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Dive into the research topics where Sander J. Kornblith is active.

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Featured researches published by Sander J. Kornblith.


Cognitive Therapy and Research | 1983

The contribution of self-reinforcement training and behavioral assignments to the efficacy of self-control therapy for depression

Sander J. Kornblith; Lynn P. Rehm; Michael W. O'Hara; Danuta M. Lamparski

Four conditions were compared in a study attempting to assess the contribution of self-reinforcement training and behavioral assignments to the efficacy of a behavioral self-control program previously shown to be effective in alleviating moderate depression. Conditions were (1) self-monitoring, self-evaluation, and self reinforcement training (principles and assignments); (2) self-monitoring and self-evaluation training (principles and assignments); (3) didactic training of principles as in condition 1 without behavioral assignments; and (4) a control treatment—problemoriented, psychodynamic group psychotherapy. Forty-nine volunteer female subjects from the community were screened on Beck Depression Inventory and Research Diagnostic Criteria for unipolar, nonpsychotic depression. Two groups were conducted for each of the three structured self-control treatment conditions. One psychotherapy group was conducted. All groups met weekly for 12 weeks. Results based on the 39 participants who completed treatment indicated that all four conditions were equally effective in producing improvements on self-report and clinician measures of symptoms and severity of depression. All four treatments were equally effective in maintaining improvement at 3-month follow-up. Results are discussed in terms of the problem of identifying core components of effective therapy programs and of assessing them in future outcome studies.


Behavior Modification | 1981

An Evaluation of Major Components in a Self-Control Therapy Program for Depression

Lynn P. Rehm; Sander J. Kornblith; O'Hara Mw; Danuta M. Lamparski; Joan. M. Romano; Janice I. Volkin

Five conditions were compared in a study attempting to disassemble a behavioral self-control program previously shown to be effective in the treatment of moderate depression. Conditions were: (1) Self-Monitoring only; (2) Self-Monitoring plus Self-Evaluation; (3) Self-Monitoring plus Self-Reinforcement; (4) the full Self-Control package including Self-Monitoring, Self-Evaluation, and Self-Reinforcement; and (5) a Waiting List Control. Fifty-six volunteer female subjects from the community were screened on MMPI and Research Diagnostic Criteria for moderate, nonpsychotic, nonbipolar depression. Therapy was conducted in seven highly structured weekly 11/2 hour group sessions. Results indicated that all treatment conditions did better than the Waiting List controls on self-report and interviewer rating measures of depression. Only minor differences were found on behavioral observation measures taken in interview and group settings. No consistent effects were found for separate components, with the possible exception of a negative effect for the Self-Evaluation component on some measures. Results are discussed in terms of research strategies for assessing therapy programs.


Behaviour Research and Therapy | 1983

Cognitive-behavioral treatment of agoraphobia: paradoxical intention vs self-statement training.

Matig Mavissakalian; Larry Michelson; Deborah P. Greenwald; Sander J. Kornblith; Michael Greenwald

Abstract Twenty-six agoraphobics were randomly assigned to either Paradoxical Intention (PI) or Self-Statement Training (SST) which consisted of 12 weekly 90-min group sessions with 4–5 patients per group. Major assessments were carried out at pre-treatment, 6th week and 12th week of treatment, and at 1- and 6-month follow-ups. Measures included clinical ratings of severity of condition, phobia, anxiety and depression. Furthermore, a behavioral test was administered during which changes in subjective units of discomfort and cognitions were assessed. The results indicated statistically-significant improvement over time with both treatments. ANCOVAs performed revealed superior effects on several agoraphobia measures for the PI condition at post-treatment. However, by the 6-month follow-up assessment, the groups were equivalent due to marked improvement during the follow-up phase in the SST condition. Cognitive changes were marked by a decrease in self-defeating statements without concomitant increase in coping statements. These results and recommendations for future research are discussed.


Behavior Therapy | 1979

A comparison of self-control and assertion skills treatment of depression

Lynn P. Rehm; Carilyn Z. Fuchs; David Roth; Sander J. Kornblith; Joan. M. Romano

Fuchs and Rehm (Journal of Consulting and Clinical Psychology, 1977, 45, 206–215) have previously reported on a group administered, behavioral, self-control therapy program which was found to be clinically effective in modifying depression. This study replicates those procedures and compares them to a behavioral assertion skills training program. Twenty-four depresed women from the community were seen for six weekly group sessions in either the assertion skills or self-control condition. Level of depression was assessed at four points spaced at 6-week intervals: screening, pretherapy, post-therapy, and follow-up. Results suggested that self-control subjects improved more on measures of self-control, assertion skill subjects improved more on assertion skill measures, and self-control subjects improved more on both self-report and behavioral measures of depression. Results were discussed in terms of the effectiveness of the self-control program and implications regarding self-control deficits in depression.


