Abstract
Four conditions were compared in a study attempting to assess the contribution of self-reinforcement training and behavioral assignments to the efficacy of a behavioral self-control program previously shown to be effective in alleviating moderate depression. Conditions were (1) self-monitoring, self-evaluation, and self reinforcement training (principles and assignments); (2) self-monitoring and self-evaluation training (principles and assignments); (3) didactic training of principles as in condition 1 without behavioral assignments; and (4) a control treatment—problemoriented, psychodynamic group psychotherapy. Forty-nine volunteer female subjects from the community were screened on Beck Depression Inventory and Research Diagnostic Criteria for unipolar, nonpsychotic depression. Two groups were conducted for each of the three structured self-control treatment conditions. One psychotherapy group was conducted. All groups met weekly for 12 weeks. Results based on the 39 participants who completed treatment indicated that all four conditions were equally effective in producing improvements on self-report and clinician measures of symptoms and severity of depression. All four treatments were equally effective in maintaining improvement at 3-month follow-up. Results are discussed in terms of the problem of identifying core components of effective therapy programs and of assessing them in future outcome studies.
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Rothblum, E., Green, L., & Collins, R. L.A comparison of self-control and therapist control in the treatment of depression. Paper presented at the meeting of the Eastern Psychological Association, Philadelphia, April 20, 1979.
Tressler, D. P., & Tucker, R. D.The comparative effects of self-evaluation and self-reinforcement training in the treatment of depression. Paper presented at the meeting of the Association for the Advancement of Behavior Therapy, New York, November 21–23, 1980.
MacPhillamy, D. J., & Lewinsohn, P. M.The measurement of reinforcing events. Paper presented at the meeting of the American Psychological Association, Honolulu, August 1972.
Jacobson, N. S., Anderson, D. J., Anderson, E. A., Rathe-Vail, B., & Whatley, G.The relationship between interpersonal skills and depression. Paper presented at the meeting of the Association for the Advancement of Behavior Therapy, Chicago, November 1978.
Kornblith, S. J.The nature of social skills and self-evaluation in depression. Unpublished master's thesis, University of Pittsburgh, 1979.
Lamparski, D. M., Rehm, L. P., O'Hara, M. W. Kornblith, S. J., & Fitzgibbon, K.Measuring overt behavioral differences in unipolar depressed, bipolar depressed and normal subjects: A multivariate analysis. Paper presented at the meeting of the Association for the Advancement of Behavior Therapy, San Francisco, December 13, 1979.
References
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. An inventory for measuring depression.Archives of General Psychiatry 1961,4 561–571.
Bernard, H. S., & Klein, R. H. Some perspectives on time-limited group psychotherapy.Comprehensive Psychiatry 1977,18 579–584.
Endicott, J., & Spitzer, R. L. A diagnostic interview: The Schedule for Affective Disorders and Schizophrenia.Archives of General Psychiatry 1978,35 837–844.
Fleming, B. M., & Thornton, D. W. Coping skills training as a component in the shortterm treatment of depression.Journal of Consulting and Clinical Psychology 1980,48 652–655.
Fuchs, C. Z., & Rehm, L. P. A self-control behavior therapy program for depression.Journal of Consulting and Clinical Psychology 1977,45 206–215.
Hamilton, M. A rating scale for depression.Journal of Neurology, Neurosurgery and Psychiatry 1960,23 56–61.
Hamilton, M. Development of a rating scale for primary depressive illness.British Journal of Social and Clinical Psychology 1967,6 278–296.
Hollingshead, A. G., & Redlich, F. C.Social class and mental illness. New York: Wiley, 1958.
Kanfer, F. H. Self-regulation: Research issues and speculations. In C. Neuringer & J. L. Michael (Eds.),Behavior modification in clinical psychology. New York: Appleton-Century-Crofts, 1970.
Kruskal, J. B. Transformation of data. In D. L. Sills (Ed.),International encylopedia of the social sciences (Vol. 15). New York: Macmillan and Free Press, 1968.
Lieberman, M. A., Yalom, I., & Miles, M.Encounter groups: First facts. New York: Basic Books, 1973.
Lipman, R. S., & Covi, L. Outpatient treatment of neurotic depression: Medication and group psychotherapy. In R. L. Spitzer & D. F. Klein (Eds.),Evaluation of psychological therapies. Baltimore: Johns Hopkins University, 1976.
