Patients' Outcome Expectations Matter in Psychological Interventions for Patients with Diabetes and Comorbid Depressive Symptoms.
Evelien Snippe, Maya J. Schroevers, K Annika Tovote, Robbert Sanderman, Paul M G Emmelkamp, Joke Fleer
Cognitive Therapy and Research 2015 DOI: 10.1007/s10608-014-9667-z (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 91 |
| Population | Patients with diabetes and comorbid depressive symptoms |
| Interventions | Cognitive behavior therapy (CBT) Mindfulness-based cognitive therapy (MBCT) |
| Duration | 8 sessions |
| Topics | Depression Meditation |
| Keywords | Diabetes Expectations Homework |
| Key findings | High outcome expectations predicted post-treatment depressive symptoms in both CBT and MBCT but not early or mid-treatment symptoms, and predicted treatment completion in both therapies and homework compliance in MBCT. Homework compliance did not mediate the association between expectations and post-treatment symptom improvement. The authors state the findings do not support an immediate impact of expectations on patients' mental state and only partially support the notion that low expectations reduce treatment involvement. |
Abstract
This study examined whether patients' expectations of treatment outcome predict treatment completion, homework compliance, and depressive symptom improvement in cognitive behavior therapy (CBT) and mindfulness-based cognitive therapy (MBCT). Study participants were patients with diabetes and comorbid depressive symptoms who were randomized to 8 sessions of either CBT (n = 45) or MBCT (n = 46), both individually delivered. The results showed that high outcome expectations were predictive of post-treatment depressive symptoms in CBT and MBCT, but not of early and mid-treatment symptoms. Patients' outcome expectations predicted treatment completion in CBT and MBCT as well as homework compliance in MBCT. Homework compliance did not mediate the association between patients' outcome expectations and post-treatment depressive symptom improvement. The findings do not support the hypothesis that patients' expectations have an immediate impact on patients' mental state and partially support the notion that patients are less involved in treatment when they hold low expectations for improvement.
Comparable studies
Other randomized controlled trials on depression, most cited first.
Citations in the library
Cited by 7
- Home practice in Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction: A systematic review and meta-analysis of participants' mindfulness practice and its association with outcomes Behaviour Research and Therapy May 10, 2017
- Psychedelics and Psychotherapy. Pharmacopsychiatry July 1, 2021
- Why mindfulness belongs in counseling psychology: A synergistic clinical and research agenda Counselling Psychology Quarterly April 10, 2017
- Mindfulness in Relationships: Eight-Week Mindfulness Intervention Associated with Decreased Negative Emotion and Increased Nonreactivity in Non-meditating Romantic Partners Mindfulness March 6, 2026
- Meditation for Major Depressive Disorder: A Systematic Review RAND Corporation eBooks 2015
and 2 more in the library
Cites 4
- Mindfulness-based cognitive therapy for depression August 21, 2006
- Mindfulness-based cognitive therapy for depression. Industrial Psychiatry Journal October 29, 2024
- Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine February 2008
- Mindfulness-based cognitive therapy for residual depressive symptoms. Psychology and Psychotherapy Theory Research and Practice June 2007