Narrative therapy for adults with major depressive disorder: improved symptom and interpersonal outcomes

Psychother Res. 2011 Jan;21(1):4-15. doi: 10.1080/10503301003591792.

Abstract

This study investigated depressive symptom and interpersonal relatedness outcomes from eight sessions of manualized narrative therapy for 47 adults with major depressive disorder. Post-therapy, depressive symptom improvement (d=1.36) and proportions of clients achieving reliable improvement (74%), movement to the functional population (61%), and clinically significant improvement (53%) were comparable to benchmark research outcomes. Post-therapy interpersonal relatedness improvement (d=.62) was less substantial than for symptoms. Three-month follow-up found maintenance of symptom, but not interpersonal gains. Benchmarking and clinical significance analyses mitigated repeated measure design limitations, providing empirical evidence to support narrative therapy for adults with major depressive disorder.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Benchmarking / standards
  • Depressive Disorder, Major / diagnosis
  • Depressive Disorder, Major / psychology
  • Depressive Disorder, Major / therapy*
  • Follow-Up Studies
  • Humans
  • Intention to Treat Analysis
  • Interpersonal Relations*
  • Middle Aged
  • Narration*
  • Personality Inventory / statistics & numerical data
  • Psychometrics
  • Psychotherapy / methods*
  • Psychotherapy / standards
  • Treatment Outcome
  • Young Adult