The sooner, the better: Temporal patterns in brief treatment of depression and their role in long-term outcome Academic Article uri icon


  • Abstract To examine whether temporal patterns of change in brief treatment for depression are predictive of outcome at 18 months posttreatment, the authors used data from the National Institute of Mental Health-sponsored Treatment of Depression Collaborative Research Program. In accordance with their hypotheses, they found that (a) individuals whose level of distress does not decrease between intake and Week 4 of therapy (slow remoralizers) exhibited a more severe symptom pattern at follow-up assessments than those exhibiting immediate relief (rapid remoralizers); (b) rate of symptom reduction during treatment is predictive of 12- and 18-month outcomes beyond initial symptom severity; and (c) rate of symptom reduction is more predictive of 12- and 18 month outcomes in psychotherapy than in nonpsychological treatments. Findings encourage further research and clinical attention to temporal patterns of response in brief treatments of depression. Zusammenfassung Je eher, desto besser: Zeitmuster in der kurzen...

publication date

  • January 1, 2006