English
 
Help Privacy Policy Disclaimer
  Advanced SearchBrowse

Item

ITEM ACTIONSEXPORT
  Evaluating the role of maladaptive personality traits in schema therapy and cognitive behavioural therapy for depression

Rek, K., Kappelmann, N., Zimmermann, J., Rein, M., Egli, S., & Kopf-Beck, J. (2022). Evaluating the role of maladaptive personality traits in schema therapy and cognitive behavioural therapy for depression. PSYCHOLOGICAL MEDICINE, PII S0033291722001209. doi:10.1017/S0033291722001209.

Item is

Basic

show hide
Genre: Journal Article

Files

show Files

Locators

show

Creators

show
hide
 Creators:
Rek, Katharina1, Author           
Kappelmann, Nils2, 3, Author           
Zimmermann, Johannes, Author
Rein, Martin, Author
Egli, Samy1, Author           
Kopf-Beck, Johannes1, Author           
Affiliations:
1Max Planck Institute of Psychiatry, Max Planck Society, ou_1607137              
2Dept. Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Max Planck Society, Kraepelinstr. 2-10, 80804 Munich, DE, ou_2035295              
3IMPRS Translational Psychiatry, Max Planck Institute of Psychiatry, Max Planck Society, ou_3318616              

Content

show
hide
Free keywords: -
 Abstract: Background Advancements in the treatment of depression are pivotal due to high levels of non-response and relapse. This study evaluated the role of personality pathology in the treatment of depression by testing whether maladaptive personality traits (1) predict changes in depression over treatment or vice versa, (2) change themselves over treatment, (3) change differentially depending on treatment with schema therapy (ST) or cognitive behavioural therapy (CBT), and (4) moderate the effectiveness of these treatments. Methods We included 193 depressed inpatients (53.4% women, M-age = 42.9, SD = 13.4) participating in an assessor-blind randomized clinical trial and receiving a 7-week course of ST or CBT. The research questions were addressed using multiple indicator latent change score models as well as multigroup structural equation models implemented in EffectLiteR. Results Maladaptive traits did not predict changes in depressive symptoms at post-treatment, or vice versa. However, maladaptive trait domains decreased over treatment (standardized Delta mu range: -0.38 to -0.89), irrespective of treatment with ST or CBT. Maladaptive traits at baseline did not moderate the effectiveness of these treatments. Conclusions Self-reported maladaptive personality traits can change during treatment of depression, but may have limited prognostic or prescriptive value, at least in the context of ST or CBT. These results need to be replicated using follow-up data, larger and more diverse samples, and informant-rated measures of personality pathology.

Details

show
hide
Language(s):
 Dates: 2022-05
 Publication Status: Published online
 Pages: -
 Publishing info: -
 Table of Contents: -
 Rev. Type: -
 Identifiers: ISI: 000792513600001
DOI: 10.1017/S0033291722001209
 Degree: -

Event

show

Legal Case

show

Project information

show

Source 1

show
hide
Title: PSYCHOLOGICAL MEDICINE
Source Genre: Journal
 Creator(s):
Affiliations:
Publ. Info: -
Pages: - Volume / Issue: - Sequence Number: PII S0033291722001209 Start / End Page: - Identifier: ISSN: 0033-2917