Cognitive reactivity and dysfunctional attitudes in cognitive behavioral and psychodynamic therapy for adult depression.

IF 3 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2026-01-05 DOI:10.1080/10503307.2025.2609990

Frank J Don, Ellen Driessen, Jaap Peen, Jan Spijker, Henricus L Van, Jack J M Dekker

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引用次数: 0

Abstract

Objective: It is unclear whether cognitive reactivity (CR), an indicator of depression vulnerability, is reduced after cognitive behavioral therapy (CBT), as theorized. It is also unclear whether baseline CR and dysfunctional attitudes (DA) are associated with treatment outcome in CBT for depression. This study aims to examine these questions and assess if these effects are specific to CBT for depression.

Method: Depressed adult outpatients (n = 159) randomized to 16 sessions CBT or short-term psychodynamic supportive therapy (SPSP) completed measures of depression severity and CR at baseline and post-treatment (week 22), DA at week 5, and depression severity at baseline, week 5 and 10, and post-treatment. Mixed-model analyses were applied to estimate CR change and the moderating effect of DA and CR on depression levels at post-treatment.

Results: CR decreased significantly with a medium effect size. CR was negatively associated with post-treatment depression levels. DA was inconsistently associated with treatment outcome. We found no indications that these findings were specific to CBT.

Conclusion: CR decreases in both CBT and SPSP, broadening treatment options. CR, and possibly DA, appear to be prognostic factors for treatment outcome, potentially indicating the need to consider additional or alternativetreatment.

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认知反应与功能失调态度在认知行为与心理动力治疗成人抑郁症中的作用。

目的：认知行为疗法（CBT）是否能降低抑郁易感性指标认知反应性（CR），目前尚不清楚。目前还不清楚基线CR和功能失调态度（DA）是否与CBT治疗抑郁症的结果相关。本研究旨在检验这些问题，并评估这些效果是否仅针对CBT治疗抑郁症。方法：成年抑郁症门诊患者（n = 159）随机分为16期CBT或短期心理动力支持治疗（SPSP），在基线和治疗后（第22周）完成抑郁严重程度和CR的测量，在第5周完成DA，在基线、第5周和第10周以及治疗后完成抑郁严重程度的测量。采用混合模型分析来估计治疗后DA和CR对抑郁水平的调节作用。结果：CR显著降低，效应量中等。CR与治疗后抑郁水平呈负相关。DA与治疗结果的相关性不一致。我们没有发现任何迹象表明这些发现是CBT所特有的。结论：CBT和SPSP的CR均降低，拓宽了治疗选择。CR和可能的DA似乎是治疗结果的预后因素，可能表明需要考虑额外或替代治疗。

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

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.