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Changes in depressed patients' self-statements.

Katherine Thompson1, Debora D'iuso1, Deborah Schwartzman1

  • 1Department of Educational and Counselling Psychology, McGill University, Montreal, QC, Canada.

Psychotherapy Research : Journal of the Society for Psychotherapy Research
|November 14, 2018
PubMed
Summary
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Reducing self-criticism in psychotherapy patients leads to better treatment outcomes. Developing friendlier self-talk, or self-acceptance, is linked to sustained improvement in major depressive disorder symptoms long-term.

Area of Science:

  • Psychology
  • Clinical Psychology
  • Psychotherapy Research

Background:

  • Self-critical self-statements are associated with the incidence, severity, and recurrence of major depressive disorder.
  • Cognitive theories emphasize the role of dysfunctional thinking in depression.

Purpose of the Study:

  • To examine changes in patients' self-directed communication during psychotherapy.
  • To investigate the influence of improved self-talk on treatment outcomes up to 24 months post-termination.

Main Methods:

  • Utilized the observer-rated Structural Analysis of Social Behavior measure.
  • Analyzed self-talk in early and late therapy sessions from 44 cases in cognitive therapy.
  • Employed hierarchical multiple regression to assess the impact of self-talk improvements on long-term outcomes.
Keywords:
Structural Analysis of Social Behavior (SASB)cognitive therapymajor depressive disorderpatient self-talkpsychotherapy

Related Experiment Videos

Main Results:

  • Patients exhibited friendlier and less critical self-statements by the end of treatment.
  • Reduced self-criticism correlated with fewer depressive symptoms at treatment termination and one year later.
  • Increased self-acceptance was linked to symptom improvement up to 18 months post-termination.

Conclusions:

  • Reduced self-criticism is associated with better treatment outcomes in major depressive disorder, aligning with cognitive theory.
  • The development of more accepting and friendlier self-referential behavior contributes to sustained, long-term improvement.