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    Effectiveness of CT of Depression for Individuals with Personality Disorders
    Jim Pretzer · 08/06/01 at 9:56 PM ET

    Kuyken, W.; Kurzer, N.; DeRubeis, R. J.; Beck, A. T.; Brown, G. K. (2001). Response to cognitive therapy in depression: The role of maladaptive beliefs and personality disorders. Journal of Consulting & Clinical Psychology, 69, 560-566.

    ABSTRACT: This study examined whether personality disorder status and beliefs that characterize personality disorders affect response to cognitive therapy. In a naturalistic study, 162 depressed outpatients with and without a personality disorder were followed over the course of cognitive therapy. As would be hypothesized by cognitive theory (A. T. Beck & A. Freeman, 1990), it was not personality disorder status but rather maladaptive avoidant and paranoid beliefs that predicted variance in outcome. However, pre- to posttherapy comparisons suggested that although patients with or without comorbidity respond comparably to "real-world" cognitive therapy, they report more severe depressive symptomatology at intake and more residual symptoms at termination.


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