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A measure of cognitions specific to seasonal depression: Development and validation of the Seasonal Beliefs Questionnaire.

Psychological assessment
July 1, 2019
Kelly J Rohan et al. (8 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effectiveness of cognitive-behavioral therapy (CBT-SAD) and light therapy in treating seasonal affective disorder (SAD) and to assess changes in SAD-specific cognitive vulnerability using the Seasonal Beliefs Questionnaire (SBQ).

Results Summary

Light therapy showed improvement in SBQ scores, but at half the rate of CBT-SAD. Changes in SBQ scores during CBT-SAD, but not light therapy, were associated with a lower risk of depression recurrence two winters later.

Population

SAD patients (n = 86), nonseasonal major depressive disorder (MDD) patients (n = 30), and healthy controls (n = 110).

Effective Dosage

Not mentioned

Duration

Not specified

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
SAD-tailored cognitive-behavioral therapy (CBT-SAD)
decrease
SBQ scores
SAD patients
twice the rate
improved
#1
light therapy
decrease
SBQ scores
SAD patients
-
improved
#2
CBT-SAD
decrease
risk of depression recurrence
SAD patients
lower
associated with
#3
light therapy
no change
depression recurrence
SAD patients
-
unrelated to
#4
CBT-SAD
decrease
DAS scores
SAD patients
-
improved
#5
light therapy
decrease
DAS scores
SAD patients
-
improved
#6
Abstract

We introduce the Seasonal Beliefs Questionnaire (SBQ), a self-report inventory of maladaptive thoughts about the seasons, light availability, and weather conditions, proposed to constitute a unique cognitive vulnerability to winter seasonal affective disorder (SAD; Rohan, Roecklein, & Haaga, 2009). Potential items were derived from a qualitative analysis of self-reported thoughts during SAD-tailored cognitive-behavioral therapy (CBT-SAD) and subsequently refined based on qualitative feedback from 48 SAD patients. In the psychometric study (N = 536 college students), exploratory and confirmatory factor analyses pruned the items to a 26-item scale with a 5-factor solution, demonstrating good internal consistency, convergent and divergent validity, and 2-week test-retest reliability. In a known groups comparison, the SBQ discriminated SAD patients (n = 86) from both nonseasonal major depressive disorder (MDD) patients (n = 30) and healthy controls (n = 110), whereas a generic measure of depressogenic cognitive vulnerability (the Dysfunctional Attitudes Scale [DAS]) discriminated MDD patients from the other groups. In a randomized clinical trial comparing CBT-SAD with light therapy (N = 177), SBQ scores improved at twice the rate in CBT-SAD than in light therapy. Greater change in SBQ scores during CBT-SAD, but not during light therapy, was associated with a lower risk of depression recurrence 2 winters later. In contrast, DAS scores improved comparably during CBT-SAD and light therapy, and DAS change was unrelated to recurrence following either treatment. These results support using the SBQ as a brief assessment tool for a SAD-specific cognitive vulnerability and as a treatment target in CBT-SAD. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Medical Subject Headings (MeSH)
AdolescentAttitude to HealthCognitionCognitive Behavioral TherapyFemaleHumansMalePhototherapyReproducibility of ResultsSeasonal Affective DisorderSelf ReportSurveys and QuestionnairesTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality85/10
Citation Metrics
Total Citations9
Citations/Year1.5
Relative Citation Ratio0.79
NIH Percentile41.5%
Research Impact Scores
APT Score0.50
Weight Score2.23
Normalized Score0.65
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