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Cognitive-behavioral treatment of depression, part IV: Improving problem-solving skills

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Abstract

Cognitive-behavioral treatment of depression has been found effective for helping a wide range of clients. However, current approaches to treatment emphasize the integration of a variety of treatment elements. The present manuscript describes the use of problem-solving therapy as incorporated into a broader cognitive-behavioral treatment model. Problem-solving approaches to therapy typically involve helping clients develop skill in five interrelated areas: (1) Develop an adaptive orientation to life's problems, (2) Define problems in terms of specific and realistic goals, (3) Generate a variety of response alternatives, (4) Help clients make rational decisions, and (5) Implement the plan and evaluate its effectiveness. These strategies can help many clients cope with the stressful life events that occur, and therefore can help reduce the intensity or prevent the onset of depressive symptoms. Furthermore, these strategies can be incorporated into a broader treatment plan that includes elements for monitoring depression severity, improving social functioning, and reducing cognitive biases.

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References

  • Arlin, P. (1989). The problem of the problem. In J. Sinnott (Ed.),Everyday problem solving: Theory and applications, (pp. 229–237). New York: Praeger.

    Google Scholar 

  • Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change.Psychological Review, 84, 191–215.

    CAS  PubMed  Google Scholar 

  • Beck, A.T., Rush, A.J., Shaw, B., & Emery, G. (1979).Cognitive therapy of depression. New York: Guilford.

    Google Scholar 

  • Billings, A. & Moos, R. (1984). Coping, stress, and social resources among adults with unipolar depression.Journal of Personality and Social Psychology, 46, 877–891.

    CAS  PubMed  Google Scholar 

  • Brown, G. & Harris, T. (1989). Depression. In G. Brown & T. Harris (Eds.),Life events and illness, (pp. 49–93). New York: Guilford.

    Google Scholar 

  • Davis, G. (1973).Psychology of problem solving: Theory and practice. New York: Basic Books.

    Google Scholar 

  • DeShazer, S. (1985).Keys to solution in brief therapy. New York: Norton.

    Google Scholar 

  • Dobson, D., & Dobson, K. (1981). Problem-solving strategies in depressed and nondepressed college students.Cognitive Therapy and Research, 5, 237–249.

    Google Scholar 

  • D'Zurilla, T. (1986).Problem-solving therapy: A social competence approach to clinical intervention. New York: Springer.

    Google Scholar 

  • D'Zurilla, T. & Goldfried, M. (1971). Problem solving and behavior modification.Journal of Abnormal Psychology, 78, 107–126.

    PubMed  Google Scholar 

  • D'Zurilla, T. & Nezu, A. (1980). A study of the generation-of-alternatives process in social problem solving.Cognitive Therapy and Research, 4, 67–72.

    Article  Google Scholar 

  • Elkin, I., Shea, T., Watkins, J., Imber, S., Sotsky, S., Collins, J., Glass, D., Pilkonis, P., Leber, W., Docherty, J., Fiester, S., & Parloff, M. (1989). National Institute of Mental Health Treatment of Depression Collaborative Research Program: General effectiveness of treatments.Archives of General Psychiatry, 46, 971–982.

    CAS  PubMed  Google Scholar 

  • Folkman, S. & Lazarus, R. (1986). Stress processes and depressive symptomatology.Journal of Abnormal Psychology, 95, 107–113.

    Article  CAS  PubMed  Google Scholar 

  • Folkman, S., Lazarus, R., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. (1986). Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes.Journal of Personality and Social Psychology, 50, 992–1003.

    CAS  PubMed  Google Scholar 

  • Gotlib, I. & Asarnow, R. (1979). Interpersonal and impersonal problem-solving skills in mildly and clinically depressed university students.Journal of Consulting and Clinical Psychology, 47, 86–95.

    CAS  PubMed  Google Scholar 

  • Hanley, J. & Barling, P. (1981). Brief problem-oriented psychotherapy: A model for nontraditional clients.Professional Psychology, 12, 556–561.

    Google Scholar 

  • Heppner, P. & Anderson, W. (1985). The relationship between problem-solving self-appraisal and psychological adjustment.Cognitive Therapy and Research, 2, 415–427.

    Google Scholar 

  • Janis, I. & Mann, L. (1977).Decision making: A psychological analysis of conflict, choice, and commitment New York: Free Press.

    Google Scholar 

  • Kagan, C. (1984). Social problem solving and social skills training.British Journal of Clinical Psychology, 23, 161–173.

    Google Scholar 

  • Klerman, G., Weissman, M., Rounsaville, B., & Chevron, E. (1984).Interpersonal psychotherapy of depression. New York: Basic Books.

    Google Scholar 

  • Linehan, M., Camper, P., Chiles, J., Strosahl, K., & Shearin, E. (1987). Interpersonal problem solving and parasuicide.Cognitive Therapy and Research, 11, 1–12.

    Article  Google Scholar 

  • Luszcz, M. (1989). Theoretical models of everyday problem solving in adulthood. In J. Sinnott (Ed.),Everyday problem solving: Theory and applications, (pp. 24–39). New York: Praeger.

