:: Volume 8, Issue 1 (Winter - 2019) ::
Shefaye Khatam 2019, 8(1): 31-41 Back to browse issues page
The Comparison of the Effect of Memory Specificity Training, Behavioral Activation Treatment, and Cognitive Behavioral Therapy on Treatment-Resistant Depression
Rezvan Sadr Mohammadi, Simin Gholamrezaie *, Ezatolah Ghadampour
Department of Psychology, Lorestan University, Khoram Abad, Iran , gholamrezaei_s@yahoo.com
Abstract:   (922 Views)
Introduction: Treatment-resistant depression is a severe form of major depression that often fails with multiple treatments with standard antidepressants and has a poor long-term prognosis. The aim of this study was to compare the effect of memory specificity training, behavioral activation treatment, and cognitive behavioral therapy on treatment-resistant depression. Materials and Methods: This is a semi-experimental research with pre-test, post-test and follow-up with a control group. The participants are all patients with treatment-resistant depression in Rafsanjan, Iran. Sixty patients with treatment-resistant depression who referred to a psychiatrist and two psychologists in 2017 were selected. They were randomly divided into four groups of 15 persons; three experimental and one control groups. Data were collected by Beck depression, rumination and dysfunctional attitude questionnaire. Results: The results have shown a significant difference in the post-test depression of all three treatment groups compared to the control group. This difference was also evident in the follow-up phase. Furthermore, there was a significant difference in the rumination variable between the memory specificity training and behavioral activation in the post-test and follow-up stages. In addition, there was a significant difference in the attitude level between the memory specificity training and behavioral activation in the post-test phase and between the memory specificity training and cognitive-behavioral therapy and behavioral activation in the follow-up phase. Conclusion: According to the results, the use of psychotherapy, especially memory specificity training, is suggested as an effective psychological intervention in the management of treatment-resistant depression.
Keywords: Depression, Cognitive Behavioral Therapy, Psychotherapy
Full-Text [PDF 1730 kb]   (262 Downloads)    
Type of Study: Research --- Open Access, CC-BY-NC | Subject: Basic research in Neuroscience
1. World Health Organization. Mental and neurological disorders. http://www.who.int/mediacentre/factsheets /fs265/en/. 2001.
2. Kessler RC, Bromet EJ. The epidemiology of depression across cultures. Annu Rev Public Health. 2013; 34: 119-38. [DOI:10.1146/annurev-publhealth-031912-114409]
3. Belmaker RH, Agam G. Major depressive disorder. N Engl J Med. 2008; 358(1): 55-68. [DOI:10.1056/NEJMra073096]
4. Fava M. Diagnosis and definition of treatment-resistant depression. Biol Psychiatry. 2003; 53(8): 649-59. [DOI:10.1016/S0006-3223(03)00231-2]
5. Wijeratne C, Sachdev P. Treatment-resistant depression: critique of current approaches. Aust N Z J Psychiatry. 2008; 42(9): 751-62. [DOI:10.1080/00048670802277206]
6. Emery G. Overcoming depression: a cognitive behavior protocol for the treatment of depression. USA: New Harbinger Publication. 2000; p. 145-89.
