| Abstract: | The effects of changes in depression-relevant cognition were examined in relation to subsequent change in depressive symptoms for outpatients with major depressive disorder randomly assigned to cognitive therapy (COT; n?=?32) vs those assigned to pharmacotherapy only (NoCT; n?=?32). Depression severity scores were obtained at the beginning, middle, and end of the 12-wk treatment period, as were scores on 4 measures of cognition: Attributional Styles Questionnaire (ASQ), Automatic Thoughts Questionnaire (S. D. Hollon and P. E. Kendall; see record 1981-20180-001), Dysfunctional Attitudes Scale (DAS), and the Hopelessness Scale (HS). Change from pretreatment to midtreatment on the ASQ, DAS, and HS predicted change in depression from midtreatment to posttreatment in the COT group, but not in the NoCT group. It is concluded that cognitive phenomena play mediational roles in COT. However, data do not support their status as sufficient mediators. (PsycINFO Database Record (c) 2010 APA, all rights reserved) |
