Evidence map›Paper›PMID 27057997›Full record

Trial reportBehaviour research and therapy2016

Differential role of CBT skills, DBT skills and psychological flexibility in predicting depressive versus anxiety symptom improvement.

Christian A Webb, Courtney Beard, Sarah J Kertz, Kean J Hsu, Thröstur Björgvinsson

Abstract readClinical Trial
In one paragraph

Trial report in Behaviour research and therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

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  11. A Review of Transdiagnostic Mechanisms in Cognitive Behavior Therapy.The Psychiatric clinics of North America · 2024
    Review
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  13. Article
  14. Psychological interventions for patients living with prostate cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
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  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Christian A WebbDepartment of Psychiatry, Harvard Medical School and Center for Depression, Anxiety and Stress Research, McLean Hospital. Electronic address: cwebb@mclean.harvard.edu.
Courtney BeardBehavioral Health Partial Program, McLean Hospital, Harvard Medical School, 115 Mill Street, Belmont, MA 02478, USA.
Sarah J KertzDepartment of Psychology, Southern Illinois University, Carbondale, IL, USA.
Kean J HsuBehavioral Health Partial Program, McLean Hospital, Harvard Medical School, 115 Mill Street, Belmont, MA 02478, USA.
Thröstur BjörgvinssonBehavioral Health Partial Program, McLean Hospital, Harvard Medical School, 115 Mill Street, Belmont, MA 02478, USA.

Funding

Predicting the onset of depression in at-risk adolescents from endophenotype profilesR01MH116969 · NIMH · MCLEAN HOSPITAL · PI WEBB, CHRISTIAN ANTHONY · 2019 to 2024
$2.8M
Examining Reward-Related Predictors and Mechanisms of Change in BA Treatment for Anhedonic AdolescentsK23MH108752 · NIMH · MCLEAN HOSPITAL · PI WEBB, CHRISTIAN ANTHONY · 2015 to 2018
$703k
Investigating Neural and Psychotherapeutic Mediators of Placebo Response in MDDF32MH099801 · NIMH · MCLEAN HOSPITAL · PI WEBB, CHRISTIAN ANTHONY · 2012 to 2015
$139k
NIMH NIH HHS F32 MH099801NIMH NIH HHS K23 MH108752NIMH NIH HHS R01 MH116969
6 · The paper itself

Abstract

objectiveStudies have reported associations between cognitive behavioral therapy (CBT) skill use and symptom improvement in depressed outpatient samples. However, little is known regarding the temporal relationship between different subsets of therapeutic skills and symptom change among relatively severely depressed patients receiving treatment in psychiatric hospital settings.

methodAdult patients with major depression (N = 173) receiving combined psychotherapeutic and pharmacological treatment at a psychiatric hospital completed repeated assessments of traditional CBT skills, DBT skills and psychological flexibility, as well as depressive and anxiety symptoms.

resultsResults indicated that only use of behavioral activation (BA) strategies significantly predicted depressive symptom improvement in this sample; whereas DBT skills and psychological flexibility predicted anxiety symptom change. In addition, a baseline symptom severity X BA strategies interaction emerged indicating that those patients with higher pretreatment depression severity exhibited the strongest association between use of BA strategies and depressive symptom improvement.

conclusionsFindings suggest the importance of emphasizing the acquisition and regular use of BA strategies with severely depressed patients in short-term psychiatric settings. In contrast, an emphasis on the development of DBT skills and the cultivation of psychological flexibility may prove beneficial for the amelioration of anxiety symptoms.

Indexed as

Acceptance and Commitment TherapyBehavior TherapyCognitive Behavioral TherapyAdaptation, PsychologicalAdolescentAdultAgedAnxietyCombined Modality TherapyFemaleHumansMajor Depressive DisorderMaleMiddle AgedPsychotropic DrugsTreatment OutcomePsychotropic DrugsBehavioral activationCognitive restructuringDepressionPsychiatric hospitalPsychological flexibility

Identifiers

PMID27057997
PMCPMC4860036

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.