Project

Back to overview

Explicit and implicit change of depression in exposure-based cognitive therapy

English title Explicit and implicit change of depression in exposure-based cognitive therapy
Applicant Grosse Holtforth Martin
Number 123377
Funding scheme SNSF Professorships
Research institution Psychologisches Institut Universität Zürich
Institution of higher education University of Zurich - ZH
Main discipline Psychology
Start/End 01.04.2009 - 31.03.2013
Approved amount 1'592'506.00
Show all

Lay Summary (German)

Lead
Lay summary
Depressionen gehören zu den häufigsten psychischen Problemen mit weltweit zunehmender Tendenz. Sie verursachen starkes persönliches Leiden und erhebliche Gesundheitskosten. Obwohl es bereits effektive Behandlungsmassnahmen für Depressionen gibt, werden viele depressive Patienten selbst nach einer erfolgreichen Therapie wieder rückfällig.Unser übergeordnetes Ziel ist es, psychotherapeutische Interventionen dahin gehend zu verbessern, dass sie eine nachhaltigere Linderung depressiver Symptome und einen stabileren Schutz vor depressiven Rückfällen erreichen. Dabei wird angenommen, dass eine Psychotherapie sowohl an expliziten (bewussten) als auch an impliziten (automatischen) Prozessen der Informationsverarbeitung angreifen muss, um solche nachhaltigen Effekte zu erreichen. Die Expositionsbasierte Kognitive Therapie (Exposure-Based Cognitive Therapy, EBCT) setzt an beiden Prozessen an, in dem sie Prinzipien der Angsttherapie (Exposition) mit bewährten Behandlungsprinzipien der Depression (Kognitive Therapie) kombiniert.Die EBCT geht in drei aufeinander folgenden Schritten vor. Zunächst werden die Ressourcen des Patienten gestärkt (Ressourcenaktivierung), damit er sich nachfolgend besser mit problematischen Erinnerungen, Gedanken und Gefühlen auseinandersetzen kann. Interventionen zur Stärkung des Patienten umfassen Massnahmen zur Entlastung, das Aufsuchen positiver Erfahrungen, und das Trainieren neuer Fertigkeiten, wie zum Beispiel des besseren Umgangs mit belastenden Gefühlen. Erst nach dieser Stärkung soll sich der Patient intensiv mit möglichen Auslösern depressiver Gefühle auseinander setzen (Exposition). Schrittweise lernt er, belastende Gedanken und Gefühle besser auszuhalten bzw. mit ihnen besser umzugehen. Im Zuge dessen soll er neue Erfahrungen und Einsichten zu seinen Depressionen sowie zu sich selbst gewinnen. Im dritten Schritt soll der Patient die neuen Fertigkeiten, Erfahrungen und Erkenntnisse in seinen Alltag übertragen (Konsolidierung), um sich dadurch bestmöglich auf erneute Belastungen vorzubereiten und sich vor weiteren depressiven Rückfällen zu schützen.In unserer Studie werden wir verschiedene Varianten der EBCT miteinander vergleichen, um zu einer optimalen Umsetzung der Interventionen zu gelangen. Genauere Analysen der individuellen Therapieverläufe sollen zu einem besseren Verständnis der zugrunde liegenden Veränderungsmechanismen führen und weitere Ansatzpunkte für mögliche Verbesserungen aufzeigen. Um grundlegende Annahmen über explizite und implizite Prozesse weiter zu überprüfen, werden wir ausserdem begleitende psychologische Untersuchungen an verschiedenen depressiven und nicht-depressiven Personengruppen durchführen.Mit unseren Untersuchungen versuchen wir somit auf mehreren Ebenen, wesentliche Beiträge zu einer nachhaltigeren Behandlung von Depressionen zu leisten.
Direct link to Lay Summary Last update: 21.02.2013

