Testing a Model of Change in the Experiential Treatment of Depression

Autor/inn/en	Pos, Alberta E.; Greenberg, Leslie S.; Warwar, Serine H.
Titel	Testing a Model of Change in the Experiential Treatment of Depression
Quelle	In: Journal of Consulting and Clinical Psychology, 77 (2009) 6, S.1055-1066 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0017059
Schlagwörter	Path Analysis; Psychotherapy; Depression (Psychology); Models; Behavior Change; Cognitive Processes; Symptoms (Individual Disorders); Self Esteem; Interpersonal Relationship; Outcomes of Treatment; Counselor Client Relationship; Counseling Techniques + Suchen Sie Ihr Suchwort? Pfadanalyse; Psychotherapie; Analogiemodell; Cognitive process; Kognitiver Prozess; Psychiatrische Symptomatik; Self-esteem; Selbstaufmerksamkeit; Interpersonal relation; Interpersonal relations; Interpersonelle Beziehung; Zwischenmenschliche Beziehung; Counseling technique; Counselling technique; Counselling techniques; Beratungsmethode
Abstract	In this study, we measured emotional processing and the alliance across 3 phases of therapy (beginning, working, and termination) for 74 clients who each received brief experiential psychotherapy for depression. Using path analysis, we proposed and tested a model of relationships between these 2 processes across phases of therapy and how these processes relate to predict improvement in the domains of depressive and general symptoms, self-esteem, and interpersonal problems after experiential treatment. Both therapy processes significantly increased across phases of therapy. Controlling for both client processes at the beginning of therapy, working phase emotional processing was found to directly and best predict reductions in depressive and general symptoms, and it could directly predict gains in self-esteem. Within working and termination phases of therapy, the alliance significantly contributed to emotional processing and indirectly contributed to outcome. Surprisingly, beginning therapy alliance (measured after Session 1) also directly predicted all outcomes. Furthermore, only clients' beginning therapy process predicted reductions in interpersonal problems. Therefore, although the proposed theory of change was supported, clients' beginning therapy processes may constrain clients' success in experiential treatment and in particular their outcomes in some problem domains related to depression. (Contains 3 figures and 4 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10