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Exploring the Efficacy of Cognitive Bibliotherapy and a Potential Mechanism of Change in the Treatment of Depressive Symptoms Among the Chinese: A Randomized Controlled Trial

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Abstract

The present study investigated the efficacy of cognitive bibliotherapy in the treatment of depressive symptoms among Chinese individuals in Taiwan. Adults with depressive symptoms (N = 52, M age = 26.4) were randomly assigned to the treatment condition or the delayed treatment control condition. Participants were assessed at pretreatment, posttreatment, and 3-month follow-up. Results indicated that participants’ overall depression level lowered at posttreatment. Analyses were performed on the intention-to-treat basis. Multiple imputation inference procedure (Rubin in Multiple imputation for nonresponse in surveys, John Wiley & Sons, Inc., New York 1987) was adopted to estimate missing values and to draw inferences based on the imputed data. Results of the analyses indicated that the cognitive-affective symptoms of depression, rather than the somatic symptoms of depression, evidenced significant reduction as a result of cognitive bibliotherapy. Further reductions in cognitive-affective symptoms were observed at 3-month follow-up. Lastly, learned resourcefulness was found to be a mechanism through which bibliotherapy reduced depressive symptoms. The present study provides preliminary evidence that cognitive bibliotherapy may be a promising treatment option for Chinese individuals with depressive symptoms. In the meantime, participants’ qualitative feedback may provide important direction for cross-cultural adaptation of cognitive bibliotherapy. Applied implications and cultural issues are discussed.

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Acknowledgments

This study was funded by a research grant (94-2413-H-030-002) from the National Science Council (NSC) in Taiwan.

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  1. Department of Clinical Psychology, College of Medicine, Fu Jen Catholic University, No. 510 Chung Cheng Rd., Hsin Chuang, Taipei County, 24205, Taiwan

    Emily Tung-Hsueh Liu, Chiao Han Wang, Tze Jing Mok & Hwei Shan Huang

  2. Department of Human Development, Tzu-Chi University, No. 701, Sec. 3, Jhongyang Rd., Hualien City, 970, Taiwan

    Wan-Lan Chen

  3. Department of Public Health, Tzu-Chi University, No. 701, Sec. 3, Jhongyang Rd., Hualien City, 970, Taiwan

    Yi-Hwei Li

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Liu, E.TH., Chen, WL., Li, YH. et al. Exploring the Efficacy of Cognitive Bibliotherapy and a Potential Mechanism of Change in the Treatment of Depressive Symptoms Among the Chinese: A Randomized Controlled Trial. Cogn Ther Res 33, 449–461 (2009). https://doi.org/10.1007/s10608-008-9228-4

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