认知重新评估和表达式抑制动态预测心理治疗中痛苦的变化:PsyCARE研究的发现
Gianluca Lo Coco1, Dennis M Kivlighan2, Ilaria M A Benzi3
1Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.
概括
改善情绪调节,特别是增加认知重新评估 (CR) 和减少表达性抑制 (ES),预测减少心理痛苦. 这些情绪调节策略是变化的一般机制,不特定于某些疗法.
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:
- 情绪调节策略,包括认知重新评估 (CR) 和表达抑制 (ES),对于心理健康至关重要.
- 关于这些特定策略的变化是否会在不同的心理治疗中带来治疗结果的研究有限.
研究的目的:
- 调查CR的增加和ES的减少是否预测了随后客户困境的减少.
- 确定这些情绪调节变化是特定于认知行为治疗,还是代表非特定的变化机制.
主要方法:
- 分析了意大利PsyCARE研究中的1116名成人门诊患者和947名心理治疗师的数据.
- 在多个时间点使用了情绪调节问卷,患者健康问卷-9和通用焦虑障碍-7.
- 采用多项式回归和响应表面分析来检查情绪调节策略变化和应急减缓之间的预测关系,并考虑治疗师聚类.
主要成果:
- 显著的证据发现,CR的增加和ES的减少预测了随后客户痛苦的减少.
- 响应表面分析表明,当客户同样增加CR并减少ES时,发生了最大的应急减少.
- 观察到的情绪调节变化对痛苦的影响并没有受到治疗类型的调节,这表明非特定的机制.
结论:
- 提高认知重新评估,同时减少表达性抑制,与各种治疗方式的更好的心理结果有关.
- 通过CR和ES,情绪调节似乎作为治疗变化的通用,跨诊断机制起作用.
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