implications of these results and present case examples to illustrate patterns of change.

UR - http://www.scopus.com/inward/record.url?scp=9644255767&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=9644255767&partnerID=8YFLogxK

M3 - Article

VL - 83

SP - 235

EP - 247

JO - Journal of Personality Assessment

JF - Journal of Personality Assessment

SN - 0022-3891

IS - 3

ER -