A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-up

Feixas, Guillem; Bados, Arturo; García-Grau, Eugeni; Paz, Clara; Montesano, Adrián; Compañ, Victoria; Salla, Marta; Aguilera, Mari; Trujillo, Adriana; Cañete-Crespillo, Josep; Medeiros-Ferreira, Leticia; Soriano, José; Ibarra Jato, Montserrat; Medina, Joan Carles; Ortíz, Eliana; Lana, Fernando

A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-up

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dc.contributor.author Feixas, Guillemca
dc.contributor.author Bados, Arturoca
dc.contributor.author García-Grau, Eugenica
dc.contributor.author Paz, Claraca
dc.contributor.author Montesano, Adriánca
dc.contributor.author Compañ, Victoriaca
dc.contributor.author Salla, Martaca
dc.contributor.author Aguilera, Marica
dc.contributor.author Trujillo, Adrianaca
dc.contributor.author Cañete-Crespillo, Josepca
dc.contributor.author Medeiros-Ferreira, Leticiaca
dc.contributor.author Soriano, Joséca
dc.contributor.author Ibarra Jato, Montserratca
dc.contributor.author Medina, Joan Carlesca
dc.contributor.author Ortíz, Elianaca
dc.contributor.author Lana, Fernandoca
dc.date.accessioned 2016-09-16T10:47:26Z
dc.date.issued 2016
dc.description.abstract BACKGROUND: Since long ago it has been asserted that internal conflicts are relevant to the understanding and treatment of mental disorders, but little research has been conducted to support the claim. The aim of this study was to test the differential efficacy of group cognitive behavioral therapy (CBT) plus an intervention focused on the dilemma(s) detected for each patient versus group individual CBT plus individual CBT for treating depression. A comparative controlled trial with a 3-month follow-up was conducted. METHODS: One hundred twenty-eight adults meeting criteria for MDD and/or dysthymia, presenting at least one cognitive conflict (implicative dilemma or dilemmatic construct, assessed by the repertory grid technique) and who had completed seven sessions of group CBT were randomly assigned to eight sessions of individual manualized CBT or dilemma-focused therapy (DFT). The Beck Depression Inventory-II was administered at baseline, at the end of therapy and after 3 months' follow-up. RESULTS: Multilevel mixed effects modeling yielded no significant differences between CBT and DFT with the intention-to-treat sample. Equivalent effect sizes, remission, and response rates were found with completers as well. In combination with group CBT, both individual CBT and DFT significantly reduced depressive symptoms. CONCLUSIONS: Both conditions obtained comparable results to those in the literature. Thus, the superiority of the adjunctive DFT was not demonstrated. Working with dilemmas can be seen as a promising additional target in the psychotherapy of depression, but further research is still required.ca
dc.description.sponsorship Contract grant sponsor: Ministry of Economy and Competitiveness of Spain; Contract grant number: PSI2011-23246; Contract grant sponsor: Eliana Ortíz’s predoctoral fellowship by the “Secretariat” for Universities and Research, “Conselleria” of Economy and Knowledge, “Generalitat de Catalunya” (Government of Catalonia, Spain).
dc.format.mimetype application/pdfca
dc.identifier.citation Feixas G, Bados A, García-Grau E, Paz C, Montesano A, Compañ V. et al. A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-up. Depress Anxiety. 2016 Sep;33(9):862-9. doi: 10.1002/da.22510ca
dc.identifier.doi http://dx.doi.org/10.1002/da.22510
dc.identifier.issn 1091-4269
dc.identifier.uri http://hdl.handle.net/10230/27301
dc.language.iso engca
dc.publisher Wileyca
dc.relation.ispartof Depression and Anxiety. 2016 Sep;33(9):862-9
dc.rights This is the pre-peer reviewed version of the following article: Feixas G, Bados A, García-Grau E, Paz C, Montesano A, Compañ V. et al. A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-up. Depress Anxiety. 2016 Sep;33(9):862-9, which has been published in final form at http://dx.doi.org/10.1002/da.22510. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.ca
dc.rights.accessRights info:eu-repo/semantics/openAccessca
dc.subject.other Depressió psíquicaca
dc.subject.other Psicoteràpiaca
dc.title A dilema-focused intervention for depression: a multicenter, randomized controlled trial with a 3-month follow-upca
dc.type info:eu-repo/semantics/articleca
dc.type.version info:eu-repo/semantics/acceptedVersionca

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