在CBT治疗抑郁症期间评估会内反:复制和进一步评估观察测量
J C Kennedy1, B W Dunlop1, S E Baldwin1
1Department of Psychiatry and Behavioral Sciences, School of Medicine, Emory University School of Medicine, Atlanta, GA, United States.
Journal of mood and anxiety disorders
|November 4, 2024
概括
研究人员可靠地测量了心理治疗期间的会话反. 这种反的较高水平预测了更大的抑郁症状严重程度,支持有针对性的治疗开发.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 化是一种与抑郁症相关的认知过程.
- 在治疗期间发生的会话中的反,是不太了解的.
- 实时反的观测措施需要进一步验证.
研究的目的:
- 为了复制观察性评级程序的可靠性,在会话中进行反.
- 为了澄清在会话中的反和抑郁症状之间的关系.
- 评估在会话中的反和自我报告的反之间的联系.
主要方法:
- 在视频录制的认知行为疗法 (CBT) 会话中获得了会话内反的观察性评级.
- 两项单独的治疗研究提供了52名患有严重抑郁症 (MDD) 患者的数据.
- 经过培训的研究助理在最后一次会议 (n=35) 和第一次会议 (n=17) 上进行了评级.
主要成果:
- 实时食的观测评级显示出良好的可靠性.
- 在会话中的反与抑郁症状严重程度在横截面和纵向上正相关.
- 初步发现表明,在会话中的反和自我报告的反之间存在相关性.
- 探索性分析表明,在治疗期间的反会逐渐预测治疗后的抑郁症严重程度.
结论:
- 在CBT期间使用观察方法可以可靠地识别会内反.
- 在会话中的反是更高抑郁症严重程度的一致预测因素.
- 这些发现支持开发针对会期反的治疗干预措施.
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