American Journal of Psychiatry | 2013

Antidepressant Medication Augmented With Cognitive-Behavioral Therapy for Generalized Anxiety Disorder in Older Adults

Julie Loebach Wetherell; Andrew J. Petkus; Kamila S. White; Hoang Nguyen; Sander J. Kornblith; Carmen Andreescu; Sidney Zisook; Eric J. Lenze

OBJECTIVE Generalized anxiety disorder is common among older adults and leads to diminished health and cognitive functioning. Although antidepressant medications are efficacious, many elderly individuals require augmentation treatment. Furthermore, little is known about maintenance strategies for older people. The authors examined whether sequenced treatment combining pharmacotherapy and cognitive-behavioral therapy (CBT) boosts response and prevents relapse in older adults with generalized anxiety disorder. METHOD Participants were individuals at least 60 years of age with generalized anxiety disorder (N=73) who were recruited from outpatient clinics at three sites. Participants received 12 weeks of open-label escitalopram and were then randomly assigned to one of four conditions: 16 weeks of escitalopram (10-20 mg/day) plus modular CBT, followed by 28 weeks of maintenance escitalopram; escitalopram alone, followed by maintenance escitalopram; escitalopram plus CBT, followed by pill placebo; and escitalopram alone, followed by placebo. RESULTS Escitalopram augmented with CBT increased response rates on the Penn State Worry Questionnaire but not on the Hamilton Anxiety Rating Scale compared with escitalopram alone. Both escitalopram and CBT prevented relapse compared with placebo. CONCLUSIONS This study demonstrates effective strategies for treatment of generalized anxiety disorder in older adults. The sequence of antidepressant medication augmented with CBT leads to worry reduction in the short-term. Continued medication prevents relapse, but for many individuals, CBT would allow sustained remission without requiring long-term pharmacotherapy.


International Journal of Geriatric Psychiatry | 2011

Augmenting antidepressant medication with modular CBT for geriatric generalized anxiety disorder: a pilot study

Julie Loebach Wetherell; Jill A. Stoddard; Kamila S. White; Sander J. Kornblith; Hoang Nguyen; Carmen Andreescu; Sidney Zisook; Eric J. Lenze

Generalized anxiety disorder (GAD) is a prevalent psychiatric condition in older adults with deleterious effects on health and cognition. Although selective serotonin reuptake inhibitor (SSRI) medications have some efficacy as acute treatments for geriatric GAD, incomplete response is the most common outcome of monotherapy. We therefore developed a novel sequential treatment strategy, using personalized, modular cognitive‐behavioral therapy (mCBT) to augment SSRI medication.


Journal of Behavior Therapy and Experimental Psychiatry | 1984

Social skills training and endogenous depression

Michael E. Thase; Michel Hersen; Alan S. Bellack; Jonathan M. Himmelhoch; Sander J. Kornblith; Deborah P. Greenwald

The clinical response to social skills training was studied in four women with definite endogenous depression (melancholia) to ascertain if a behavioral intervention could be effective with more severe and pervasive affective syndromes. Three of four patients responded to social skills training, although both patients available for longitudinal follow-up relapsed within 24 months post-treatment. Implications for research and practice are discussed.


Journal of Nervous and Mental Disease | 1983

A behavioral program for the management of anorexia and bulimia

Paul M. Cinciripini; Sander J. Kornblith; Samuel M. Turner; Michel Hersen

The results of a behavioral treatment program for two cases of anorexia and bulimia are presented. The program involved inpatient contingency management for weight gain, thought stopping, flooding, response prevention for bulimia and emesis, and training in self-monitoring skills of caloric intake and weight. The results for both cases indicate that the inpatient program was associated with specific increases in body weight and caloric consumption which were generally maintained at 2-year follow-ups. Flooding and response prevention also appeared to be generally successful in reducing both emesis and bulimia urges and episodes, whereas thought stopping did not appreciably change these behaviors. Serum pituitary gonadotropins (follicle-stimulating hormone and luteinizing hormone) were also restored to normal or near normal levels. Self-monitoring of eating behaviors including caloric intake, emesis, and bulimia seemed to be a useful maintenance strategy and provided timely data for the application of booster treatments during later follow-up intervals.


Cognitive Therapy and Research | 2004

The implementation of cognitive therapy in STAR*D

Edward S. Friedman; Michael E. Thase; Sander J. Kornblith; Stephen R. Wisniewski; Melanie M. Briggs; A. John Rush; Cheryl N. Carmin; Steven D. Hollon; Timothy Petersen; Glen Veenstra

The Sequenced Treatment Alternatives to Relieve Depression (STAR*D) project will provide symptomatic and functional outcome data to evaluate the theoretical principles and clinical beliefs that currently guide the treatment of nonpsychotic major depression. Cognitive Therapy (CT) for depression has been chosen as a switch or augmentation treatment for patients who have failed an adequate trial of the antidepressant citalopram. We describe the rationale, organization, and role of CT in STAR*D. We discuss the issues involved in developing and implementing CT in a large, multisite, effectiveness study: therapist selection, training, certification, quality assurance, and post-training supervision. We conclude with a discussion of the implications of our implementation procedures on interpreting the results of the STAR*D study.


Journal of Psychopathology and Behavioral Assessment | 1984

Measuring the effects of demand characteristics on the Beck Depression Inventory responses of college students

Sander J. Kornblith; Deborah P. Greenwald; Larry Michelson; Alan E. Kazdin

To determine whether Beck Depression Inventory (BDI) responses could be influenced by an instructional set or by changing the item order, 198 college students were randomly assigned to one of four conditions: instructions designed to facilitate or inhibit responding, along with standard vs. reordered symptom questions. A 2×2 ANCOVA found a main effect only for the inhibitory message. The suppression of scores by the inhibitor instructional set suggests caution regarding possible demand characteristics when using the BDI with this population and should be further studied with clinically symptomatic samples.

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Mary Carter

University of Pittsburgh

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Michael E. Thase

University of Pennsylvania

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