Self-system therapy as an intervention for self-regulatory dysfunction in depression: a randomized comparison with cognitive therapy

UMMS Affiliation

Department of Medicine, Division of Preventive and Behavioral Medicine

Publication Date


Document Type



Adult; Aged; Cognitive Therapy; Depression; Female; Humans; Male; Middle Aged; *Self Efficacy


Behavioral Disciplines and Activities | Behavior and Behavior Mechanisms | Community Health and Preventive Medicine | Preventive Medicine


Self-system therapy (SST) is a new therapy based on regulatory focus theory (E. T. Higgins, 1997) for depressed individuals unable to pursue promotion goals effectively. The authors conducted a randomized trial comparing SST with cognitive therapy (CT) in a sample of 45 patients with a range of depressive symptoms to test 2 hypotheses: that SST would be more efficacious for depressed individuals characterized by inadequate socialization toward pursuing promotion goals and that SST would lead to greater reduction in dysphoric responses to priming of promotion goals. There was no overall difference in efficacy between treatments, but patients whose socialization history lacked an emphasis on promotion goals showed significantly greater improvement with SST. In addition, SST patients showed a greater reduction in dysphoric responses to promotion goal priming than did CT patients. The results illustrate the value of a theory-based translational approach to treatment design and selection.

DOI of Published Version



J Consult Clin Psychol. 2006 Apr;74(2):367-76. Link to article on publisher's site

Journal/Book/Conference Title

Journal of consulting and clinical psychology

Related Resources

Link to Article in PubMed

PubMed ID