認知的再評価と表現的抑圧のダイナミクスは,心理療法における苦痛の変化を予測する:PsyCARE研究からの発見
Gianluca Lo Coco1, Dennis M Kivlighan2, Ilaria M A Benzi3
1Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.
まとめ
感情の調節を改善し,特に認知再評価 (CR) を高め,表現抑制 (ES) を減らすことは,心理的苦痛の減少を予測します. これらの感情調節戦略は,一般的な変化のメカニズムであり,特定の治療法に特異的ではありません.
科学分野:
- 心理学 心理学とは
- 臨床心理学の臨床心理学について
- 心理療法研究 心理療法研究
背景:
- 認知再評価 (CR) と表現抑制 (ES) を含む感情の調節戦略は,心理的健康にとって極めて重要です.
- これらの特定の戦略の変化が,異なる心理学的治療法における治療的結果を導くかどうかについては,限られた研究が存在します.
研究 の 目的:
- CRの増加とESの減少が,クライアントの苦境の後の減少を予測するかどうかを調査する.
- これらの感情の調節の変化が,認知行動療法に特異的なものなのか,または非特異的な変化のメカニズムを表しているかどうかを判断する.
主な方法:
- イタリアのPsyCARE研究で1,116人の成人外科医と947人の心理療法士から得られたデータを分析した.
- 感情調節アンケート,患者健康アンケート,9および汎用不安障害-7を複数の時間点で利用しました.
- 多項式回帰と応答表面分析を用いて,感情調節戦略の変化と苦痛軽減の予測的関係を調べ,セラピストのクラスタリングを考慮した.
主要な成果:
- 重要な証拠は,CRの増加とESの減少が,クライアントの苦痛の後の減少を予測することを発見しました.
- レスポンスの表面分析は,クライアントが同等にCRを増加させ,ESを減少させたときに,最も大きな救難の減少が起こったことを示した.
- 苦痛に対する感情調節の変化の観察された影響は,治療の種類によって緩和されず,非特異的なメカニズムを示唆しました.
結論:
- 表現的抑圧を軽減しながら認知的再評価を改善することは,様々な治療方法におけるより良い心理的結果と関連しています.
- CRとESを通して,感情の調節は,治療変化の一般的な,トランス診断的メカニズムとして機能しているようです.
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