Responsible applicant and co-applicants

Employees

Publications

Publication
Ambivalence over Emotional Expression in Major Depression
Brockmeyer T., Grosse Holtforth M., Krieger T., Altenstein D., Doerig N., Friederich H.-C., Bents H. (2013), Ambivalence over Emotional Expression in Major Depression, in Personality and Individual Differences, 54(7), 862-864.
Buchbesprechung zu M. Bohus & M. M. Reicherzer, Ratgeber Borderline-Störung
Altenstein D., Grosse Holtforth M. (2013), Buchbesprechung zu M. Bohus & M. M. Reicherzer, Ratgeber Borderline-Störung, in Verhaltenstherapie, 23(1), 56-58.
Interpersonal motives in anorexia nervosa: The fear of losing one's autonomy
Brockmeyer T., Grosse Holtforth M., Bents H., Kämmerer A., Herzog W., Friederich H.-C (2013), Interpersonal motives in anorexia nervosa: The fear of losing one's autonomy, in Journal of Clinical Psychology, 69(3), 278-289.
Specific emotion regulation impairments in major depression and anorexia nervosa
Brockmeyer T., Bents H., Grosse Holtforth M., Pfeiffer N., Herzog W., Friederich H.-C. (2012), Specific emotion regulation impairments in major depression and anorexia nervosa, in Psychiatry Research, 200, 550-553.
Mood regulation and cognitive reactivity in depression vulnerability
Brockmeyer T., Pfeiffer N., Grosse Holtforth M., Zimmermann J., Kämmerer A., Friederich H.-C. (2012), Mood regulation and cognitive reactivity in depression vulnerability, in Cognitive Therapy and Research, 36(6), 634-642.
Resolving Partnership Ambivalence: A Randomized Controlled Trial of Very Brief Cognitive and Experiential Interventions with Follow-Up.
Trachsel M., Ferrari L., Grosse Holtforth M. (2012), Resolving Partnership Ambivalence: A Randomized Controlled Trial of Very Brief Cognitive and Experiential Interventions with Follow-Up., in Canadian Journal of Counselling and Psychotherapy, 46(3), 239-258.
Starvation and emotion regulation in anorexia nervosa
Brockmeyer T., Grosse Holtforth M., Bents H., Kämmerer A., Herzog W., Friederich H.C. (2012), Starvation and emotion regulation in anorexia nervosa, in Comprehensive Psychiatry, 53(5), 496-501.
Is the relation between early post-session reports and treatment outcome an epiphenomenon of intake distress and early response? A multi-predictor analysis in outpatient psychotherapy.
Flückiger C., Grosse Holtforth M., Znoj H. J., Caspar F., Wampold B. E. (2012), Is the relation between early post-session reports and treatment outcome an epiphenomenon of intake distress and early response? A multi-predictor analysis in outpatient psychotherapy., in Psychotherapy Research, 23(1), 1-13.
Is the Relation between Early Post-Session Reports and Treatment Outcome an Epiphenomenon of Intake Distress and Early Response? A Multi-Predictor Analysis in Outpatient Psychotherapy.
Flückiger C., Grosse Holtforth M., Znoj H.J., Caspar F., Wampold B. E. (2012), Is the Relation between Early Post-Session Reports and Treatment Outcome an Epiphenomenon of Intake Distress and Early Response? A Multi-Predictor Analysis in Outpatient Psychotherapy., in Psychotherapy Research, 23, 1-13.
Bearbeitung von Ambivalenzen - Materialien
Trachsel M., Grosse Holtforth M. (2012), Bearbeitung von Ambivalenzen - Materialien, in J. Margraf , S. Schneider (ed.), 189-197.
Corrective Experiences in Psychotherapy: Definitions, Processes, Consequences, and Research Directions
Hill C.E., Castonguay L.G., Farber B.A., Knox S., Stiles W.B., Anderson T., Angus L.E., Barber J. P., Beck J. G., Bohart A.C., Caspar C., Constantino M.J., Elliott R., Friedlander M.L., Goldfried M.R., Greenberg L.S., Hayes A.M., Hayes J.A., Heatherington L., Grosse Holtforth M., Ladany N., Levy K.N., Messer S.B., Muran J.C., Newman M.G. (2012), Corrective Experiences in Psychotherapy: Definitions, Processes, Consequences, and Research Directions, APA Books, Washington, 355-370.
Mood regulation expectancies and emotion avoidance in depression vulnerability
