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Therapeutic reactance as a predictor of outcome in the treatment of chronic depression.

Publication ,  Journal Article
Arnow, BA; Manber, R; Blasey, C; Klein, DN; Blalock, JA; Markowitz, JC; Rothbaum, BO; Rush, AJ; Thase, ME; Riso, LP; Vivian, D; McCullough, JP ...
Published in: J Consult Clin Psychol
December 2003

This study examined whether reactance would negatively influence treatment outcome in 347 patients diagnosed with chronic forms of depression and treated at 9 sites with either Nefazodone, cognitive-behavioral analysis system of psychotherapy (CBASP), or combination therapy. Contrary to our hypotheses, reactance positively predicted treatment outcome in CBASP on 2 of 4 scales. These effects were independent of the therapeutic alliance, which also positively predicted outcome. Reactance did not predict outcome in the groups receiving medication alone or in combination with CBASP. The findings suggest that reactance may be an asset in psychotherapy among chronically depressed individuals and that reactant patients can benefit from directive psychotherapy when therapists flexibly respond to perturbations in the therapeutic relationship. Results support the importance of Aptitude * Treatment interactions in psychotherapy outcome. The direction and significance of such interactions may vary with different forms of psychopathology.

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Published In

J Consult Clin Psychol

DOI

ISSN

0022-006X

Publication Date

December 2003

Volume

71

Issue

6

Start / End Page

1025 / 1035

Location

United States

Related Subject Headings

  • Triazoles
  • Treatment Outcome
  • Psychometrics
  • Piperazines
  • Personality Inventory
  • Motivation
  • Middle Aged
  • Male
  • Internal-External Control
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Arnow, B. A., Manber, R., Blasey, C., Klein, D. N., Blalock, J. A., Markowitz, J. C., … Keller, M. B. (2003). Therapeutic reactance as a predictor of outcome in the treatment of chronic depression. J Consult Clin Psychol, 71(6), 1025–1035. https://doi.org/10.1037/0022-006X.71.6.1025
Arnow, Bruce A., Rachel Manber, Christine Blasey, Daniel N. Klein, Janice A. Blalock, John C. Markowitz, Barbara O. Rothbaum, et al. “Therapeutic reactance as a predictor of outcome in the treatment of chronic depression.J Consult Clin Psychol 71, no. 6 (December 2003): 1025–35. https://doi.org/10.1037/0022-006X.71.6.1025.
Arnow BA, Manber R, Blasey C, Klein DN, Blalock JA, Markowitz JC, et al. Therapeutic reactance as a predictor of outcome in the treatment of chronic depression. J Consult Clin Psychol. 2003 Dec;71(6):1025–35.
Arnow, Bruce A., et al. “Therapeutic reactance as a predictor of outcome in the treatment of chronic depression.J Consult Clin Psychol, vol. 71, no. 6, Dec. 2003, pp. 1025–35. Pubmed, doi:10.1037/0022-006X.71.6.1025.
Arnow BA, Manber R, Blasey C, Klein DN, Blalock JA, Markowitz JC, Rothbaum BO, Rush AJ, Thase ME, Riso LP, Vivian D, McCullough JP, Keller MB. Therapeutic reactance as a predictor of outcome in the treatment of chronic depression. J Consult Clin Psychol. 2003 Dec;71(6):1025–1035.

Published In

J Consult Clin Psychol

DOI

ISSN

0022-006X

Publication Date

December 2003

Volume

71

Issue

6

Start / End Page

1025 / 1035

Location

United States

Related Subject Headings

  • Triazoles
  • Treatment Outcome
  • Psychometrics
  • Piperazines
  • Personality Inventory
  • Motivation
  • Middle Aged
  • Male
  • Internal-External Control
  • Humans