Cognitive Therapy and Research

, Volume 25, Issue 6, pp 693–712 | Cite as

The Effects of Treatments for Depression on Perceived Failure in Self-Regulation

  • Timothy J. Strauman
  • Gregory G. Kolden
  • Valerie Stromquist
  • Nancy Davis
  • Lori Kwapil
  • Erin Heerey
  • Kristin Schneider


Two studies examined the effect of treatments for depression on perceived failure in self-regulation, operationalized as within-self discrepancy. In Study 1, patients received group cognitive–behavioral therapy (CBT); in Study 2, patients received either individual CBT, interpersonal psychotherapy (IPT), or medication. Treatments showed equivalent efficacy, but only psychotherapy was associated with decreased self-discrepancy and priming reactivity. Highly self-discrepant patients showed less improvement than other patients in all treatments, even after controlling for initial severity. The findings suggest that treatments differ in their impact on self-regulatory cognition, and that highly self-discrepant patients may require longer or alternative treatment.

depression cognitive–behavioral therapy interpersonal psychotherapy self-regulation self-discrepancy antidepressant medication 


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Copyright information

© Plenum Publishing Corporation 2001

Authors and Affiliations

  • Timothy J. Strauman
    • 1
  • Gregory G. Kolden
    • 2
  • Valerie Stromquist
    • 2
  • Nancy Davis
    • 2
  • Lori Kwapil
    • 3
  • Erin Heerey
    • 3
  • Kristin Schneider
    • 3
  1. 1.Department of Psychology: Social and Health SciencesDuke UniversityDurham
  2. 2.Department of PsychiatryUniversity of Wisconsin—Madison
  3. 3.Department of Psychology: Social and Health SciencesDuke UniversityDurham

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