Brockmeyer T., Grosse Holtforth M., Pfeiffer N., Backenstrass M., Friederich H.-C., Bents H. (2012), Mood regulation expectancies and emotion avoidance in depression vulnerability, in Personality and Individual Differences, 53, 351-354.
Motivation in psychotherapy
Grosse Holtforth M., Michalak J. (2012), Motivation in psychotherapy, Oxford University Press, New York, 441-462.
Core competencies in counseling and psychotherapy: becoming a highly competent and effective therapist
Grosse Holtforth M., Krieger T (2011), Core competencies in counseling and psychotherapy: becoming a highly competent and effective therapist, in JOURNAL OF PSYCHOSOMATIC RESEARCH, 71(5), 367-367.
Klinische Diagnostik: Anamnese, Exploration, psychometrische Ansätze [Clinical assessment]
Lutz W., Köck K., Grosse Holtforth M. (2011), Klinische Diagnostik: Anamnese, Exploration, psychometrische Ansätze [Clinical assessment], in Petermann Maercker Lutz & Stangier (ed.), 245-268.
Ressourcenaktivierung und motivorientierte Beziehungsgestaltung – Bedürfnisbefriedigung in der Psychotherapie [Resource activation and motivationally attuned therapist behavior – satisfaction of patie
Flückiger C., Grosse Holtforth M. (2011), Ressourcenaktivierung und motivorientierte Beziehungsgestaltung – Bedürfnisbefriedigung in der Psychotherapie [Resource activation and motivationally attuned therapist behavior – satisfaction of patie, in R. Frank (ed.), 33-42.
Differential change in integrative psychotherapy: A re-analysis of a change-factor based RCT in a naturalistic setting
Grosse Holtforth M., Wilm K., Beyermann S., Rhode A., Trost S., Steyer R. (2011), Differential change in integrative psychotherapy: A re-analysis of a change-factor based RCT in a naturalistic setting, in Psychotherapy Research, 21, 631-643.
Emotionsfokussierte Depressionstherapie: Pro und Contra
Ehlert U., Grosse Holtforth M., Hautzinger M. (2011), Emotionsfokussierte Depressionstherapie: Pro und Contra, in Verhaltenstherapie, 21, 133-136.
Impact messages of depressed outpatients as perceived by their significant others: Profiles, therapeutic change, and relationship to outcome
Grosse Holtforth M., Altenstein D., Ansell E., Schneider C., Caspar F. (2011), Impact messages of depressed outpatients as perceived by their significant others: Profiles, therapeutic change, and relationship to outcome, in Journal of Clinical Psychology, 67, 319-333.
The prediction of psychotherapy success by outcome expectations in inpatient psychotherapy
Grosse Holtforth M., Krieger T., Bochsler K., Mauler B. (2011), The prediction of psychotherapy success by outcome expectations in inpatient psychotherapy, in Psychotherapy & Psychosomatics, 80, 321-322.
Interpersonal subtypes in social phobia: Diagnostic and treatment implications
Cain N., Pincus A.L., Grosse Holtforth M. (2010), Interpersonal subtypes in social phobia: Diagnostic and treatment implications, in Journal of Personality Assessment, 92(6), 514-527.
Diagnostik und Therapieplanung in der Psychotherapie. [Assessment and case formulation in psychotherapy]
Grosse Holtforth M., Lutz W., Egenolf Y. (2010), Diagnostik und Therapieplanung in der Psychotherapie. [Assessment and case formulation in psychotherapy], in W. Lutz (ed.), 71-88.
Testing a German Adaption of the Entrapment Scale and assessing the relation to depression
Trachsel M., Krieger T., Gilbert P., Grosse Holtforth M. (2010), Testing a German Adaption of the Entrapment Scale and assessing the relation to depression, in Depression Research and Therapy, 2010, 1-10.
Helpful and hindering events in psychotherapy: a practice research network study.
Castonguay Louis G, Boswell James F, Zack Sanno E, Baker Sally, Boutselis Mary A, Chiswick Nancy R, Damer Diana D, Hemmelstein Neal A, Jackson Jeffrey S, Morford Marolyn, Ragusea Stephen A, Roper J Gowen, Spayd Catherine, Weiszer Tara, Borkovec Thomas D, Grosse Holtforth Martin (2010), Helpful and hindering events in psychotherapy: a practice research network study., in Psychotherapy (Chicago, Ill.), 47(3), 327-44.
