Self-system therapy as an intervention for self-regulatory dysfunction in depression: a randomized comparison with cognitive therapy.
Self-system therapy (SST) is a new therapy based on regulatory focus theory (E. T. Higgins, 1997) for depressed individuals unable to pursue promotion goals effectively. The authors conducted a randomized trial comparing SST with cognitive therapy (CT) in a sample of 45 patients with a range of depressive symptoms to test 2 hypotheses: that SST would be more efficacious for depressed individuals characterized by inadequate socialization toward pursuing promotion goals and that SST would lead to greater reduction in dysphoric responses to priming of promotion goals. There was no overall difference in efficacy between treatments, but patients whose socialization history lacked an emphasis on promotion goals showed significantly greater improvement with SST. In addition, SST patients showed a greater reduction in dysphoric responses to promotion goal priming than did CT patients. The results illustrate the value of a theory-based translational approach to treatment design and selection.
Strauman
Timothy J
TJ
Department of Psychology: Social and Health Sciences, Duke University.
Vieth
Angela Z
AZ
Department of Psychology: Social and Health Sciences, Duke University.
Merrill
Kari A
KA
Department of Psychology: Social and Health Sciences, Duke University.
Kolden
Gregory G
GG
Department of Psychiatry, University of Wisconsin-Madison.
Woods
Teresa E
TE
Department of Psychiatry, University of Wisconsin-Madison.
Klein
Marjorie H
MH
Department of Psychiatry, University of Wisconsin-Madison.
Papadakis
Alison A
AA
Department of Psychology: Social and Health Sciences, Duke University.
Schneider
Kristin L
KL
Department of Psychology, University of Illinois-Chicago.
Kwapil
Lori
L
Department of Psychology: Social and Health Sciences, Duke University.
D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020377:Self Efficacy