title: Does using cognitive-behavioural therapy skills predict improvements in depression?
abstract: We examined symptoms and use of cognitive-behavioural therapy (CBT) skills during treatment for 60 outpatients receiving group CBT for depression. Depression symptoms decreased significantly and frequency of skills use increased significantly during treatment, and increases in skills use from pre-treatment to mid-treatment predicted changes in depression at post-treatment.
  
  
  
  Patients who report infrequent use of skills may be at risk for treatment non-response, which can provide an early warning sign for clinicians. Potential interventions include more psychoeducation about the treatment rationale to increase 'buy-in' or motivational interviewing to increase skills use.
authors.affiliation: Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas, USA.|Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA.|VA South Central Mental Illness Research, Education and Clinical Center (a virtual center), Houston, Texas, USA.
authors.forename: Natalie E
authors.initials: NE
authors.lastname: Hundt
authors.affiliation: Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA.|Michael E. DeBakey VAMC, Mental Health Service Line, Houston, Texas, USA.
authors.forename: Jessica Sepulveda
authors.initials: JS
authors.lastname: Calleo
authors.affiliation: Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA.|Michael E. DeBakey VAMC, Mental Health Service Line, Houston, Texas, USA.
authors.forename: Wright
authors.initials: W
authors.lastname: Williams
authors.affiliation: Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas, USA.|Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA.|VA South Central Mental Illness Research, Education and Clinical Center (a virtual center), Houston, Texas, USA.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Cully
mesh_terms: D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000628:therapy*; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing; D010045:Outpatients; D011569:Psychiatric Status Rating Scales; D011615:Psychotherapy, Group / Q000379:methods*
keywords: cognitive behavioural therapy; cognitive behavioural therapy skills; depression; skill use frequency