Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012:2012:208435.
doi: 10.1155/2012/208435. Epub 2012 Dec 12.

Mood and Global Symptom Changes among Psychotherapy Clients with Depressive Personality

Rachel E Maddux  1 , Lars-Gunnar Lundh
Affiliations

Mood and Global Symptom Changes among Psychotherapy Clients with Depressive Personality

Rachel E Maddux et al. Depress Res Treat. 2012.

Abstract

The present study assessed the rate of depressive personality (DP), as measured by the self-report instrument depressive personality disorder inventory (DPDI), among 159 clients entering psychotherapy at an outpatient university clinic. The presenting clinical profile was evaluated for those with and without DP, including levels of depressed mood, other psychological symptoms, and global severity of psychopathology. Clients were followed naturalistically over the course of therapy, up to 40 weeks, and reassessed on these variables again after treatment. Results indicated that 44 percent of the sample qualified for DP prior to treatment, and these individuals had a comparatively more severe and complex presenting disposition than those without DP. Mixed-model repeated-measures analysis of variance was used to examine between-groups changes on mood and global severity over time, with those with DP demonstrating larger reductions on both outcome variables, although still showing more symptoms after treatment, than those without DP. Only eleven percent of the sample continued to endorse DP following treatment. These findings suggest that in routine clinical situations, psychotherapy may benefit individuals with DP.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Changes in mean depression scores from pre- to posttreatment between groups (DP yes, top line; DP no, bottom line). Note. SCL-Depression: symptom checklist-90 depression subscale.
Figure 2
Figure 2
Changes in mean GSI scores from pre- to posttreatment between groups (DP yes, top line; DP no, bottom line). Note. SCL-GSI: Symptom Checklist-90 Global Severity Index.
See this image and copyright information in PMC

References

    1. Lambert MJ, Ogles BM. The efficacy and effectiveness of psychotherapy. In: Lambert M, editor. Bergin and Garfield’s Handbook of Psychotherapy and Behavior Change. 5th edition. New York, NY, USA: Wiley; 2004. pp. 139–193.
    1. Roth A, Fonagy P. Depression. In: Roth A, Fonagy P, editors. What Works for Whom: A Critical Review of Psychotherapy Research. 2nd edition. Vol. 4. New York, NY, USA: The Guilford Press; 2005. pp. 66–134.
    1. Shedler J. The efficacy of psychodynamic psychotherapy. American Psychologist. 2010;65(2):98–109. - PubMed
    1. Cipriani A, Furukawa TA, Salanti G, et al. Comparative efficacy and acceptability of 12 new-generation antidepressants: a multiple-treatments meta-analysis. The Lancet. 2009;373(9665):746–758. - PubMed
    1. Keller MB, McCullough JP, Klein DN, et al. A comparison of nefazodone, the cognitive behavioral-analysis system of psychotherapy, and their combination for the treatment of chronic depression. New England Journal of Medicine. 2000;342(20):1462–1470. - PubMed

LinkOut - more resources