Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Apr;41(2):266-277.
doi: 10.1007/s10608-016-9816-7. Epub 2016 Oct 21.

The Effects of Psychotherapy for Major Depressive Disorder on Daily Mood and Functioning: A Longitudinal Experience Sampling Study

Affiliations
Free PMC article

The Effects of Psychotherapy for Major Depressive Disorder on Daily Mood and Functioning: A Longitudinal Experience Sampling Study

Kari M Eddington et al. Cognit Ther Res. .
Free PMC article

Abstract

Experience sampling methodology (ESM) was used in a randomized controlled trial of short-term therapy to examine changes in daily affect and reactivity to daily event appraisals among depressed patients. Fifty-five depressed adults (mean age 37 years, 80% female) were randomly assigned to one of two therapy conditions. Using an interactive voice response system, participants rated activities and emotional functioning eight times per day for seven days. Thirty-one participants completed treatment and repeated ESM post-treatment. Broad improvements in mood, cognition, and physical functioning were similar across treatment conditions, with the largest improvements for markers of positive affect. Participants demonstrated increased resilience, i.e., diminished reactivity to stressors at post-treatment. Changes in reactivity to positive daily situations were minimal. Findings underscore the utility of ESM in psychotherapy research and the importance of including measures of both positive and negative affect and experiences.

Keywords: cognitive behavior therapy; emotional stress; emotions; major depressive disorder; psychotherapy; treatment outcome.

Figures

Figure 1
Figure 1
CONSORT participant enrollment and flow diagram.
Figure 2
Figure 2
Effects of psychotherapy on daily experience in descending effect-size order.
Figure 3
Figure 3
The within-person interaction of time, stressful situations, and feeling bad about oneself.
Figure 4
Figure 4
The within-person interaction of time, positive situations, and feeling sad.

Similar articles

See all similar articles

Cited by 3 articles

LinkOut - more resources

Feedback