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

15 Scopus citations

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
DOIs
StatePublished - Dec 2004

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health
  • Health, Toxicology and Mutagenesis

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