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Related Experiment Videos

Improvement in social-interpersonal functioning after cognitive therapy for recurrent depression.

J R Vittengl1, L A Clark, R B Jarrett

  • 1Division of Social Science, Truman State University, Kirksville, MO 63501-4221, USA. vittengl@truman.edu

Psychological Medicine
|April 22, 2004
PubMed
Summary

Cognitive therapy improves social functioning in major depressive disorder patients, largely due to reduced depressive symptoms. These gains in social-interpersonal functioning are maintained long-term.

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Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Cognitive therapy effectively treats major depressive disorder (MDD) symptoms.
  • The impact of cognitive therapy on social-interpersonal dysfunction in MDD is less understood.

Purpose of the Study:

  • To assess changes in social-interpersonal functioning during and after cognitive therapy for MDD.
  • To examine the relationship between symptom reduction and social functioning improvement.

Main Methods:

  • Evaluated social functioning (social adjustment, interpersonal problems, dyadic adjustment) and depressive symptoms in 156 MDD outpatients over 20 therapy sessions.
  • Assessed 84 responders over a 2-year follow-up, including an 8-month trial of continuation cognitive therapy versus assessment-only.

Main Results:

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  • Significant improvements in social-interpersonal functioning (dyadic adjustment, interpersonal problems, social adjustment) were observed post-acute therapy.
  • Improvements in depressive symptoms and social functioning were moderately to highly correlated.
  • Continuation therapy did not enhance social functioning, but improvements were maintained over 2 years.

Conclusions:

  • Cognitive therapy enhances social-interpersonal functioning in MDD patients.
  • These improvements are largely driven by reductions in depressive symptoms and are sustained over time.