Long-term effects of psychotherapy on moderate depression: A comparative study of narrative therapy and cognitive-behavioral therapy

Rodrigo T. Lopes, Miguel M. Gonçalves, Daniel B. Fassnacht, Paulo P.P. Machado, Inês Sousa

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background In a previous clinical controlled trial (Lopes et al., 2014), narrative therapy (NT) showed promising results in ameliorating depressive symptoms with comparable outcomes to cognitive-behavioral therapy (CBT) when patients completed treatment. This paper aims to assess depressive symptoms and interpersonal problems in this clinical sample at follow-up. Methods Using the Beck Depression Inventory-II and Outcome Questionnaire-45.2 Interpersonal Relations Scale, naturalistic prospective follow-up assessment was conducted at 21 and 31 months after the last treatment session. Results At follow-up, patients kept improving in terms of depressive symptoms and interpersonal problems. The odds that a patient maintained recovery from depressive symptoms at follow-up were five times higher than the odds that a patient maintained recovery from interpersonal problems. In the same way, the odds of a patient never recovering from interpersonal problems were five times higher than the odds of never recovering from depressive symptoms. Limitations The study did not control for the natural course of depression or treatment continuation. Conclusions For depressed patients with greater interpersonal disabilities, longer treatment plans and alternative continuation treatments should be considered.

Original languageEnglish
Pages (from-to)64-73
Number of pages10
JournalJournal of Affective Disorders
Volume167
DOIs
Publication statusPublished - 1 Oct 2014
Externally publishedYes

Keywords

  • Cognitive-behavioral therapy
  • Empirically supported therapies (ESTs)
  • Long-term effects of psychological treatment
  • Narrative therapy
  • Psychological treatment of depression
  • Unipolar depression

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