The effect of psychotherapeutic interventions on positive and negative affect in depression: A systematic review and meta-analysis

Boumparis, Nikolaos; Karyotaki, Eirini; Kleiboer, Annet; Hofmann, Stefan G.; Cuijpers, Pim

doi:10.1016/j.jad.2016.05.019

Cited by 72 publications

(59 citation statements)

References 43 publications

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“…Based on previous research, we expect a pattern of changes in language use for individuals who experience a good outcome in therapy. FPS pronouns should decrease from T1 to T2 (Reyes et al., ), as will past focus words (Banham & Schweitzer, ; Reyes et al., ), negation words (Ribeiro & Gonçalves, ), negative emotion words (Boumparis, Karyotaki, Kleiboer, Hofmann, & Cuijpers, ) and causation words (Mehl, ; Rodriguez et al., ). We would expect an increase in the rate of positive emotion words (Boumparis et al., ; Rude et al., ).…”

Section: Methodsmentioning

confidence: 99%

“…FPS pronouns should decrease from T1 to T2 (Reyes et al., ), as will past focus words (Banham & Schweitzer, ; Reyes et al., ), negation words (Ribeiro & Gonçalves, ), negative emotion words (Boumparis, Karyotaki, Kleiboer, Hofmann, & Cuijpers, ) and causation words (Mehl, ; Rodriguez et al., ). We would expect an increase in the rate of positive emotion words (Boumparis et al., ; Rude et al., ). While the full set of analyses and results can be found in Huston (), analyses pertaining to two primary questions will be reported in this study: Can treatment outcome status (good versus poor) be predicted from a linear combination of linguistic characteristics of psychotherapeutic speech in the early stage of treatment? Do linguistic characteristics of psychotherapeutic speech demonstrate change from the early to late stages of treatment? …”

Section: Methodsmentioning

confidence: 99%

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Exploratory study of automated linguistic analysis for progress monitoring and outcome assessment

Huston

Meier

Faith

et al. 2019

Couns and Psychother Res

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Objective The most successful approach to dealing with treatment failure employs progress monitoring and outcome assessment (PMOA) measures that enable clinicians to identify clients who are failing to progress. On the basis of previous research indicating that word use relates to individuals’ psychological characteristics as well as clinical outcomes, we investigated automated linguistic analysis of client speech as an alternative PMOA approach. Methods We employed the Linguistic Inquiry and Word Count (LIWC) program to study the language of a subset of 12 clients from the York I Depression Study. Automated analyses examined transcripts of 24 individual psychotherapy sessions, one early in treatment (T1) and one late in treatment (T2), split between six good and six poor outcome cases. Results Good outcomes were associated with more positive emotion words and fewer past focus words and negation words at T1. Logistic regression models predicted good versus poor treatment outcome for 70–82% of transcripts. However, analyses failed to support the hypothesis that language use patterns changed from T1 to T2 during the course of therapy. Conclusions Clinicians have been slow to adopt PMOA measures as part of routine practice, partially as a result of additional paperwork and time burdens. Automated analysis of client language provides one alternative method for decreasing client and therapist workload. This study's results, while mixed, provide evidence that additional research should be conducted to investigate the potential for LIWC and other automated measures to provide PMOA data for clinical feedback.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Exploratory study of automated linguistic analysis for progress monitoring and outcome assessment

Huston

Meier

Faith

et al. 2019

Couns and Psychother Res

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“…Recent reviews have highlighted the mediating role of NA and PA in the development of affective disorders (e.g., Hofmann et al, 2012), and given recent meta-analytic evidence that psychotherapeutic interventions for depressed individuals increase PA and decrease NA, we wanted to explore the relationships of NA and PA with social anxiety and depression in adults with mood disorders (Boumparis, Karyotaki, Kleiboer, Hofmann, & Cuijpers, 2016). Specifically, we examined the contributions of trait NA and PA to the relationship between social anxiety and depressive symptoms, concurrently and prospectively, in adults with remitted MDD, adults with remitted BD, and healthy controls.…”

