Forty-one patients admitted to hospital with depression participated in a cognitive-behavioural group therapy programme for an average of 26.12 hours. Subjects completed the Beck Depression Inventory, the Dysfunctional Attitudes Scale and the Beck Anxiety Inventory on admission and discharge. Highly significant changes were found at discharge on the Beck Depression Inventory and the Beck Anxiety Inventory, as were significant changes in the Dysfunctional Attitudes Subscales of approval and autonomy. Discussion focuses on the relationship between depression and dysfunctional attitudes and their relationship to self-reported anxiety in depressed individuals.
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References
1.
WadeBDFrancisusML. Occupational therapy for the mentally ill. In: Willard and Spackman's principles of occupational therapy. 2nd ed.Philadelphia: J B Lippincott, 1954: 76–115.
BeckATRushAJShawBFEmeryG. Cognitive therapy of depression. New York: Guilford Press, 1979.
5.
OlingerLJKuiperNAShawB. Dysfunctional attitudes and stressful life events: An interactive model of depression. Cognitive Ther Res1987; 11(1): 25–40.
6.
ZuroffDIgrejaIMongrainM. Dysfunctional attitudes, dependency, and self-criticism as predictors of depressive mood states: A 12-month longitudinal study. Cognitive Ther Res1990: 14(3): 315–26.
7.
BarnettPAGotlibIH. Dysfunctional attitudes and psychosocial stress: A differential prediction of subsequent depression and general psychological distress. Motivation and Emotion1988; 12(3): 251–70.
KuiperNAOlingerLJ. Advances in cognitive-behavioural research. Vol. 5. New York: Academic Press, 1986: 116–42.
10.
NormanWHMillerIWDowMG. Characteristics of depressed patients with elevated levels of dysfunctional cognitions. Cognitive Ther Res1988; 12: 39–51.
11.
KannerADCoyneJCSchaeferCLazarusRS. Comparison of two modes of stress management: Daily hassles and uplifts versus major life events. J Behav Med1981; 4: 1–39.
12.
American Psychiatric Association. Diagnosis and statistical manual of mental disorder (DSM-III-R). Washington DC; APA, 1987: 222.
13.
FreudS. Inhibitions, symptoms and anxiety. Standard Edition. New York: Bantam, 1959; 20: 77–175, 392–93.
14.
BeckAT. Cognitive therapy and the emotional disorders. New York: Meridan, 1976; 133–55.
15.
WarrenRZgoundesGD. Anxiety disorders: A rational-emotive perspective. New York: Pergamon Press, 1991: 1–16.
16.
BarnettPAGotlibIH. Psychosocial functioning and depression: Distinguishing among antecedent, concomitants and consequences. Psychol Bull1988; 104(1): 97–126.
17.
BeckATHollonSDYoungJEBedrosianRCBudenzD. Treatment of depression with cognitive therapy and amitr$ptyline. Arch Gen Psychiatry1985; 42: 142–48.
18.
MurphyGESimonsADWetzelRDLustmanPJ. Cognitive therapy and pharmacotherapy. Arch Gen Psychiatry1984; 41: 33–41.
19.
SimonsADLustmanPJWetzelRDMurphyGE. Predicting response to cognitive therapy of depression: The role of learned resourcefulness. Cognitive Ther Res1985; 9(1): 79–89.
20.
SimonsADGarfieldSLMurphyGE. The process of change in cognitive therapy and pharmacotherapy of depression: Changes in mood and cognition. Arch Gen Psychiatry1984; 41: 45–51.
21.
BeckmanEE. Psychotherapy of depression research at a crossroads: Directions for the 1990s. Clin Psychol Rev1990; 10: 207–28.
22.
De RubeisRJFeeleyM. Determinants of change in cognitive therapy for depression. Cognitive Ther Res1990; 14(5): 469–82.
SafranJDVallisMTSegalZVShawBF. Assessment of cognitive processes in cognitive therapy. Cognitive Ther Res1986; 10(3): 509–26.
25.
SegalZVShawBF. Cognition in depression: A reappraisal of Coyne and Gotlib's critique. Cognitive Ther Res1986; 10: 671–93.
26.
PeselowEDRobinsCBlockPBaroucheFFieveRR. Dysfunctional attitudes in depressed patients before and after clinical treatment, and in normal control subjects. Am J Psychiatry1990; 147(4): 439–44.
27.
SimonsADMurphyGELevineJEWetzelRD. Cognitive therapy and pharmacotherapy for depression: Sustained improvement over one year. Arch Gen Psychiatry1986; 43: 43–49.
28.
BurnsDD. Feeling good: The new mood therapy. New York: Signet Nal Penguin, 1980: 241–55.
29.
International Classification of Diseases. 9th Revision. Clinical modifications, Vol. 1. Michigan: Edward Brothers, 1988: 204–50.
30.
BeckATWardCHMendelsonMMockJErbaughJ. An inventory for measuring depression. Arch Gen Psychiatry1961; 4: 53–63.
31.
BeckATBeamesderferA. Assessment of depression: The depression inventory. Mod Probl Pharmacopsychiatry1974; 7: 151–69.
32.
SahinNSahinN. How dysfunctional are the dysfunctional attitudes in another culture?Br J Med Psychol1992; 65: 17–26.
33.
BeckATEpsteinNBrownG. An inventory for measuring clinical anxiety. J Clin Psychol1988; 56: 893–97.
34.
OttenbacherKJ. Multiplicity in rehabilitation research: A quantitative analysis. Arch Phys Med Rehabil1988; 69: 170–73.
35.
RedaMACarpinielloBSecchiaroliLBlancoS. Thinking, depression and antidepressants: Modified and unmodified beliefs during treatment with amitryptiline. Cognitive Ther Res1985; 9: 135–43.
