Self-System Therapy as an Intervention for Self-Regulatory Dysfunction in Depression: A Randomized Comparison With Cognitive Therapy

Self-system therapy (SST) is a new therapy based on regulatory focus theory ( E. T. Higgins, 1997 ) for depressed individuals unable to pursue promotion goals effectively. The authors conducted a randomized trial comparing SST with cognitive therapy (CT) in a sample of 45 patients with a range of de...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 2006-04, Vol.74 (2), p.367-376
Main Authors: Strauman, Timothy J, Vieth, Angela Z, Merrill, Kari A, Kolden, Gregory G, Woods, Teresa E, Klein, Marjorie H, Papadakis, Alison A, Schneider, Kristin L, Kwapil, Lori
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Aged
Behavior Modification
Behavior therapy. Cognitive therapy
Biological and medical sciences
Clinical psychology
Cognitive psychology
Cognitive Restructuring
Cognitive Therapy
Cognitive Therapy - methods
Comparative Analysis
Comparative studies
Depression
Depression (Psychology)
Depression - therapy
Empirically supported treatment
Female
Goal difficulty
Human
Humans
Hypothesis Testing
Intervention
Major Depression
Male
Medical sciences
Mental depression
Mental health
Mental health care
Middle Aged
Mood disorders
Patients
Psychological Theories
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy
Self Efficacy
Self-Regulation
Selfregulation
Socialization
Treatment Effectiveness Evaluation
Treatments
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Summary:Self-system therapy (SST) is a new therapy based on regulatory focus theory ( E. T. Higgins, 1997 ) for depressed individuals unable to pursue promotion goals effectively. The authors conducted a randomized trial comparing SST with cognitive therapy (CT) in a sample of 45 patients with a range of depressive symptoms to test 2 hypotheses: that SST would be more efficacious for depressed individuals characterized by inadequate socialization toward pursuing promotion goals and that SST would lead to greater reduction in dysphoric responses to priming of promotion goals. There was no overall difference in efficacy between treatments, but patients whose socialization history lacked an emphasis on promotion goals showed significantly greater improvement with SST. In addition, SST patients showed a greater reduction in dysphoric responses to promotion goal priming than did CT patients. The results illustrate the value of a theory-based translational approach to treatment design and selection.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.74.2.367