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Autonomous and controlled motivation and interpersonal therapy for depression: Moderating role of recurrent depression
Author(s) -
McBride Carolina.,
Zuroff David C.,
Ravitz Paula.,
Koestner Richard.,
Moskowitz Debbie S.,
Quilty Lena.,
Bagby R. Michael.
Publication year - 2010
Publication title -
british journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.479
H-Index - 92
eISSN - 2044-8260
pISSN - 0144-6657
DOI - 10.1348/014466509x479186
Subject(s) - psychology , psychological intervention , depression (economics) , clinical psychology , beck depression inventory , interpersonal communication , mood , psychotherapist , interpersonal psychotherapy , psychiatry , medicine , randomized controlled trial , social psychology , anxiety , economics , macroeconomics
Objectives. We examined the moderating role of depression recurrence on the relation between autonomous and controlled motivation and interpersonal therapy (IPT) treatment outcome. Design. The investigation was conducted in an out‐patient mood disorders clinic of a large university‐affiliated psychiatric hospital. The sample represents a subset of a larger naturalistic database of patients seen in the clinic. Methods. We examined 74 depressed out‐patients who received 16 sessions of IPT. The Beck Depression Inventory‐II, administered at pre‐treatment and post‐treatment, served as a measure of depressive severity. Measures of motivation and therapeutic alliance were collected at the third session. Results. In the entire sample, both the therapeutic alliance and autonomous motivation predicted higher probability of achieving remission; however, the relation differed for those with highly recurrent depression compared to those with less recurrent depression. For those with highly recurrent depression, the therapeutic alliance predicted remission whereas autonomous motivation had no effect on remission. For those with less recurrent depression, both autonomous motivation and the therapeutic alliance predicted better achieving remission. Controlled motivation emerged as a significant negative predictor of remission across both groups. Conclusion. Taken together, these results highlight the possible use of motivation theory to inform and enrich therapeutic conceptualizations and interventions in clinical practice, but also point to the importance of modifying interventions based on the chronicity of a client's depression.