Patients' Outcome Expectations Matter in Psychological Interventions for Patients with Diabetes and Comorbid Depressive Symptoms

Evelien Snippe, Maya J. Schroevers*, Annika Tovote, Robbert Sanderman, Paul M. G. Emmelkamp, Joke Fleer

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

14 Citations (Scopus)
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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.

Original languageEnglish
Pages (from-to)307-317
Number of pages11
JournalCognitive Therapy and Research
Volume39
Issue number3
DOIs
Publication statusPublished - Jun-2015

Keywords

  • Expectations
  • Diabetes
  • Homework
  • Mindfulness
  • Depression
  • COGNITIVE-BEHAVIORAL-THERAPY
  • COLLABORATIVE RESEARCH-PROGRAM
  • TREATMENT EXPECTANCY
  • HOMEWORK COMPLIANCE
  • RANDOMIZED-TRIAL
  • PSYCHOTHERAPY
  • MINDFULNESS
  • METAANALYSIS
  • ANXIETY
  • CREDIBILITY

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