Table 40-1 Shared elements of depression-focused psychotherapies developed for treatment of major depression
| Table 40-1 Shared elements of depression-focused psychotherapies developed for treatment of major depression |
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1. Time-limited format a. Acute-phase treatment (i.e., 8-16 weeks) b. Modifications for continuation- or maintenance-phase therapies 2. Coherent theoretical model a. Behavioral i. Extinction of reinforcement ii. Decreased self-efficacy iii. Decreased problem solving iv. Deficient social skills b. Cognitive i. Dysfunctional automatic thoughts ii. Distorted information processing iii. Pathological basic assumptions or schemas c. Interpersonal i. Pathological grief ii. Interpersonal disputes iii. Social role transitions iv. Interpersonal deficits 3. Procedurally specified methods of treatment a. Treatment manuals b. Theoretically guided types of interventions c. Reframing of symptoms of depression syndrome within the theoretical context of the specific model d. Feasibility of assessments of fidelity and adherence e. Suitability for nondoctoral therapists 4. Specified and measurable outcomes a. Symptom reduction b. Improved global adjustment and enhanced quality of life c. Model-specific outcomes i. Behavioral (e.g., enhanced problem solving) ii. Cognitive (e.g., decreased severity of dysfunctional thoughts) iii. Interpersonal (e.g., improved social adjustment) d. Modules and provisions for training 5. Compatibility with concurrent antidepressant medication |