7. Sohrabi N. Psychometric indexes of attitude-deficit scale. Journal Psychological Methods and Models. 2016; 19(6).
8. Watkins ED, Baracaia S. Why do people ruminate in dysphoric moods? Per Indiv Differ. 2001; 30(5): 723-34. [DOI:10.1016/S0191-8869(00)00053-2]
9. Joormann J. Differentioal effect of rumination and dysphoria on the inhibitionof irrelevant emotional material: Evidance from a negative priming task. Cognitive Therapy and Research. 2006; 30(4): 149-60. [DOI:10.1007/s10608-006-9035-8]
10. Neshat-Doost HT, Dalgleish T, Golden A-MJ. Reduced specificity of emotional autobiographical memories following self-regulation depletion. Emotion. 2008; 8(5): 731-6. [DOI:10.1037/a0013507]
11. Werner-Seidler A, Moulds ML. Autobiographical memory characteristics in depression vulnerability: formerly depressed individualsrecall less vivid positive memories. Cogn Emot. 2011; 25(6): 1087-103. [DOI:10.1080/02699931.2010.531007]
12. 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. [DOI:10.4088/JCP.v67n0211]
13. Williams JM, Barnhofer T, Crane C, Hermans D, Raes F, Watkins E, et al. Autobiographical memory specificity and emotional disorder. Psychological Bulletin. 2007; 133(2): 122-48. [DOI:10.1037/0033-2909.133.1.122]
14. Raes F, Williams GM, Hermans D. Reducing cognitive vulnerability to depression: A preliminary investigation of Memory Specificity Training (MEST)in inpatients withdepressive symptomology. J Behav Ther Exp Psychiatry. 2009; 40: 24-38. [DOI:10.1016/j.jbtep.2008.03.001]
15. Lejuez CW, Hopko DR, Hopko SD. Ten-year revision of the brief behavioral activation treatment for depression (BATD): revised treatment15- manual (BATD-R). Behavior Modification. 2011; 35: 111-61. [DOI:10.1177/0145445510390929]
16. Dobson KS, Mohammad Khani P. Psychometric characteristics of beck depression inventory-II in patients with major depressive disorder. J Rehab. 2007; 121(29): 82-9.
17. Nolen-Hoeksema S. The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. J Abnorm Psychol. 2000; 109(4): 504-11. [DOI:10.1037/0021-843X.109.3.504]
18. Barlow DH. Clinical handbook of psychological disorders: A step-by-steptreatment manual. New York: Guilford publications. 2014.
19. Samantha SJ, Otto MW. Behavioral activation treatment for major depression: A randomized trial of the efficacy of augmentation with cognitive control training. J Affect Disord. 2017; 210)1): 265-8. [DOI:10.1016/j.jad.2017.01.003]
20. Zemestani M, Davvodi I, MehrabiZade M, Zargar Y. The effectiveness of group behavioral activation therapy on depression, anxiety, and ruminating symptoms in patients with depression and anxiety. Clincal Psychology Journal. 2012; 4(5): 17-23.
21. Hitchcock C, Hammond E, Rees C, Panesar I, Watson P, Werner-Seidler A, et al. Memory flexibility training to enhance memory specificity and reducedepressive symptomatology in individuals with major depressive disorder:study protocol for a randomised controlled trial. Trials. 2015; 16: 494. doi: 10.1186/s13063-015-1029-y. [DOI:10.1186/s13063-015-1029-y]
22. Nerozbehan M, Forozande E. Investigating the effect of specific memory training on depression and depression of depressed girls. Health Journal. 2016; 5(12): 287-96.
23. Hawley LL, Padesky CA, Hollon SD, Mancuso E, Laposa JM, Brozina K, et al. Cognitive behavior therapy for Depression Using Mind Over Mood: CBT Skill Use and Differential Symptom Alleviation. Behav Ther. 2017; 48(1): 29-44. [DOI:10.1016/j.beth.2016.09.003]
24. Arjmandnia A, Namjo S. The effect of memorizing specialized education (meat) on the influential mechanisms of the extreme clinicalism of story memory in depressed patients with childhood traumatic experience. Journal of Isfahan Medical School. 2016; 33(329).
25. Forozande E, Ranjbarkohen Z. Special events memory and depression: a preliminary study. Quarterly Journal of Psychology and Educational Sciences. 2015; 2(8).
26. Hermans D, Defranc A, Raes F, Williams JMG, Eelen P. Reduced autobiographical memory specificity as an avoidant coping style. British Journal of Clinical Psychology. 2005; 44(4): 583-9. [DOI:10.1348/014466505X53461]

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