Keep it in or Let it out? Ambivalence over the Expression of Emotion as a Moderator of Depressiveness in Unemployed Subjects
Trachsel M, Gurtner A, von Kanel ML, Grosse Holtforth Martin (2010), Keep it in or Let it out? Ambivalence over the Expression of Emotion as a Moderator of Depressiveness in Unemployed Subjects, in SWISS JOURNAL OF PSYCHOLOGY, 69(3), 141-146.
Klaus Grawe: On a constant quest for a truly integrative and research-based psychotherapy
Caspar F., Grosse Holtforth M. (2010), Klaus Grawe: On a constant quest for a truly integrative and research-based psychotherapy, in Castonguay Muran Angus Hayes Ladany Anderson (ed.), APA Books, Washington, 113-123.
Fostering adjustment to acquired brain injury by psychotherapeutic interventions: a preliminary study.
Hofer Helene, Grosse Holtforth Martin, Frischknecht Eveline, Znoj Hans-Jorg (2010), Fostering adjustment to acquired brain injury by psychotherapeutic interventions: a preliminary study., in Applied neuropsychology, 17(1), 18-26.
Interpersonal Motives
Grosse Holtforth M., Thomas A., Caspar F. (2010), Interpersonal Motives, Wiley, new York, 105-122.
Motivationale Interventionen und Beziehungsgestaltung in der Psychotherapie. [Motivational interventions and the therapeutic relationship im psychotherapy.]
Znoj H., Grosse Holtforth M. (2010), Motivationale Interventionen und Beziehungsgestaltung in der Psychotherapie. [Motivational interventions and the therapeutic relationship im psychotherapy.], Huber, Bern, 413-430.
Vermeidung und Depression: Die psychometrische Evaluation der deutschen Version der "Cognitive-Behavioral Avoidance Scale (CBAS)” [Avoidance and depression: The psychometric evaluation of the German version of the "Cognitive-Behavioral Avoidance Scale (CBAS)”]
Röthlin P., Grosse Holtforth M., Bergomi C., Berking M., Caspar F. (2010), Vermeidung und Depression: Die psychometrische Evaluation der deutschen Version der "Cognitive-Behavioral Avoidance Scale (CBAS)” [Avoidance and depression: The psychometric evaluation of the German version of the "Cognitive-Behavioral Avoidance Scale (CBAS)”], in Diagnostica, 56, 46-55.
Responsiveness - A pivotal process variable in psychotherpy
Caspar F, Holtforth MG (2009), Responsiveness - A pivotal process variable in psychotherpy, in ZEITSCHRIFT FUR KLINISCHE PSYCHOLOGIE UND PSYCHOTHERAPIE, 38(1), 61-69.
Characterization of Patients Discharged From Inpatient Treatment for Burnout: Use of Psychological Characteristics to Identify Aftercare Needs
Haberthur AK, Elkuch FM, Grosse Holtforth M., Hochstrasser B, Soyka M (2009), Characterization of Patients Discharged From Inpatient Treatment for Burnout: Use of Psychological Characteristics to Identify Aftercare Needs, in JOURNAL OF CLINICAL PSYCHOLOGY, 65(10), 1039-1055.
Some like it specific: The difference between treatment goals of anxious and depressed patients
Grosse Holtforth Martin, Wyss T, Schulte D, Trachsel M, Michalak J (2009), Some like it specific: The difference between treatment goals of anxious and depressed patients, in PSYCHOLOGY AND PSYCHOTHERAPY-THEORY RESEARCH AND PRACTICE, 82(3), 279-290.
Working with patients' strengths: a microprocess approach
Flückiger Christoph, Caspar Franz, Grosse Holtforth Martin, Willutzki Ulrike (2009), Working with patients' strengths: a microprocess approach, in Psychotherapy research : journal of the Society for Psychotherapy Research, 19(2), 213-23.
Buchbesprechung zu Exposure Therapy
Grosse Holtforth M., Buchbesprechung zu Exposure Therapy, in Verhaltenstherapie, 1, 56-58.
Ein Vergleich verschiedener Kurzversionen des Depressive Experiences Questionnaire (DEQ) zur Erhebung von Selbstkritik und Abhängigkeit. [A comparison of different short-versions of the Depressive Exp
Krieger T., Zimmermann J., Beutel M. E., Wiltink J., Schauenburg H., Grosse Holtforth M., Ein Vergleich verschiedener Kurzversionen des Depressive Experiences Questionnaire (DEQ) zur Erhebung von Selbstkritik und Abhängigkeit. [A comparison of different short-versions of the Depressive Exp, in Diagnostica.