Section: The Present Investigationmentioning

confidence: 99%

Positive and Negative Affect as Links Between Social Anxiety and Depression: Predicting Concurrent and Prospective Mood Symptoms in Unipolar and Bipolar Mood Disorders

et al. 2017

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The co-occurrence of social anxiety and depression is associated with increased functional impairment and a more severe course of illness. Social anxiety disorder is unique among the anxiety disorders in sharing an affective profile with depression, characterized by low levels of positive affect (PA) and high levels of negative affect (NA). Yet it remains unclear how this shared affective profile contributes to the covariation of social anxiety and depressive symptoms. We examined whether self-reported PA and NA accounted for unique variance in the association between social anxiety and depressive symptoms across three groups (individuals with remitted bipolar disorder, type I [BD; n = 32], individuals with remitted major depressive disorder [MDD; n = 31], and nonpsychiatric controls [n = 30]) at baseline and follow-ups of 6 and 12 months. Low levels of PA, but not NA, accounted for unique variance in both concurrent and prospective associations between social anxiety and depression in the BD group; in contrast, high levels of NA, but not PA, accounted for unique variance in concurrent and prospective associations between social anxiety and depression in the MDD group. Limitations include that social anxiety and PA/NA were assessed concurrently and all measurement was self-report. Few individuals with MDD/BD met current diagnostic criteria for social anxiety disorder. There was some attrition at follow-up assessments. Results suggest that affective mechanisms may contribute to the high rates of co-occurrence of social anxiety and depression in both MDD and BD. Implications of the differential role of PA and NA in the relationship between social anxiety and depression in MDD and BD and considerations for treatment are discussed.

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“…Since there are differences in levels and associations of NA and PA in depression (sub-normal PA and normal NA) and anxiety (high NA and normal PA), it has been suggested that the study of different constellations of affects could contribute to the differentiation between the two conditions [ 14 , 16 , 17 ]. Both anxiety and depression are further related to high trait NA, whereas low trait PA is only related to depression [ 18 - 20 ]. Depressed individuals have a tendency to report low PA and high NA [ 13 , 21 ] and changes in depression have been shown to be related to changes in trait and state PA and NA in patients during cognitive therapy [ 18 - 20 ].…”

Section: Affect and Psychopathologymentioning

confidence: 99%

“…Both anxiety and depression are further related to high trait NA, whereas low trait PA is only related to depression [ 18 - 20 ]. Depressed individuals have a tendency to report low PA and high NA [ 13 , 21 ] and changes in depression have been shown to be related to changes in trait and state PA and NA in patients during cognitive therapy [ 18 - 20 ]. Kring, Person and Thomas [ 22 ] showed that depressive patients in CBT have shown reduced NA during therapy, but no increase in state PA, except in a subgroup of severely depressed patients.…”

Section: Affect and Psychopathologymentioning

confidence: 99%

Affective Changes During Cognitive Behavioural Therapy–As Measured by PANAS

Saxon

Henriksson

Kvarnström

et al. 2017

CPEMH

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Background:Previous researches have indicated that self-reported positive affect and negative affect is changing in a healthy direction during Cognitive Behavioural Therapy (CBT).Objective:The aim of the present study was to examine how affective personality is related to psychopathology before and after CBT.Method:A group of clients (n = 73) was measured before and after CBT, differentiated by their problem areas at pre-therapy (i.e., depressive, anxious and mixed).Results:After therapy, clients experienced higher positive affect (p < .02, d=0.66), lower negative affect (p < .001, d=0.98) and there was a significant change in the distribution of affective personality regardless of problem area, χ2 = 8.41, df = 3, two-tailed p = .04, 99% CI [0.03, 0.04]. The change in the distribution was largest for the two most relevant personality types, self-actualization and self-destructive affective personality.Conclusion:Results indicate that CBT can achieve changes in affect and affective personality.

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The effect of psychotherapeutic interventions on positive and negative affect in depression: A systematic review and meta-analysis

Cited by 72 publications

References 43 publications

Exploratory study of automated linguistic analysis for progress monitoring and outcome assessment

Exploratory study of automated linguistic analysis for progress monitoring and outcome assessment

Positive and Negative Affect as Links Between Social Anxiety and Depression: Predicting Concurrent and Prospective Mood Symptoms in Unipolar and Bipolar Mood Disorders

Affective Changes During Cognitive Behavioural Therapy–As Measured by PANAS

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