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02-03-2020 | Original Article

Cognitive Vulnerabilities as Prognostic Predictors of Acute and Follow-Up Outcomes in Seasonal Affective Disorder Treatment with Light Therapy or Cognitive-Behavioral Therapy

Auteurs: Julia A. Camuso, Kelly J. Rohan

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2020

Abstract

Background

First-line treatments for winter seasonal affective disorder include light therapy and cognitive-behavioral therapy; however, it is unclear whether particular patient profiles respond differentially to each treatment type. This study examined baseline patient cognitive and chronobiological vulnerabilities as prognostic and prescriptive predictors of acute and follow-up treatment outcomes.

Methods

177 adults with seasonal affective disorder were randomized to 6-weeks of either light therapy or cognitive-behavioral therapy. Participants completed baseline measures of cognitive vulnerabilities (Dysfunctional Attitudes Scale; Ruminative Response Scale; Seasonal Belief Questionnaire) and chronobiological vulnerability (Morningness–Eveningness Questionnaire). Depression was assessed at pre- and post-treatment and at follow-ups one and two winters later.

Results

Pre-treatment depression severity correlated significantly with each cognitive vulnerability measure, and significantly predicted future depression. After controlling for pre-treatment depression, higher scores on the Morningness–Eveningness Questionnaire were prognostic of lower depression at treatment endpoint, but no cognitive vulnerability emerged as a prognostic or prescriptive predictor of outcome.

Conclusions

Greater morningness was associated with less severe post-treatment depression in both cognitive-behavior therapy and light therapy. No cognitive vulnerability emerged as a prognostic or prescriptive predictor, perhaps because they correlated with pre-treatment depression severity, a robust predictor of outcome. Future research should test alternative cognitive constructs.

vorige artikel Looming Cognitive Style and Its Associations with Anxiety and Depression: A Meta-analysis

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Titel: Cognitive Vulnerabilities as Prognostic Predictors of Acute and Follow-Up Outcomes in Seasonal Affective Disorder Treatment with Light Therapy or Cognitive-Behavioral Therapy
Auteurs: Julia A. Camuso
Kelly J. Rohan
Publicatiedatum: 02-03-2020
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 3/2020
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-020-10086-4

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Cognitive Vulnerabilities as Prognostic Predictors of Acute and Follow-Up Outcomes in Seasonal Affective Disorder Treatment with Light Therapy or Cognitive-Behavioral Therapy

Abstract

Background

Methods

Results

Conclusions

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Background

Methods

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Conclusions

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