Cognitive Vulnerabilities as Prognostic Predictors of Acute and Follow-up Outcomes in Seasonal Affective Disorder Treatment with Light Therapy or Cognitive-Behavioral Therapy.
Cognitive Vulnerabilities as Prognostic Predictors of Acute and Follow-up Outcomes in Seasonal Affective Disorder Treatment with Light Therapy or Cognitive-Behavioral Therapy.
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DOI：
10.1007/s10608-020-10086-4
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发表时间：
2020-06
影响因子：
2.8
通讯作者：
Rohan KJ
中科院分区：
文献类型：
--
作者：
Camuso JA;Rohan KJ
First-line treatments for winter seasonal affective disorder include light therapy and cognitive-behavioral therapy; however, it is unclear whether particular patient profiles respond differentially to each treatment type. This study examined baseline patient cognitive and chronobiological vulnerabilities as prognostic and prescriptive predictors of acute and follow-up treatment outcomes. 177 adults with seasonal affective disorder were randomized to 6-weeks of either light therapy or cognitive-behavioral therapy. Participants completed baseline measures of cognitive vulnerabilities (Dysfunctional Attitudes Scale; Ruminative Response Scale; Seasonal Belief Questionnaire) and chronobiological vulnerability (Morningness-Eveningness Questionnaire). Depression was assessed at pre- and post-treatment and at follow-ups one and two winters later. Pre-treatment depression severity correlated significantly with each cognitive vulnerability measure, and significantly predicted future depression. After controlling for pre-treatment depression, higher scores on the Morningness-Eveningness Questionnaire were prognostic of lower depression at treatment endpoint, but no cognitive vulnerability emerged as a prognostic or prescriptive predictor of outcome. Greater morningness was associated with less severe post-treatment depression in both cognitive-behavior therapy and light therapy. No cognitive vulnerability emerged as a prognostic or prescriptive predictor, perhaps because they correlated with pre-treatment depression severity, a robust predictor of outcome. Future research should test alternative cognitive constructs.
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表面面部肌电图，皮肤电导以及对季节性情感障碍中光和季节相关刺激的自我报告的情绪反应。
影响因子：
6.6
作者：
Lindsey, Kathryn Tierney;Rohan, Kelly J.;Roecklein, Kathryn A.;Mahon, Jennifer N.
通讯作者：
Mahon, Jennifer N.
影响因子：
2.8
作者：
Arnow, BA;Spangler, D;Burns, DD
通讯作者：
Burns, DD
影响因子：
2.8
作者：
Enggasser, Justin L.;Young, Michael A.
通讯作者：
Young, Michael A.
影响因子：
4.1
作者：
Jarrett, Robin B.;Minhajuddin, Abu;Thase, Michael E.
通讯作者：
Thase, Michael E.
影响因子：
17.7
作者：
Lam, RW;Levitt, AJ;Tam, EM
通讯作者：
Tam, EM