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Investigating the Role of Coping Skill Use on Treatment Outcomes in a Brief, Self-Guided, CBT skills-based Intervention

Brunette, Daniel Steven

Abstract Details

2022, Master of Science, Ohio State University, Psychology.
Precision treatment for depression may be one method of improving intervention effectiveness, especially among brief, self-guided interventions. Brief interventions are a cost-effective alternative to accessing psychological services (Karyotaki et al., 2017; Powell et al., 2020), but suffer from high dropout rates (Torous et al., 2020). If content is tailored so the most relevant concepts are presented earlier, treatment may be quicker in its effectiveness. One method of personalizing treatment is in skill strengths. However, research is currently mixed on whether clients benefit most from skills in which they are more (i.e., capitalization; Cheavens et al., 2012; Fluckiger et al., 2016) or less (i.e., compensation; Miller et al., 2005; Straumann et al., 2006) experienced. This study investigates whether pre-treatment skill use moderates the effectiveness of a brief, selfguided, CBT skills-based intervention on depressive symptoms. Participants (n = 291; 68% female; 67% White) consisted of undergraduate students who were randomized to coping skill modules (i.e., behavioral, cognitive, interpersonal, mindfulness). Participants watched module-specific educational videos and completed worksheets over three weeks. Participants completed measures on coping skill use, depression symptoms, and their appraisal of the intervention, with depression symptoms being re-assessed each week. There was a small, significant reduction in depressive symptoms for participants in all modules during the intervention. No differences were found between modules, nor was iii equivalence testing able to suggest statistical equivalence in effectiveness of reducing depressive symptoms. Pre-treatment skill use did not moderate rate of improvement. However, there was a small, significant, correlation between pre-treatment skill use and appraisal of an intervention emphasizing that skill, suggesting individuals expect greater improvement when taught familiar skills. This suggests expectations of treatment success may serve as a mechanism underlying the capitalization hypothesis. Further, these findings highlight the need for better assessments of coping skill aptitude and better understanding of the relationships between coping skills within an individual.
Jennifer Cheavens (Advisor)
Jolynn Pek (Committee Member)
Daniel Strunk (Committee Member)
102 p.

Recommended Citations

Citations

  • Brunette, D. S. (2022). Investigating the Role of Coping Skill Use on Treatment Outcomes in a Brief, Self-Guided, CBT skills-based Intervention [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1666777130984693

    APA Style (7th edition)

  • Brunette, Daniel. Investigating the Role of Coping Skill Use on Treatment Outcomes in a Brief, Self-Guided, CBT skills-based Intervention. 2022. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1666777130984693.

    MLA Style (8th edition)

  • Brunette, Daniel. "Investigating the Role of Coping Skill Use on Treatment Outcomes in a Brief, Self-Guided, CBT skills-based Intervention." Master's thesis, Ohio State University, 2022. http://rave.ohiolink.edu/etdc/view?acc_num=osu1666777130984693

    Chicago Manual of Style (17th edition)