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Cognitive evolutionary therapy versus standard cognitive therapy for depression: A single-blinded randomized clinical
Cezar Giosan1,2, Oana Cobeanu2, Katarzyna Wyka3
1Department of Psychology, University of Bucharest, Bucharest, Romania.
Journal of Clinical Psychology
|July 1, 2020
Summary
Cognitive evolutionary therapy (CET) shows promise for depression, improving social engagement and reducing avoidance compared to cognitive therapy (CT). While overall depression symptom reduction was similar, CET offered unique benefits.
Area of Science:
- Psychology
- Clinical Psychology
- Psychotherapy Research
Background:
- Depression is a prevalent mental health disorder with significant impact.
- Cognitive therapy (CT) is an established treatment, but novel approaches are sought.
- Cognitive evolutionary therapy (CET) is a new therapeutic model for depression.
Purpose of the Study:
- To compare the efficacy of CET against CT in treating depression.
- To evaluate differences in secondary outcomes, including social engagement and behavioral inhibition.
Main Methods:
- A randomized controlled trial involving 97 participants with depression.
- Participants were assigned to either CET (n=51) or CT (n=46) in a single-blinded design.
- Assessments included Structured Clinical Interview for DSM-IV (SCID) and self-report measures at multiple time points.
Main Results:
- Both CET and CT led to significant reductions in depressive symptoms.
- CET demonstrated superiority in increasing engagement in social and enjoyable activities (p=0.040).
- CET also showed greater reductions in behavioral inhibition/avoidance compared to CT (p=0.047).
Conclusions:
- CET may offer additional therapeutic benefits beyond standard CT for depression.
- The findings suggest CET's potential as a valuable intervention for specific aspects of depressive symptomatology.
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