TY - JOUR
T1 - Extreme response style in recurrent and chronically depressed patients
T2 - Change with antidepressant administration and stability during continuation treatment
AU - Petersen, Timothy J.
AU - Feldman, Greg
AU - Harley, Rebecca
AU - Fresco, David M.
AU - Graves, Lesley
AU - Holmes, Avram
AU - Bogdan, Ryan
AU - Papakostas, George I.
AU - Bohn, Laurie
AU - Lury, R. Alana
AU - Fava, Maurizio
AU - Segal, Zindel V.
PY - 2007/2
Y1 - 2007/2
N2 - The authors examined extreme response style in recurrently and chronically depressed patients, assessing its role in therapeutic outcome. During the acute phase, outpatients with major depressive disorder (N = 384) were treated with fluoxetine for 8 weeks. Remitted patients (n = 132) entered a continuation phase during which their fluoxetine dose increased and they were randomly assigned to treatment with or without cognitive-behavioral therapy (CBT). Results showed a predictive relationship between extreme response style and clinical outcome. Patients in the medication-only group showed a significant increase in the frequency of extreme responses, whereas patients receiving CBT showed no significant change. These results are consistent with recent findings suggesting that metacognitive factors may be as important as changes in thought content when treating depression.
AB - The authors examined extreme response style in recurrently and chronically depressed patients, assessing its role in therapeutic outcome. During the acute phase, outpatients with major depressive disorder (N = 384) were treated with fluoxetine for 8 weeks. Remitted patients (n = 132) entered a continuation phase during which their fluoxetine dose increased and they were randomly assigned to treatment with or without cognitive-behavioral therapy (CBT). Results showed a predictive relationship between extreme response style and clinical outcome. Patients in the medication-only group showed a significant increase in the frequency of extreme responses, whereas patients receiving CBT showed no significant change. These results are consistent with recent findings suggesting that metacognitive factors may be as important as changes in thought content when treating depression.
KW - Cognitive behavioral therapy
KW - Extreme response style
KW - Fluoxetine
KW - Major depressive disorder
KW - Recurrently and chronically depressed patients
UR - https://www.scopus.com/pages/publications/33846990937
U2 - 10.1037/0022-006X.75.1.145
DO - 10.1037/0022-006X.75.1.145
M3 - Article
C2 - 17295573
AN - SCOPUS:33846990937
SN - 0022-006X
VL - 75
SP - 145
EP - 153
JO - Journal of Consulting and Clinical Psychology
JF - Journal of Consulting and Clinical Psychology
IS - 1
ER -