P. Cappeliez et al., RELATION BETWEEN CERTAIN CHARACTERISTICS OF ELDERLY SUBJECTS AND RESPONSE TO COGNITIVE THERAPY FOR DEPRESSION, Canadian journal on aging, 16(1), 1997, pp. 70-83
Available research supports the therapeutic usefulness of cognitive th
erapy for depressed older adults. Few studies have addressed the issue
of response prediction. This research investigates the associations b
etween several pre-intervention characteristics of subjects and therap
y outcomes in the context of a group intervention. The characteristics
under study were severity of depressive symptomatology, endogenous de
pression profile, subjective health status, perceived social support,
and frequency of cognitive depressive symptoms representing a negative
view of oneself. A more severe depressive symptomatology and a more n
egative health perception were associated with a less favourable outco
me of therapy Although the majority of endogenous patients benefitted
from the intervention, only a minority reached the level of symptom re
mission at the end of treatment. A more pronounced cluster of symptoms
characterized by negative thoughts about oneself tended to be associa
ted with a worse outcome. Perceived social support was unrelated to th
erapy outcome.