Crying as an Independent Predictor of Treatment Outcome in Cognitive Behavioral Therapy (CBT), Regardless of Gender, Comorbid Anxiety, or Language / Culture Open Access

Quinn, Margaret Elizabeth (2016)

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The present study investigated the relationship between crying in the first few sessions of Cognitive Behavioral Therapy (CBT) for treatment of depression and outcome of that treatment. Gender, comorbid anxiety severity at baseline, and language / culture were each investigated as moderators of crying, while crying was tested as a mediator between initial and final severity of depression. It was found that female gender and presence of a comorbid anxiety disorder each was independently and significantly associated with an increased likelihood to cry. Results showed that crying serves as an independent predictor of treatment outcome in CBT, regardless of gender, comorbid anxiety severity at baseline, and language / culture. Those who cried in the first few sessions of CBT were significantly more likely to experience poorer outcomes after acute treatment; this novel finding holds important clinical implications for CBT practitioners.

Table of Contents

Abstract: 2

Introduction: 3

Null Hypotheses: 7

Methods: 8

PReDICT Study: 8

Inclusion Criteria: 9

Exclusion Criteria: 9

Participants: 10

Measures: 11

HAM-D: 11

HAM-A: 11

BDI: 11

Treatment: 11

CBT: 11

Selection of DVDs: 13

Rating of DVDs: 13

Selection of CBT Sessions for Analysis: 14

Statistical Analysis: 15

Data Analytics Plan: 15

Results: 16

Drop-outs: 16

Participant Characteristics: 16

Test of H01: 17

Test of Model 1: 17

Test of Model 2: 17

Test of Model 3: 18

Discussion: 18

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