Changes in positive and negative affect in psychotherapy for depression and anxiety.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2024-04-01 Epub Date: 2023-12-21 DOI:10.1037/ccp0000865

Nora M Barnes-Horowitz, Allison Metts, David Rosenfield, Julia S Yarrington, Michael Treanor, Aileen Echiverri-Cohen, Thomas Ritz, Alicia E Meuret, Michelle G Craske

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引用次数: 0

Abstract

Objective: Positive and negative affect play critical roles in depression and anxiety treatment, but the dynamic processes of how affect changes over treatment in relation to changes in symptoms is unclear. The study goal was to examine relationships among changes in positive and negative affect with changes in depression and anxiety symptoms.

Method: This secondary analysis used a combined sample (N = 196) of two trials (Craske et al., 2019, 2023) comparing positive affect treatment (PAT) to negative affect treatment. Longitudinal cross-lag panel models explored whether changes in positive and negative affect (Positive and Negative Affect Schedule; Watson et al., 1988) predicted subsequent changes in depression and anxiety symptoms (Depression Anxiety Stress Scales; Lovibond & Lovibond, 1995), whether symptoms predicted subsequent changes in affect, and whether treatment condition moderated these relationships.

Results: Increases in positive affect predicted subsequent decreases in depression and anxiety symptoms, regardless of treatment condition. Symptoms did not reciprocally predict changes in positive affect. For individuals in PAT, decreases in negative affect predicted subsequent decreases in symptoms. Moreover, decreases in symptoms predicted subsequent decreases in negative affect, regardless of treatment condition.

Conclusions: Results did not support a reciprocal relationship between positive affect and symptoms of depression and anxiety since positive affect predicted depression and anxiety symptoms but not vice versa. Results supported a reciprocal relationship between negative affect and symptoms of depression and anxiety since negative affect predicted depression and anxiety symptoms in PAT, and depression and anxiety symptoms predicted negative affect in both treatment conditions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

查看原文本刊更多论文

抑郁症和焦虑症心理治疗中积极和消极情绪的变化。

目的：积极情绪和消极情绪在抑郁症和焦虑症治疗中起着至关重要的作用，但情绪在治疗过程中的变化与症状变化之间的动态变化过程尚不清楚。本研究旨在探讨积极情绪和消极情绪的变化与抑郁和焦虑症状变化之间的关系：这项二次分析使用了两项试验（Craske 等人，2019 年，2023 年）的合并样本（N = 196），将积极情绪治疗（PAT）与消极情绪治疗进行了比较。纵向跨滞后面板模型探讨了积极情绪和消极情绪的变化（积极情绪和消极情绪量表；Watson等人，1988年）是否能预测抑郁和焦虑症状（抑郁焦虑压力量表；Lovibond和Lovibond，1995年）的后续变化，症状是否能预测情感的后续变化，以及治疗条件是否能调节这些关系：结果：无论治疗条件如何，积极情绪的增加都预示着随后抑郁和焦虑症状的减少。症状并不能相互预测积极情绪的变化。对于 PAT 患者来说，负性情绪的降低预示着随后症状的减轻。此外，无论治疗条件如何，症状的减轻都会预示着消极情绪的减轻：结果不支持积极情绪与抑郁和焦虑症状之间的相互关系，因为积极情绪能预测抑郁和焦虑症状，反之亦然。结果支持负性情绪与抑郁和焦虑症状之间的相互关系，因为负性情绪可以预测 PAT 中的抑郁和焦虑症状，而抑郁和焦虑症状可以预测两种治疗条件下的负性情绪。(PsycInfo Database Record (c) 2023 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.