在抑郁症心理治疗期间使用情绪调节策略的多层次关联:一项纵向研究
Alexander R Daros1, Jeffrey D Wardell2, Lena C Quilty3
1Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Canada; Department of Psychology, York University, Canada.
Journal of affective disorders
|June 8, 2023
概括
抑郁症患者在治疗期间改进了情绪调节 (ER) 策略,如接受和认知重新评估,抑郁症状较少. 这些ER策略的变化是了解治疗有效性的关键.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 患有抑郁症的人经常使用回避情绪调节 (ER) 策略,而不是基于参与的策略.
- 众所周知,心理治疗可以增强ER策略,但了解每周的变化及其与结果的联系对于治疗有效性至关重要.
- 这项研究研究了六种ER策略的动态变化及其与虚拟心理治疗期间抑郁症状的关联.
研究的目的:
- 为了检查虚拟心理治疗期间六种情绪调节 (ER) 策略的每周变化.
- 调查这些ER策略变化与抑郁症状之间的关系.
- 探索认知行为疗法 (CBT) 技能和组件在这种关系中的作用.
主要方法:
- 56名中度抑郁症严重程度的成年人参加了长达3个月的虚拟心理治疗.
- 每周的评估测量了抑郁症状,六个ER策略,CBT技能和参与者评级的CBT组件.
- 多层次建模分析了ER策略使用中的个人内变化及其与每周抑郁症得分的关联.
主要成果:
- 抑郁症状,反和经验回避随着时间的推移而非线性地减少.
- 认知重新评估和接受策略的非线性增加.
- 接受和认知重新评估的增加,以及经验回避的减少,与抑郁症状的减少有关,即使在控制CBT技能之后也是如此.
结论:
- 在心理治疗期间,ER策略的改善与抑郁症状的减少有关.
- 接受和认知重新评估等特定的ER策略似乎是抑郁症治疗的重要目标.
- 需要进一步的研究来确认ER策略作为抑郁症治疗反应的调解者.
相关概念视频
01:20Coping Strategies: Emotion Focused
106
Emotion-focused coping refers to a set of strategies aimed at managing the emotional impact of stressors, rather than directly addressing their causes. This approach involves altering one's emotional response to stressful situations to reduce their psychological effects. For example, individuals might talk with a friend or engage in activities like journaling to express their feelings. Such actions can help achieve emotional clarity or release, providing the psychological stability needed...
106
01:30Socioemotional Development during Infancy
84
Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Primary Temperament Types
84
01:27Coping Strategies: Problem Focused
100
Coping strategies are methods people use to manage, tolerate, or reduce the effects of stressors. These strategies involve both behavioral and psychological actions to handle stressful situations. One common approach is problem-focused coping, which aims to change or eliminate the source of stress rather than merely addressing its consequences. This method involves taking direct action to resolve the issue causing stress.
For example, consider a student who struggles to understand their...
For example, consider a student who struggles to understand their...
100
01:20Lazarus's Cognitive Appraisal Theory
323
Cognitive psychologist Richard Lazarus proposed the cognitive-mediational theory of emotions, which emphasizes how individuals' assessments of stressors significantly affect their experience of stress. According to Lazarus, the stress response is determined by a two-step appraisal process: primary appraisal and secondary appraisal. These cognitive appraisals help individuals evaluate the potential impact of a stressor and determine the adequacy of their coping resources.
Primary Appraisal:...
Primary Appraisal:...
323
01:27Depressive Disorders: Etiology
146
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
146
01:24Treatment Strategies for Psychological Disorders
178
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
178