Reports of Therapy Skill Use and Their Efficacy in Daily Life in the Short-Term Treatment of Depression
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Previous studies have shown that the use of therapy skills in between sessions is an important mechanism of symptom improvement. The current study expands this line of research by using a diary approach to examine the use of therapy skills in daily life. A sample of 39 depressed adults (85% female, mean age 38) were signaled twice per week throughout the course of either cognitive-behavioral therapy (CBT) or self-system therapy (SST). Results showed that, on days when participants reported greater use of therapy skills, they reported better mood and functioning in almost all domains. Additionally, participants in CBT reported greater use of cognitive skills while participants in SST reported greater use of self-regulatory skills. This study demonstrates that repeated assessments of daily events and experiences, which prevent retrospective reporting biases, further confirm the importance of therapy skill use as a mechanism of action in psychotherapy.
This study was funded by NIMH (Award No. MH090414-02).
Compliance with Ethical Standards
Conflict of interest
Ariana C. Hoet, Chris J. Burgin, Kari M. Eddington, and Paul J. Silvia declared that they have no conflict of interests.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive approach. Basic, New York, b58.Google Scholar
- Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory–II. San Antonio, TX: Psychological Corporation.Google Scholar
- Bolger, N., & Laurenceau, J. P. Intensive longitudinal methods: an introduction to diary and experience sampling research. 2013. New York: Guilford .Google Scholar
- Detweiler, J. B., & Whisman, M. A. (1999). The role of homework assignments in cognitive therapy for depression: Potential methods for enhancing adherence. Clinical Psychology: Science and Practice, 6(3), 267–282.Google Scholar
- Dozois, D. J. A., & Covin, R. (2004). The Beck Depression Inventory-II (BDI-II), Beck Hopelessness Scale (BHS), and Beck Scale for Suicide Ideation (BSS). In M. J. Hilsenroth & D. L. Segal (Eds.), Comprehensive handbook of psychological assessment, Vol. 2: Personality assessment (pp. 50–69). Hoboken, NJ: Wiley.Google Scholar
- Eddington, K. M., Silvia, P. J., Foxworth, T. E., Hoet, A., & Kwapil, T. R. (2015). Motivational deficits differentially predict improvement in a randomized trial of self-system therapy for depression. Journal of Consulting and Clinical Psychology, 83(3), 602.CrossRefPubMedPubMedCentralGoogle Scholar
- Hektner, J. M., Schmidt, J. A., & Csikszentmihalyi, M. (2007). Experience sampling method: Measuring the quality of everyday life. Sage.Google Scholar
- Hox, J. (2002). Multilevel analysis: Techniques and applications. Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
- Kazantzis, N., Deane, F. P., & Ronan, K. R. (2000). Homework assignments in Cognitive and Behavioral Therapy: A meta-analysis. Clinical Psychology: Science and Practice, 7(2), 189–202.Google Scholar
- Kazantzis, N., & Lampropoulos, G. K. (2002).The use of homework in psychotherapy: An introduction. Journal of Clinical Psychology, 58, 487–488.Google Scholar
- Kazantzis, N., Ronan, K. R., & Deane, F. P. (2001). Concluding causation from correlation: Comment on burns and spangler (2000). 1079Google Scholar
- Muthén, L. K., & Muthén, B. O. (1998–2010). Mplus user’s guide (6th edn.). Los Angeles, CA: Muthén and Muthén.Google Scholar
- Strauman, T. J., Vieth, A. Z., Merrill, K. A., Kolden, G. G., Woods, T. E., Klein, M. H., ...Kwapil, L. (2006). Self-system therapy as an intervention for self-regulatory dysfunction in depression: a randomized comparison with cognitive therapy. Journal of Consulting and Clinical Psychology, 74(2), 367.CrossRefPubMedGoogle Scholar
- Telesage (2009). SmartQ (Version 5.2.48) [Computer software]. Chapel Hill, NC: Telesage.Google Scholar