Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-29T10:27:10.529Z Has data issue: false hasContentIssue false

Does Cognitive Behaviour Therapy Support Cognitive Models of Depression?

Published online by Cambridge University Press:  06 October 2014

T.P.S. Oei*
Affiliation:
University of Queensland
S. Duckham
Affiliation:
University of Queensland
M. Free
Affiliation:
University of Queensland
*
Psychology Clinic, Department of Psychology, University of Queensland, St. Lucia, Qld 4067
Get access

Abstract

Research into the efficacy of cognitive behaviour therapy (CBT) has repeatedly demonstrated that it is a useful method for alleviating the symptoms of clinical depression. However, the underlying mechanism of the recovery process has remained a matter of debate in the literature. Although at no point in the literature has it been stated that cognitions ‘cause’ depression, this has been a strong implication in the design of many of the studies. The lack of consensus on the issue of causation is due partly to the lack of a co-ordinated approach to investigating the process of cognitive change and other variables in the depressive patient. Also the failure of many research designs to eliminate alternative hypotheses has led to confusion and debate about the direction which CBT research should take. The overall effect has limited the possibilities for an integrated model of depression. This paper looks at the various working models of depression in the literature and suggests the direction for future investigators' testing of these models.

Type
Research Article
Copyright
Copyright © The Author(s) 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Abramson, L.T., Seligman, M.E.P. & Teasdale, J.D. (1978). Learned Helplessness in Humans: Critique and Reformulation. Journal of Abnormal Psychology, 87, 4749.Google Scholar
Bandura, A., Taylor, C.B., Williams, S.L., Mefford, I.N. & Bauchas, J.D. (1985). Catcholamine Secretion as a Function of Perceived Coping Self Efficacy. Journal of Consulting and Clinical Psychology, 53, 406414.Google Scholar
Beck, A.T. (1963). Thinking and Depression: I, Idiosyncratic Content and Cognitive Distortion. Archives of General Psychiatry, 9, 324–33.CrossRefGoogle Scholar
Beck, A.T. (1964). Thinking and Depression: II, Theory and Therapy. Archives of General Psychiatry, 10, 561571.Google Scholar
Beck, A.T. (1984). Cognition and Therapy, letters to the editor. Archives of General Psychiatry, 41, 11121114.CrossRefGoogle Scholar
Beck, A.T., Rush, J.A., Shaw, B.F. & Emery, G. (1979). Cognitive Therapy of Depression. Guilford, New York.Google Scholar
Coyne, J.C. (1980). A Critique of Cognitions as Causal Entities with Particular Reference to Depression. Cognitive Therapy and Research, 10, 1329.Google Scholar
Free, M. & Oei, T.P.S. (in press) Biological and Psychological Processes in the Maintenance and Treatment of Depression. Clinical Psychology Review.Google Scholar
Hamilton, S.B. & Waldman, D.A. (1983). Self Modification of Depression via Cognitive Behavioural Intervention Strategies: A Time Series Analysis. Cognitive Therapy and Research, 1, 99106.CrossRefGoogle Scholar
Kavanagh, D.J. & Bower, G.H. (1984). Mood and Self Efficacy: Impact of Joy and Sadness on Perceived Capabilities. Cognitive Therapy and Research, 9, 507525.Google Scholar
Murphy, G.E., Simons, A.D., Wetzel, R.D. & Lustman, P.T. (1984). Cognitive Therapy and Pharmacotherapy: Singly and Together in the Treatment of Depression. Archives of General Psychiatry, 41, 3340.Google Scholar
Oei, T.P.S. & Jackson, P.R. (1982). Social Skills and Cognitive Behavioural Approaches to the Treatment of Problem Drinking. Journal of Studies on Alcohol, 43, 532547.CrossRefGoogle Scholar
Oei, T.P.S. & Jackson, P.R. (1984). Some Effective Therapeutic Factors in Group Cognitive Behavioural Therapy with Problem Drinkers. Journal of Studies on Alcohol, 45, 119123.Google Scholar
Reda, M.A., Carpiniello, B., Secchiaroli, L. & Blanco, S. (1985). Thinking, Depression, and Antidepressants: Modified and Unmodified Depressive Beliefs During Treatment With Amitriptyline. Cognitive Therapy and Research, 9, 135143.CrossRefGoogle Scholar
Rush, A.J.Beck, A.T., Kovacs, M., Weissenburger, J. & Holland, S.D. (1982). Differential Effects of Cognitive Therapy on Hopelessness and Self-concept. American Journal of Psychiatry, 139, 862866.Google Scholar
Silverman, J.S., Silverman, J.A. & Eardley, D.A. (1984). Do Maladaptive Cognitions Cause Depression? Archives of General Psychiatry, 41, 2130.Google Scholar
Simons, A.D. (1984). Reply to Beck, Letters to the Editor. Archives of General Psychiatry, 41, 1114.Google Scholar
Simons, A.D., Murphy, G.E. & Garfield, S.L. (1984). The Process of Change in Cognitive Therapy and Pharmacotherapy for Depression: Changes in Mood and Cognition. Archives of General Psychiatry, 41, 4551.CrossRefGoogle ScholarPubMed
Simons, A.D., Murphy, G.E., Levine, J.L. & Wetzel, R.D. (1986). Cognitive Therapy and Pharmacotherapy for Depression: Sustained Improvement over 1 year. Archives of General Psychiatry, 43, 4348.Google Scholar
Teasdale, J.D. (1985) Psychological Treatments for Depression: How Do They Work? Behavioural Research and Therapy, 165, 157165.Google Scholar