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Article
Self-Directed Affiliation and Autonomy Across Acute and Continuation Phase Cognitive Therapyfor Recurrent Depression
Journal of Personality Assessment (2004)
  • Lee Anna Clark, University of Iowa
  • Jeffrey R Vittengl
Abstract

Using Benjamin's (2000) Structural Analysis of Social Behavior, we evaluated change in"self-directed"affiliation and autonomy and prediction of treatment response and relapse/recurrence among adult outpatients with recurrent major depressive disorder consenting to acute phase cognitive therapy (A-CT; Beck, Rush, Shaw,&Emery, 1979; N = 156); A-CT responders randomized (N = 84) to 8 months of continuation phase cognitive therapy (C-CT; Jarrett, 1989; Jarrett et al., 1998; Jarrett&Kraft, 1997) or assessment-only control; and C-CT and control patients entering a 16-month, assessment-only follow-up (N = 74). Self-directed affiliation and autonomy increased after A-CT, and C-CT further increased affiliation and autonomy. Affiliation and autonomy did not predict A-CT response, but lower affiliation and higher autonomy pre-A-CT predicted relapse/recurrence post-A-CT. We discuss potential clinical implications of these results and present case examples to illustrate patterns of change. [ABSTRACT FROM AUTHOR]

Disciplines
Publication Date
December, 2004
Citation Information
Lee Anna Clark and Jeffrey R Vittengl. "Self-Directed Affiliation and Autonomy Across Acute and Continuation Phase Cognitive Therapyfor Recurrent Depression" Journal of Personality Assessment Vol. 83 Iss. 3 (2004)
Available at: http://works.bepress.com/lee_anna_clark/48/