The comparison of the effectiveness of memory specificity training and behavioral activation therapy in women with treatment-resistant depression
Treatment of treatment-resistant depression
DOI:
https://doi.org/10.22122/cdj.v11i2.765Keywords:
Behavioral Activities, addicted women, Treatment-Resistant DepressionAbstract
BACKGROUND: Women are about twice as likely as men to develop depression during their lifetime. Depression, as a chronic and recurrent disorder, leads to loss of academic, occupational, personal, and social performance. The aim of this study was to compare the effectiveness of memory specificity training (MEST) and behavioral activation (BA) treatment on rumination, dysfunctional attitude, and psycho-social adjustment in women with treatment-resistant depression (TRD).
METHODS: The present study was a quasi-experimental research with pre-test, post-test, and follow-up. The statistical population included all of the women with diagnosis of TRD in Rafsanjan, Iran, in 2018. 37 subjects were randomly selected and assigned to two experimental groups and one control group. Data were collected by Beck Depression Inventory (BDI), Ruminative Response Scale, Psychosocial Adjustment to Illness Scale (PAIS), and the Dysfunctional Attitude Scale (DAS). To analyze the data, multivariate analysis of covariance (MANCOVA) and SPSS software were used.
RESULTS: Both treatments (MEST and BA) had a significant effect in the improvement of symptoms compared to the control group. The MEST has been more effective in reducing depression, rumination, and dysfunctional attitude than BA therapy (P < 0.01).
CONCLUSION: This study indicates that MEST and BA treatment are effective methods for alleviation of TRD and symptoms in women.
References
Sassarini DJ. Depression in midlife women. Maturitas. 2016; 94: 149-54.
Fiorillo A, Carpiniello B, De Giorgi S, La Pia S, Maina G, Sampogna G, et al. Assessment and management of cognitive and psychosocial dysfunctions in patients with major depressive disorder: A clinical review. Front Psychiatry. 2018; 9: 493.
Fava M. Diagnosis and definition of treatment-resistant depression. Biol Psychiatry. 2003; 53(8): 649-59.
Wijeratne C, Sachdev P. Treatment-resistant depression: critique of current approaches. Aust N Z J Psychiatry. 2008; 42(9): 751-62.
Schonfeld S, Ehlers A, Bollinghaus I, Rief W. Overgeneral memory and suppression of trauma memories in post-traumatic stress disorder. Memory. 2007; 15(3): 339-52.
Raes F, Williams JM, Hermans D. Reducing cognitive vulnerability to depression: A preliminary investigation of MEmory Specificity Training (MEST) in inpatients with depressive symptomatology. J Behav Ther Exp Psychiatry. 2009; 40(1): 24-38.
Williams JM, Barnhofer T, Crane C, Herman D, Raes F, Watkins E, et al. Autobiographical memory specificity and emotional disorder. Psychol Bull. 2007; 133(1): 122-48.
Raes F. Repetitive negative thinking predicts depressed mood at 3-year follow-up in students. J Psychopathol Behav Assess. 2012; 34: 497-501.
Foroozandeh E. Effectiveness of Memory Specificity Training (MEST) on resilience and depression in depressed female. Journal of Health Breeze. 2016; 4(3): 34-52.
Sin NL, Della Porta MD, Lyubomirsky S. Tailoring positive psychology interventions to treat depressed individuals. In: Donaldson SI, editor. Applied positive psychology: Improving everyday life, health, schools, work, and society. New York, NY: Routledge; 2011. p. 79-96.
Barlow DH. Clinical handbook of psychological disorders: A step-by-step treatment manual. 3rd ed. New York, NY: The Guilford Press; 2014.
Dimidjian S, Barrera M, Jr., Martell C, Munoz RF, Lewinsohn PM. The origins and current status of behavioral activation treatments for depression. Annu Rev Clin Psychol. 2011; 7: 1-38.
Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961; 4(3): 561-71.
Sohrabi N. Psychometric properties of Dysfunctional Attitude Scale. Psychological Methods and Models. 2015; 6(19): 1-12.
Derogatis LR. SCL 90 R Administration, Scoring and Procedures Manual-II. Baltimore, MD: Clinical Psychometric Research; 1986.
Nolen-Hoeksema S. The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. J Abnorm Psychol. 2000; 109(3): 504-11.
Sumner JA. The mechanisms underlying overgeneral autobiographical memory: an evaluative review of evidence for the CaR-FA-X model. Clin Psychol Rev. 2012; 32(1): 34-48.
Hitchcock C, Hammond E, Rees C, Panesar I, Watson P, Werner-Seidler A, Dalgleish T. Memory Flexibility training (MemFlex) to reduce depressive symptomatology in individuals with major depressive disorder: study protocol for a randomised controlled trial. Trials. 2015;16:494.
Neshat-Doost HT, Dalgleish T, Golden AM. Reduced specificity of emotional autobiographical memories following self-regulation depletion. Emotion. 2008; 8(5): 731-6.
Forouzandeh E, Ranjbar Kohan, Z. Special events memory and depression: A preliminary study. Quarterly Journal of Research in Psychology and Educational. 2016; 2(8): 31-42.
Conway KP, Compton W, Stinson FS, Grant BF. Lifetime comorbidity of DSM-IV mood and anxiety disorders and specific drug use disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2006; 67(2): 247-57.
Zemestani M, Davoudi I, Mehrabizadeh-Honarmand M, Zargar Y. Effectiveness of Group Behavioral Activation on Depression, Anxiety and Rumination in Patients with Depression and Anxiety. Journal of Clinical Psychology. 2014; 5(4): 73-84.
Cuijpers P, van SA, Warmerdam L. Behavioral activation treatments of depression: a meta-analysis. Clin Psychol Rev. 2007; 27(3): 318-26.
Mazzucchelli TG. Behavioural Activation Interventions for Depression and Well-being [PhD Thesis]. Perth, Australia: School of Psychology and Speech Pathology, Curtin University of Technology; 2010. p. 43-88.
Gawrysiak M, Nicholas C, Hopko D. Behavioral Activation for Moderately Depressed University Students: Randomized Controlled Trial. Journal of Counseling Psychology. 2009; 56(1): 468-75.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Chronic Diseases Journal
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.