Conclusion

The cognitive model, originally proposed over 30 years ago, has continued to be refined and modified on the basis of empirical feedback and conceptual challenges (Clark et al., 1999). This approach has responded to numerous challenges through the development of more refined research strategies and paradigms that have addressed many of its critics' concerns. In the future, the model is also likely to benefit from the convergence of cognitive psychology, clinical psychology, and psychiatric neurosciences informed by imaging technologies. Many of the paradigms developed to test the cognitive model of depression could be adapted to a neuroimaging context. This could further specify the anatomical mechanisms that underlie cognitive and emotional processes related to depression. In sum, the model offers significant explanatory power and theoretical coherence to support the continued reliance on cognitive interventions as a front-line psychological treatment for unipolar depression.

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