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Patients' interpersonal problems as moderators of depression outcomes in a randomized controlled trial comparing mindfulness‐based cognitive therapy and a group version of the cognitive‐behavioral analysis system of psychotherapy in chronic depression
Author(s) -
Probst Thomas,
Schramm Elisabeth,
Heidenreich Thomas,
Klein JanPhilipp,
Michalak Johannes
Publication year - 2020
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.22931
Subject(s) - mindfulness based cognitive therapy , psychology , beck depression inventory , randomized controlled trial , mindfulness , clinical psychology , cognitive therapy , depression (economics) , interpersonal psychotherapy , psychotherapist , rating scale , cognition , psychiatry , medicine , developmental psychology , anxiety , economics , macroeconomics
Objectives Interpersonal problems were examined as moderators of depression outcomes between mindfulness‐based cognitive therapy (MBCT) and cognitive behavioral analysis system of psychotherapy (CBASP) in patients with chronic depression. Methods Patients received treatment‐as‐usual and, in addition, were randomized to 8‐weeks of MBCT ( n = 34) or 8‐weeks of CBASP ( n = 34). MBCT and CBASP were given in a group format. The Hamilton depression rating scale (HAM‐D) was the primary and the Beck Depression Inventory (BDI‐II) the secondary outcome. The subscales of the Inventory of interpersonal problems (IIP‐32) were moderators. Multilevel models were performed. Results Higher scores on the “vindictive/self‐centered” subscale were associated with a better outcome in MBCT than in CBASP (HAM‐D: p < .01; BDI‐II: p < .01). Higher scores on the “nonassertive” subscale were associated with a better outcome in CBASP than in MBCT (HAM‐D: p < .01; BDI‐II: p < .01). Conclusions If these results can be replicated in larger trials, MBCT should be preferred to CBASP in chronically depressed patients being vindictive/self‐centered, whereas CBASP should be preferred to MBCT in chronically depressed patients being nonassertive.