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Psychological Mindedness as a Predictor of Treatment Outcome with Depressed Adolescents

Boylan, Mary Beth (2006) Psychological Mindedness as a Predictor of Treatment Outcome with Depressed Adolescents. Doctoral Dissertation, University of Pittsburgh. (Unpublished)

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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 patient's 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 Children's 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 patient's 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.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Boylan, Mary
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairElman, Nancy
Committee MemberBrent, DavidbrentDA@upmc.eduBRENT
Committee MemberPingel, Louispingel@pitt.eduPINGEL
Committee MemberBagnato,
Date: 25 April 2006
Date Type: Completion
Defense Date: 30 January 2006
Approval Date: 25 April 2006
Submission Date: 6 April 2006
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Institution: University of Pittsburgh
Schools and Programs: School of Education > Psychology in Education
Degree: PhD - Doctor of Philosophy
Thesis Type: Doctoral Dissertation
Refereed: Yes
Uncontrolled Keywords: adolescents; PM; treatment outcome
Other ID:, etd-04062006-102837
Date Deposited: 10 Nov 2011 19:34
Last Modified: 19 Dec 2016 14:35


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