{"id":4185,"date":"2012-06-28T07:08:55","date_gmt":"2012-06-28T11:08:55","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=4185"},"modified":"2012-06-28T10:07:41","modified_gmt":"2012-06-28T14:07:41","slug":"study-examines-role-of-psychotherapy-in-anxious-depression","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2012\/06\/study-examines-role-of-psychotherapy-in-anxious-depression\/","title":{"rendered":"Study examines role of psychotherapy in anxious depression"},"content":{"rendered":"<p>From the <em>Journal of Psychotherapy and Psychosomatics<\/em> press release via AlphaGalileo:<\/p>\n<blockquote><p>A new study that is published in the current issue of <em>Psychotherapy and Psychosomatics<\/em> examines the role of specific forms of psychotherapy, cognitive therapy in anxious depression.<\/p>\n<p><strong>Compared to nonanxious depressed patients, anxious depressed patients respond less to pharmacotherapy, prompting consideration of alternate treatments<\/strong>. Based on the transdiagnostic principles of cognitive therapy (CT), a group of investigators predicted that anxious depressed patients would respond as well to CT as nonanxious depressed patients. Adults (n = 523) with recurrent major depressive disorder received 12\u201314 weeks of CT as part of the Continuation Phase Cognitive Therapy Relapse Prevention Trial. Anxious depressed patients (n=264; 50.4%) were compared to nonanxious depressed patients (n = 259; 49.6%) on demographic variables, initial severity, attrition, and rates and patterns of response and remission.<\/p>\n<p>Anxious depressed patients presented with greater illness severity and had significantly lower response (55.3 vs. 68.3%) and remission rates (26.9 vs. 40.2%) based on clinician-administered measures. By contrast, smaller between-group differences for attrition, and for response (59.1 vs. 64.9%) and remission (41.7 vs. 48.7%) rates on self-report measures were not significant. Further, anxious depressed patients had greater speed of improvement on self-reported anxiety symptom severity and clinician-rated depressive and anxiety symptom severity measures. Consistent with prior reports, anxious depressed patients presented with greater severity and, following CT, had lower response and remission rates on clinician-administered scales. However, <strong>anxious depressed patients improved more rapidly and response and remission rates on self-report measures were not significantly different from nonanxious depressed patients<\/strong>. These findings suggest that <strong>anxious depressed patients may simply need additional time or more CT sessions to reach outcomes fully comparable to those of less anxious patients<\/strong>.<\/p>\n<p>Smits, J.A.J. ; Minhajuddin, A. ; Thase, M.E. ; Jarrett, R.B. Outcomes of Acute Phase Cognitive Therapy in Outpatients with Anxious versus Nonanxious Depression. <em>Psychother Psychosom<\/em> 2012;81:153-160<\/p><\/blockquote>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the Journal of Psychotherapy and Psychosomatics press release via AlphaGalileo: A new study that is published in the current issue of Psychotherapy and Psychosomatics examines the role of specific&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2012\/06\/study-examines-role-of-psychotherapy-in-anxious-depression\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[123,47,48,14,51],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/4185"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=4185"}],"version-history":[{"count":2,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/4185\/revisions"}],"predecessor-version":[{"id":4206,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/4185\/revisions\/4206"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=4185"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=4185"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=4185"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}