Expositionsbasierte kognitive Therapie bei Depressionen – Assimilative Therapieintegration am spezifischen Störungsbild
Grosse Holtforth M., Krieger T., Altenstein D., Dörig N., Expositionsbasierte kognitive Therapie bei Depressionen – Assimilative Therapieintegration am spezifischen Störungsbild, in Verhaltenstherapie und Psychosoziale Praxis.
Expositionsbasierte kognitive Therapie bei Depressionen – Assimilative Therapieintegration am spezifischen Störungsbild. [Exposure-based cognitive therapy for depressed patients]
Grosse Holtforth M., Krieger T., Altenstein D., Dörig N., Expositionsbasierte kognitive Therapie bei Depressionen – Assimilative Therapieintegration am spezifischen Störungsbild. [Exposure-based cognitive therapy for depressed patients], in Verhaltenstherapie und Psychosoziale Praxis.
Fostering cognitive-emotional processing in the treatment of depression: A preliminary investigation in Exposure-Based Cognitive Therapy
Grosse Holtforth M., Hayes A., Wilm K., Sutter M., Schmied E., Laurenceau J.-P., Caspar F., Fostering cognitive-emotional processing in the treatment of depression: A preliminary investigation in Exposure-Based Cognitive Therapy, in Psychotherapy and Psychosomatics, 81, 259-260.
Health Status assessment tool for family member caregiver with bipolar disorder: Development and psychometric evaluation
Shamsaei F., Khan Kermanshahi S. M., Vanaki Z., Hajizadeh E., Grosse Holtforth M, Health Status assessment tool for family member caregiver with bipolar disorder: Development and psychometric evaluation, in Asian Journal of Psychiatry, 6(3), 222-227.
Interpersonal micro-processes predict cognitive-emotional processing and the therapeutic alliance in psychotherapy for depression
Altenstein D., Krieger T., Grosse Holtforth M., Interpersonal micro-processes predict cognitive-emotional processing and the therapeutic alliance in psychotherapy for depression, in Journal of Counseling Psychology.
Klaus Grawe
Grosse Holtforth M., Klaus Grawe, in M. Wirtz (ed.).
Mindfulness and emotion regulation – an fMRI Study
Lutz J., Herwig U., Hänert S., Hittmeyer A., Jäncke L., Rufer M., Grosse Holtforth M., Brühl A. B., Mindfulness and emotion regulation – an fMRI Study, in Social Cognitive and Affective Neuroscience (SCAN).
Self-compassion and depression: Associations with depressive symptoms, rumination, and avoidance in depressed outpatients
Krieger T., Altenstein D., Dörig N., Bättig I., Grosse Holtforth M., Self-compassion and depression: Associations with depressive symptoms, rumination, and avoidance in depressed outpatients, in Behavior Therapy.
Stärkenorientierte Psychotherapie
Schär M., Flückiger C., Grosse Holtforth M., Stärkenorientierte Psychotherapie, in R. Zihlmann D. Jungo & C. Steinebach (ed.).
The stream of corrective experiences in action: Big bang and constant dripping
Grosse Holtforth M., Flückiger C., The stream of corrective experiences in action: Big bang and constant dripping, APA Books, Washington.
The Thinner the Better: Self-Esteem and Low Body Weight in Anorexia Nervosa
Brockmeyer T., Grosse Holtforth M., Bents H., Kämmerer A., Herzog W., Friederich H.C., The Thinner the Better: Self-Esteem and Low Body Weight in Anorexia Nervosa, in Clinical Psychology & Psychotherapy.
Tracking the implicit self as a possible biomarker for depression - using event related potentials
Egenolf Y., Stein M., Koenig T., Grosse Holtforth M., Dierks T., Caspar F., Tracking the implicit self as a possible biomarker for depression - using event related potentials, in Cognitive, Affective, and Behavioral Neuroscience.
Working along sudden gains - Responsiveness on small and subtle early changes and exceptions
Flückiger C., Grosse Holtforth M., Lutz W., Working along sudden gains - Responsiveness on small and subtle early changes and exceptions, in Psychotherapy.

