Abstract
This study evaluated the capacity of the Willingness Scale (WS) to predict changes in depression over the course of a brief
inpatient admission. Two cohorts (N = 160) of adult inpatients completed the Willingness Scale along with a measure of depression
following admission. Depression severity was assessed approximately 4 days later, prior to discharge. Data were evaluated
using structural equation modeling. Higher WS scores predicted greater reductions in depression in both cohorts, and the magnitude
of this effect was large. The fits of the models were outstanding, with no significant differences in any parameter estimates
across the two cohorts. The WS predicts changes in depression, even within a brief inpatient admission where the treatment
is predominantly biological. These results replicate results of previous studies in outpatient populations where CBT was the
primary treatment and suggest motivational factors may play an important role in causation and recovery from depression.
inpatient admission. Two cohorts (N = 160) of adult inpatients completed the Willingness Scale along with a measure of depression
following admission. Depression severity was assessed approximately 4 days later, prior to discharge. Data were evaluated
using structural equation modeling. Higher WS scores predicted greater reductions in depression in both cohorts, and the magnitude
of this effect was large. The fits of the models were outstanding, with no significant differences in any parameter estimates
across the two cohorts. The WS predicts changes in depression, even within a brief inpatient admission where the treatment
is predominantly biological. These results replicate results of previous studies in outpatient populations where CBT was the
primary treatment and suggest motivational factors may play an important role in causation and recovery from depression.
- Content Type Journal Article
- Category Original Article
- Pages 1-12
- DOI 10.1007/s10608-012-9458-3
- Authors
- David Burns, Department of Psychiatry and Behavior Sciences, Stanford University, 401 Quarry Road, Stanford, CA 94305, USA
- Henny Westra, Department of Psychology, York University, Toronto, ON, Canada
- Mickey Trockel, Department of Psychiatry and Behavior Sciences, Stanford University, 401 Quarry Road, Stanford, CA 94305, USA
- Aaron Fisher, Department of Psychology, The Pennsylvania State University, University Park, PA, USA
- Journal Cognitive Therapy and Research
- Online ISSN 1573-2819
- Print ISSN 0147-5916