title: Self-criticism predicts differential response to treatment for major depression.
abstract: The authors examined the relationship between self-criticism, dependency, and treatment outcome for 102 participants who met the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR; American Psychiatric Association, 2000) criteria for major depressive disorder. The participants were randomly assigned to receive either cognitive-behavioral therapy (CBT), interpersonal therapy (IPT), or pharmacotherapy with clinical management (PHT-CM) and completed the Depressive Experiences Questionnaire (Blatt, D'Affilitti, & Quinlan, 1976), a measure of self-criticism and dependency, as part of a broader research protocol. Regression analyses indicated that among individuals in IPT, self-criticism predicted poorer treatment outcome based on depressive symptom severity measured using the 17-item Hamilton Rating Scale for Depression (Hamilton, 1960, 1967). In addition, there were trends toward dependency predicting worse treatment response in CBT and self-criticism predicting better treatment response in PHT-CM.
authors.affiliation: McGill University, Canada.
authors.forename: Margarita B
authors.initials: MB
authors.lastname: Marshall
authors.forename: David C
authors.initials: DC
authors.lastname: Zuroff
authors.forename: Carolina
authors.initials: C
authors.lastname: McBride
authors.forename: R Michael
authors.initials: RM
authors.lastname: Bagby
mesh_terms: D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use*; D015928:Cognitive Behavioral Therapy; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory; D011613:Psychotherapy; D012649:Self Concept; D016896:Treatment Outcome
chemical_list: D000928:Antidepressive Agents