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
Annual Congress of the DGPPN 21.11.2012 Berlin
42nd EABCT congress (European Association for Behavioural and Cognitive Therapies) 01.09.2012 Geneva
43rd Annual Meeting of the Society for Psychotherapy Research SPR 12.06.2012 Asilomar, CA, USA
15thAnnual Meeting of the Society for Interpersonal Theory and Research (SITAR) 11.05.2012 Montreal, CA
Penn State Meetings on the Processes of Change in Psychotherapy 08.05.2012 Pennsylvania, USA
29. Symposium der Fachgruppe Klinische Psychologie und Psychotherapie der DGPs 02.06.2011 Berlin, Deutschland
Penn State Meetings on the Processes of Change in Psychotherapy 09.05.2011 Pennsylvania, USA
26th Annual Congress of the Society for the Exploration of Psychotherapy Integration (SEPI) 27.05.2010 Florenz, Italien
39th Annual EABCT congress (European Association for Behavioural and Cognitive Therapies) 16.09.2009 Dubrovnik, Kroatien
11th Congress of the Swiss Society of Psychology 19.08.2009 Neuchâtel, Schweiz
Penn State Meetings on the Processes of Change in Psychotherapy 09.05.2009 Pennsylvania, USA


Self-organised

Title Date Place

Knowledge transfer events

Active participation

Title Type of contribution Date Place Persons involved
Privatklinik Aadorf, Vortrag Psychotherapie und Motivation 15.12.2011 Aadorf, Schweiz
2. Symposium, Swiss Expert Meeting on Burnout, Vortrag"Differentielle Rehabilitation" 20.10.2011 Bern, Schweiz
Psychotherapeutisches Zentrum Zürich, Eröffnungsveranstaltung Vortrag 15.09.2011 Zürich, Schweiz
Privatklinik Honegg, Vortrag Therapieziele 06.09.2011 Meilen, Schweiz
62. Lindauer Psychotherapiewochen 2012 20.04.2011 Lindau, Deutschland
5. Tageskliniksymposium PDAG, Workshop "Depressionsbehandlung" 13.11.2010 Aargau, AG
Berner Bündnis gegen Depressionen, EBCT-Vortrag 16.09.2010 Bern, Schweiz
St.Gallische Kantonale psychiatrische Dienste, EBCT-Vortrag 22.04.2010 Wil, Schweiz
Psychiatrische Poliklinik Zürich, Vortrag EBCT 01.04.2010 Zürich, Schweiz
Workshop EBCT im Sanatorium Kilchberg 05.11.2009 Kilchberg, Schweiz
Fachtagung Psychotherapie, Vortrag 14.09.2009 Bern, Schweiz
22. Kongress des Fachverbandes Sucht, Vortrag "Menschliche Veränderungsprozesse" 15.06.2009 Heidelberg, Deutschland


