Effectiveness of targeting the vulnerability factors of depression in cognitive therapy

Adele M. Hayes, Louis G. Castonguay, Marvin R. Goldfried

Research output: Contribution to journalArticlepeer-review

88 Scopus citations


I. H. Gotlib and C. L. Hammen's (1992) psychopathology model of depression was used as a conceptual framework for studying the process of change in an effective course of cognitive therapy (CT) for depression. Archived CT transcripts from 30 depressed outpatients in the Cognitive- Pharmacotherapy Treatment project (S. D. Hollon et al., 1992) were studied. An observational coding system was used to assess whether therapists focused on the cognitive, interpersonal, and developmental vulnerabilities of depression and whether these interventions were associated with symptom reduction. Therapists maintained a primarily cognitive focus, but it was interventions that addressed the interpersonal and developmental domains that were associated with improvement. A developmental focus also predicted a longer time of recovery and better global functioning over the 24-month follow-up period. These findings are consistent with recent theoretical developments in cognitive therapy and with the psychopathology research on depression.

Original languageEnglish (US)
Pages (from-to)623-627
Number of pages5
JournalJournal of consulting and clinical psychology
Issue number3
StatePublished - Jun 1996

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health


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