Group treatment of depression: Individual predictors of outcome.

Hoberman, Harry M.; Lewinsohn, Peter M.; Tilson, Mark

doi:10.1037/0022-006x.56.3.393

Cited by 75 publications

(45 citation statements)

References 35 publications

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“…The fact that ‘preference for group therapy’ was inversely related to change on chief complaints is contrary to findings in the literature [10, 29, 30, 31]. Neither ‘therapist expectation’ of effective work, nor ‘patient optimism’ were positive predictors, which is in line with the very limited effect of ‘patient optimism’ in the primary analyses.…”

Section: Discussioncontrasting

confidence: 57%

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Predictors of Change during Long-Term Analytic Group Psychotherapy

Lorentzen¹,

Høglend²

2003

Psychother Psychosom

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Background: All studies on patient variables as predictors of outcome are on short-term groups. Therefore, we wanted to study predictors of outcome in an observational study of 69 out-patients treated in long-term, analytic group therapy (mean = 32.5 months). Methods: Based on results from research on short-term groups, we selected 6 predictor variables representing central domains (demographics, diagnosis, initial severity of disturbance, chronicity, expectancy, and treatment duration) and explored their relationship with 5 outcome variables (Global Assessment of Functioning, Global Severity Index, Inventory of Interpersonal Problems-Circumplex, global improvement, and chief complaints) by multiple regression analyses. Results: Treatment duration up to 2.5 years was a strong positive predictor. Contrary to findings from many short-term studies, the presence of personality disorder, chronicity, and high initial severity of symptoms were not associated with less favourable outcome. Furthermore, marital status was not a positive predictor, and expectancy of a better outcome was only positively related to 1 of the outcome variables. Highly tentative results from exploratory stepwise regression analyses indicated that interpersonal problems on the subscale of ‘coldness’ might also be a negative predictor in long-term therapy. Conclusions: The study indicates that predictors of outcome in long-term group therapy may be different from those found in short-term therapy.

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Section: Discussioncontrasting

confidence: 57%

“…There is evidence for a positive impact of variables measuring expectancy of a favourable outcome [10, 29, 30, 31]. …”

Section: Introductionmentioning

confidence: 99%

Predictors of Change during Long-Term Analytic Group Psychotherapy

Lorentzen¹,

Høglend²

2003

Psychother Psychosom

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“…Evidence suggests that being married may be a predictor of better response to CBT (Jarrett, Eaves, Grannemann, & Rush, 1991;Sotsky et al, 1991). Also increased pretreatment levels of depressive symptoms and dysfunctional attitudes have been shown to predict poorer outcome in CBT (Hoberman, Lewinsohn, & Tilson, 1988;Jarrett et al, 1991;Simons, Gordon, Monroe, & Thase 1995;Sotsky et al, 1991;Thase, Simons, Cahalane, McGeary, & Harden, 1991), while other studies found no correlation between severity of depression and outcome for cognitive therapy and CBT (Hollon et al, 1992;Shapiro et al, 1994).…”

Section: Introductionmentioning

confidence: 98%

Predicting outcome of Internet-based treatment for depressive symptoms

Warmerdam

Straten

Twisk³

et al. 2013

Psychotherapy Research

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In this study we explored predictors and moderators of response to Internet-based cognitive behavioral therapy (CBT) and Internet-based problem-solving therapy (PST) for depressive symptoms. The sample consisted of 263 participants with moderate to severe depressive symptoms. Of those, 88 were randomized to CBT, 88 to PST and 87 to a waiting list control condition. Outcomes were improvement and clinically significant change in depressive symptoms after 8 weeks. Higher baseline depression and higher education predicted improvement, while higher education, less avoidance behavior and decreased rational problem-solving skills predicted clinically significant change across all groups. No variables were found that differentially predicted outcome between Internet-based CBT and Internet-based PST. More research is needed with sufficient power to investigate predictors and moderators of response to reveal for whom Internet-based therapy is best suited.

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“…With a group of subjects who are psychologically unaware, or unused to talking about themselves, more time and intital training in communication skills may be necessary to establish group cohesiveness. Cohesiveness is essential for effective group counseling (Yalom, 1975), and has been identified as one of the most important contributors to alleviation of depression in group counseling by Hoberman, Lewinsohn, and Tilson (1988). In a study of 40 men and women with a mean age of 38.3, percieved group cohesiveness measured at sessions 3 and 7 in a 12-week Coping with Depression Course was one of the factors associated with reduction in depression levels.…”

Section: Discussionmentioning

confidence: 99%