This study examined the relation of psychological mindedness (PM) to treatment outcome and explored whether PM might be enhanced by participation in cognitive-behavioral therapy, an approach that teaches skills reflective of those involved in PM. Psychological mindedness is assumed to be an attribute that contributes to a patients ability to engage in and benefit from insight oriented psychotherapy; there has been limited attention in regard to its potential impact on other therapeutic approaches.
This study evaluated PM within the context of a clinical trial of three different psychotherapeutic interventions for adolescent depression including cognitive-behavioral therapy (CBT), systemic-behavior family therapy (SBFT), and non-directive supportive therapy (NST). A total of 101 adolescents completed a modified version of the Psychological Mindedness Scale at pre-and post- treatment. It was predicted that higher PM baseline scores would result in improved outcome as assessed by the Beck Depression Inventory (BDI) and the Childrens Global Assessment Scale (CGAS). Higher PM scores were not predictive of improvement of depression or psychosocial functioning across the whole sample. However, there was an interaction within the high verses low PM group such that the manner in which depression responded differed across treatment groups over time. CBT had more rapid improvement
compared to SBFT, but not NST resulting in a lower BDI at the end of treatment. A secondary analysis, predicting that CBT would show a greater increase in PM over SBFT and NST was not confirmed. Patients in CBT did not show a greater increase in PM over SBFT and NST. However, there was a significant increase in patients PM across all three treatments.
The relation between baseline demographic and clinical measures and PM were also investigated. Higher PM was associated with increased age and older age of onset of depression. Clinical variables such as increased hopelessness and increased depression were associated with a lower PM score. Clinical implications of these findings were discussed, current limitations to the study of PM were reviewed, and suggestions for future research presented.
| Identifer | oai:union.ndltd.org:PITT/oai:PITTETD:etd-04062006-102837 |
| Date | 25 April 2006 |
| Creators | Boylan, Mary Beth |
| Contributors | Nancy Elman, PhD, Professor Emeritus, David Brent, MD, Louis Pingel, PhD, Steve Bagnato, PhD |
| Publisher | University of Pittsburgh |
| Source Sets | University of Pittsburgh |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.pitt.edu/ETD/available/etd-04062006-102837/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Pittsburgh or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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