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Patients' Outcome Expectations Matter in Psychological Interventions for Patients with Diabetes and Comorbid Depressive Symptoms
- Source :
- Cognitive Therapy and Research, Cognitive Therapy and Research, 39(3), 307-317. SPRINGER/PLENUM PUBLISHERS, Cognitive therapy and research, 39(3), 307-317. Springer
- Publication Year :
- 2015
- Publisher :
- SPRINGER/PLENUM PUBLISHERS, 2015.
-
Abstract
- This study examined whether patients' expectations of treatment outcome predict treatment completion, homework compliance, and depressive symptom improvement in cognitive behavior therapy (CBT) and mindfulness-based cognitive therapy (MBCT). Study participants were patients with diabetes and comorbid depressive symptoms who were randomized to 8 sessions of either CBT (n = 45) or MBCT (n = 46), both individually delivered. The results showed that high outcome expectations were predictive of post-treatment depressive symptoms in CBT and MBCT, but not of early and mid-treatment symptoms. Patients' outcome expectations predicted treatment completion in CBT and MBCT as well as homework compliance in MBCT. Homework compliance did not mediate the association between patients' outcome expectations and post-treatment depressive symptom improvement. The findings do not support the hypothesis that patients' expectations have an immediate impact on patients' mental state and partially support the notion that patients are less involved in treatment when they hold low expectations for improvement.
- Subjects :
- medicine.medical_specialty
Mindfulness
medicine.medical_treatment
Psychological intervention
Experimental and Cognitive Psychology
HOMEWORK COMPLIANCE
law.invention
COLLABORATIVE RESEARCH-PROGRAM
Randomized controlled trial
CREDIBILITY
law
PSYCHOTHERAPY
IR-95783
medicine
MINDFULNESS
COGNITIVE-BEHAVIORAL-THERAPY
ANXIETY
Psychiatry
Depression (differential diagnoses)
METAANALYSIS
Depression
Diabetes
Cognition
Expectations
RANDOMIZED-TRIAL
Cognitive behavioral therapy
TREATMENT EXPECTANCY
Clinical Psychology
METIS-310409
Cognitive therapy
Anxiety
Original Article
Homework
medicine.symptom
Psychology
Clinical psychology
Subjects
Details
- Language :
- English
- ISSN :
- 01475916
- Volume :
- 39
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Cognitive Therapy and Research
- Accession number :
- edsair.doi.dedup.....b719a1bc3a3d4537675ff58bdee09da4