Communication with the public

Communication Title Media Place Year
Media relations: radio, television Doppelpunkt - Mögliche Gründe für die Zunahme von Depressionen Radio German-speaking Switzerland 21.02.2012
Media relations: print media, online media Depressionen hinterlassen psychische Narben Züricher Tagblatt German-speaking Switzerland 03.08.2011
Media relations: print media, online media Forscher suchen die Super-Therapie Blick am Abend German-speaking Switzerland 28.07.2011
Media relations: print media, online media Gratis in die Psychotherapie 20minuten German-speaking Switzerland 16.01.2011
Talks/events/exhibitions GsundZüri 2011, Zürich: "Psychotherapie bei Depressionen" German-speaking Switzerland 24.09.2011
Other activities Wissenschaftscafé: Depressionen – leben wir im Zeitalter der Melancholie? German-speaking Switzerland 07.11.2011
Print (books, brochures, leaflets) Psychotherapie gegen Depression German-speaking Switzerland 01.01.2010
New media (web, blogs, podcasts, news feeds etc.) Psychotherapie gegen Depression – ein Forschungsprojekt der Universität Zürich International German-speaking Switzerland Italian-speaking Switzerland Rhaeto-Romanic Switzerland Western Switzerland 01.01.2010

Awards

Title Year
Distinguished Research Publications Award der Division 29 (Psychotherapy) der APA (Ko-Autor) 2011
2nd Lester Luborsky Poster Award (Ko-Autor). Society for Psychotherapy Research (2010) 2010

Associated projects

Number Title Start Funding scheme
159425 The Impact of Integrating Emotion Focused Components into Psychological Therapy 01.08.2015 Project funding
144920 Explicit and implicit change of depression in exposure-based cognitive therapy 01.04.2013 SNSF Professorships

Abstract

In the proposed research, I plan to investigate a novel, theory-based depression treatment, i.e., Exposure-Based Cognitive Therapy, EBCT (Hayes, Beevers, Feldman, Laurenceau, & Perlman, 2005) EBCT has been developed to accomplish more sustainable symptom relief by integrating principles of anxiety therapy (i.e., exposure), as well as emotion-focused therapy (i.e., emotional processing). In our research, we will combine an additive design with process-mechanism strategies, which together allow for greater opportunities to identify specific cau-ses of change. In a randomized-controlled trial (RCT), we will evaluate the effectiveness of an adapted form of EBCT (EBCT-R) in comparison to a cognitive therapy that has the same structure as EBCT-R but is not exposure-/emotion-focused (AUCT). Emotional processing is assumed to be the component of EBCT-R that causes an enhanced long-term efficacy via more substantial schema change. Dysfunctional schemas are assumed to be responsible for information-processing biases that are operative both at the implicit as well at the explicit level of functioning and constitute a vulnerability to depressive responses to specific situations. In the underlying dual-process model of depression (Beevers, 2005) emotional processing is assumed to cause more substantial changes at the implicit level, in addition to the changes at the explicit level being caused by cognitive restructuring. We will examine the assumed mechanisms of change in more detail using various process-research methods. Finally, to further test the consequences of the underlying dual-process model of depression, we will compare depressed and never-depressed and remitted-depressed subjects regarding implicit and explicit processing biases. As we identify further causes of change, those causal agents can be included in developing therapies that should be more efficacious and sustainable.
-