{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:34:26Z","timestamp":1792427666373,"version":"4.5.0"},"reference-count":6,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2012,12,5]],"date-time":"2012-12-05T00:00:00Z","timestamp":1354665600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Cogn. Psychother."],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> The efficacy of CBT for unipolar depressive disorders is well established, yet not all patients improve or tolerate treatment. <jats:bold>Aims:<\/jats:bold> To identify factors associated with symptomatic outcome, response, and drop-out in depressive patients under naturalistic CBT. <jats:bold>Method:<\/jats:bold> 193 patients with major depression or dysthymia were tested. Sociodemographic and clinical variables were entered as predictors in hierarchical regression analyses. <jats:bold>Results:<\/jats:bold> A higher degree of pretreatment depression, early improvement, and completion of therapy were identified as predictors for symptomatic change and response. Drop-out was predicted by concurrent personality disorder, less positive outcome expectancies, and by failure to improve early in treatment. <jats:bold>Conclusions:<\/jats:bold> Our results highlight the importance of early response to predict improvement in routine CBT. Attempts to refine the quality of treatment programs should focus on avoiding premature termination (drop-out) and consider motivational factors in more depth. Routinely administered standardized assessments would enhance symptom monitoring and help to identify persons at risk of not improving under therapy.<\/jats:p>","DOI":"10.1017\/s1352465812001063","type":"journal-article","created":{"date-parts":[[2012,12,5]],"date-time":"2012-12-05T16:18:58Z","timestamp":1354724338000},"page":"365-370","source":"Crossref","is-referenced-by-count":63,"title":["What Predicts Outcome, Response, and Drop-out in CBT of Depressive Adults? A Naturalistic Study"],"prefix":"10.1017","volume":"41","author":[{"given":"Amrei","family":"Schindler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Hiller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Witth\u00f6ft","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2012,12,5]]},"reference":[{"key":"S1352465812001063_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(02)80028-4"},{"key":"S1352465812001063_ref1","volume-title":"Das Beck Depressionsinventar (BDI) [The Beck Depression Inventory (BDI)]","author":"Hautzinger","year":"1994"},{"key":"S1352465812001063_ref3","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.59.1.12"},{"key":"S1352465812001063_ref5","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2011.602750"},{"key":"S1352465812001063_ref4","doi-asserted-by":"publisher","DOI":"10.1007\/BF01205010"},{"key":"S1352465812001063_ref2","first-page":"447","volume-title":"Bergin and Garfield's Handbook of Psychotherapy and Behavior Change","author":"Hollon","year":"2004"}],"container-title":["Behavioural and Cognitive Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1352465812001063","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,23]],"date-time":"2019-04-23T17:56:01Z","timestamp":1556042161000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1352465812001063\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,12,5]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,5]]}},"alternative-id":["S1352465812001063"],"URL":"https:\/\/doi.org\/10.1017\/s1352465812001063","relation":{},"ISSN":["1352-4658","1469-1833"],"issn-type":[{"value":"1352-4658","type":"print"},{"value":"1469-1833","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,12,5]]}}}