    Google Scholar 

  • MacLeod, A. & Cropley, M. (1995). Depressive future-thinking: The role of valence and specificity.Cognitive Therapy and Research, 19, 35–50.

    Article  Google Scholar 

  • Nezu, A. (1986). Efficacy of a social problem-solving therapy approach for unipolar depression.Journal of Consulting and Clinical Psychology, 54, 196–202.

    Article  CAS  PubMed  Google Scholar 

  • Nezu, A. (1987). A problem-solving formulation of depression: Literature review and proposal of a pluralistic model.Clinical Psychology Review, 7, 121–144.

    Article  Google Scholar 

  • Nezu, A. & Nezu, C. (1989).Clinical decision making in behavior therapy: A problem-solving perspective. Champaign, IL: Research Press.

    Google Scholar 

  • Nezu, A., Nezu, C., & Perri, M. (1989).Problem-solving therapy for depression: Theory. research, and clinical guidelines. New York: Wiley.

    Google Scholar 

  • Nezu, A., Nezu, C., Saraydarian, L., Kalmar, K., & Ronan, G. (1986). Social problem solving as a moderating variable between negative life stress and depressive symptoms.Cognitive Therapy and Research, 10, 489–498.

    Article  Google Scholar 

  • Nezu, A. & Ronan, G. (1985). Life stress, current problems, problem solving, and depressive symptoms: An integrative model.Journal of Consulting and Clinical Psychology, 53, 693–697.

    Article  CAS  PubMed  Google Scholar 

  • O'Hanlon, W. & Weiner-Davis, M. (1989).In search of solutions: A new direction in psychotherapy. New York: Norton.

    Google Scholar 

  • Orne, M. & Scheibe, K. (1964). The contribution of nondeprivation factors in the production of sensory deprivation effects: The psychology of the “panic button”.Journal of Abnormal and Social Psychology, 68, 3–12.

    CAS  Google Scholar 

  • Overholser, J.C. (1995-A). Cognitive-behavioral treatment of depression: Part I. Assessment of depression and suicide risk.Journal of Contemporary Psychotherapy, 25, 185–204

    Article  Google Scholar 

  • Overholser, J.C. (1995-B). Cognitive-behavioral treatment of depression: Part II. Techniques for improving social functioning.Journal of Contemporary Psychotherapy, 25, 205–222.

    Article  Google Scholar 

  • Overholser, J.C. (1995-C). Cognitive-behavioral treatment of depression: Part III. Reducing cognitive biases.Journal of Contemporary Psychotherapy, 25, 311–329.

    Article  Google Scholar 

  • Overholser, J.C. (1993a). Elements of the Socratic method: I. Systematic questioning.Psychotherapy, 30, 67–74.

    Google Scholar 

  • Overholser, J.C. (1993b). Elements of the Socratic method: II. Inductive reasoning.Psychotherapy, 30, 75–85.

    Google Scholar 

  • Pearlin, L. & Schooler, C. (1978). The structure of coping.Journal of Health and Social Behavior, 19, 2–21.

    CAS  PubMed  Google Scholar 

  • Perrah, M. & Wichman, H. (1987). Cognitive rigidity in suicide attempters.Suicide and Life-Threatening Behavior, 17, 251–255.

    CAS  PubMed  Google Scholar 

  • Phillips, S., Pazienza, N., & Ferrin, H. (1984). Decision-making styles and problem-solving appraisal.Journal of Counseling Psychology, 31, 497–502.

    Article  Google Scholar 

  • Priester, M. & Clum, G. (1993). The problem-solving diathesis in depression, hopelessness, and suicide ideation: A longitudinal analysis.Journal of Psychopathology and Behavioral Assessment, 15, 239–254.

    Article  Google Scholar 

  • Rahe, R. (1989). Recent life change stress and psychological depression. In T. Miller (Ed.),Stressful life events, (pp. 5–11). Madison, CT: International Universities Press.

    Google Scholar 

  • Seligman, M. (1990).Learned optimism. New York: Pocket Books.

    Google Scholar 

  • Sinnott, J. (1989). A model for solution of ill-structured problems: Implications for everyday and abstract problem solving. In J. Sinnott (Ed.),Everyday problem solving: Theory and applications, (pp. 72–99). New York: Praeger.

    Google Scholar 

  • Spivack, G., Platt, J., & Shure, M. (1976).The problem-solving approach to adjustment: A guide to research and intervention. San Francisco: Jossey-Bass.

    Google Scholar 

  • Walter, J. & Peller, J. (1992).Becoming solution-focused in brief therapy. New York: Brunner/Mazel.

    Google Scholar 

  • Wason, P. (1971). Problem solving and reasoning.British Medical Bulletin, 27, 206–210.

    CAS  PubMed  Google Scholar 

Download references

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  1. Psychology Dept., Case Western Reserve University, 10900 Euclid Avenue, 44106-7123, Cleveland, Ohio

    James C. Overholser Ph.D.

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  1. James C. Overholser Ph.D.
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Overholser, J.C. Cognitive-behavioral treatment of depression, part IV: Improving problem-solving skills. J Contemp Psychother 26, 43–57 (1996). https://doi.org/10.1007/BF02307704

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