Jd. Teasdale et al., How does cognitive therapy prevent relapse in residual depression? Evidence from a controlled trial, J CONS CLIN, 69(3), 2001, pp. 347-357
This study examined the cognitive mediation of relapse prevention by cognit
ive therapy (CT) in a trial of 158 patients with residual depression. Score
s based on agreement with item content of 5 questionnaires of depression-re
lated cognition provided no evidence for cognitive mediation. A measure of
the form of response to those questionnaires, the number of times patients
used extreme response categories ("totally agree" and "totally disagree"),
showed significant and substantial prediction of relapse, differential resp
onse to CT, and conformity to mediational criteria. CT reduced relapse thro
ugh reductions in absolutist. dichotomous thinking style. CT may prevent re
lapse by training patients to change the way that they process depression-r
elated material rather than by changing belief in depressive thought conten
t.