McLean, P. D., & Hakstian, A. R. Clinical depression: Comparative efficacy of outpatient treatments.Journal of Consulting and Clinical Psychology 1979,47 818–836.
Raskin, A., Schulterbrandt, J., Reatig, N., & Rice, C. E. Factors of psychotherapy in interview, ward behavior, and self-report ratings of hospitalized depressives.Journal of Consulting Psychology 1967,31 270–278.
Rehm, L. P. A self-control model of depression.Behavior Therapy 1977,8 787–804.
Rehm, L. P.Behavior therapy for depression: Present status and future directions. New York: Academic Press, 1981.
Rehm, L. P. Self-management in depression. In P. Karoly & F. H. Kanfer (Eds.),Self-management and behavior change: From theory to practice. New York: Pergamon Press, 1982.
Rehm, L. P., Fuchs, C. Z., Roth, D. M., Kornblith, S. J., & Romano, J. M. A comparison of self-control and assertion skills treatments of depression.Behavior Therapy 1979,10 429–442.
Rehm, L. P., & Kornblith, S. J. Behavior therapy for depression: A review of recent developments. In M. Hersen, R. M. Eisler, & P. M. Miller (Eds.),Progress in behavior modification (Vol. 7). New York: Academic Press, 1979.
Rehm, L. P., Kornblith, S. J., O'Hara, M. W., Lamparski, D. M., Romano, J. M., & Volkin, J. An evaluation of major components in a self-control behavior therapy program for depression.Behavior Modification 1981,5 459–489.
Rush, A. J., Beck, A. T., Kovacs, M., & Hollon, S. Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients.Cognitive Therapy and Research 1977,1 17–38.
Schwab, J., Bialow, M., Clemmons, R., Martin, P., & Holzer, C. The Beck Depression Inventory with medical patients.Acta Psychiatrica Scandinavica 1967,43 255–266.
Shaw, B. F. Comparison of cognitive therapy and behavior therapy in the treatment of depression.Journal of Consulting and Clinical Psychology 1977,45 543–551.
Spitzer, R. L., Endicott, J., & Robins, E. Research diagnostic criteria: Rationale and reliability.Archives of General Psychiatry 1978,36 773–782.
Spitzer, R. L., Gibbon, M., & Endicott, J.Global Assessment Scale New York: New York State Department of Mental Hygiene, 1973.
Weissman, N. M., Prusoff, B. A., DiMascio, A., Neu, C., Goklaney, M., & Klerman, G. The efficacy of drugs and psychotherapy in the treatment of acute depressive episodes.American Journal of Psychiatry 1979,136 555–558.
Wolf, A. Short term group psychotherapy. In L. Wolberg (Ed.),Short term psychotherapy. New York: Grune & Stratton, 1965.
Zeiss, A. M., Lewinsohn, P. M., & Munoz, R. F. Nonspecific improvement effects in depression using interpersonal skills training, pleasant activity schedules, or cognitive training.Journal of Consulting and Clinical Psychology 1979,47 427–439.
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This study was the basis of a dissertation submitted by the first author to the University of Pittsburgh in partial fulfillment of the requirements for a doctoral degree in psychology. The study was supported by NIMH grant R01 MH27822 to the second author, who also chaired the dissertation committee. The authors would like to express their appreciation to Alan Bellack, Mary Hartz, Michel Hersen, and Theodore Jacob, for serving on the dissertation committee; to Stana Paulanskas, Elissa Lewis, and Pam Blackwood, for their service as therapists; to Robert Klein, for supervising the psychotherapy group; to Carol Burris and Miriam Jacob, for conducting the interviews; to Richard Moore, for his technical assistance; to Deborah P. Greenwald, Anna Helechko, and Paul Pilkonis, for their clinical evaluations of interview tapes; to Karen Wells and Pat Duffy, for their ratings of therapy tapes; to Patricia Dilman, Lauretta Guerin, and Mary Newell, for their help in preparing the manuscript; and finally, to the many undergraduate assistants who coded videotapes.
Copies of detailed definitions of behavior codes and therapy manuals are available on request.
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Kornblith, S.J., Rehm, L.P., O'Hara, M.W. et al. The contribution of self-reinforcement training and behavioral assignments to the efficacy of self-control therapy for depression. Cogn Ther Res 7, 499–527 (1983). https://doi.org/10.1007/BF01172888
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DOI: https://doi.org/10.1007/BF01172888