When Are Therapists' Efforts to Bring about Cognitive Change Effective? Considering Interpersonal Vulnerabilities as Contextual Factors.

IF 1.5 3区 心理学 Q3 PSYCHIATRY
Iony D Ezawa, Samuel T Murphy, Megan L Whelen, Daniel R Strunk
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引用次数: 0

Abstract

We examined interpersonal variables as moderators of the relation between therapists' use of cognitive change (CC) strategies and CC in a sample of 125 adults who participated in cognitive behavioral therapy for depression. We measured self-reported maladaptive personality characteristics, interpersonal problems, and social skills at intake. Observers rated therapist adherence to cognitive methods for the first five sessions. Patients reported in-session CC following each session. Cognitive methods predicted greater CC. The relation between cognitive methods and CC was moderated by maladaptive personality traits; this relation was stronger for patients with greater maladaptive personality traits. We encourage future research investigating moderators of therapist interventions of putative therapeutic mechanisms.

Abstract Image

治疗师改变认知的努力何时有效?将人际交往中的弱点视为环境因素。
我们以125名参与抑郁症认知行为疗法的成年人为样本,研究了人际关系变量对治疗师使用认知改变(CC)策略和CC之间关系的调节作用。我们测量了入组时自我报告的不良人格特征、人际关系问题和社交技能。观察者对治疗师在前五个疗程中坚持认知方法的情况进行评分。患者在每个疗程后报告疗程中的CC。认知方法预示着更大的CC。认知方法与CC之间的关系受适应不良人格特质的调节;这种关系在适应不良人格特质较强的患者身上表现得更为明显。我们鼓励在未来开展研究,调查治疗师对推定治疗机制进行干预的调节因素。
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来源期刊
CiteScore
4.00
自引率
0.00%
发文量
19
期刊介绍: From an editorial board of leading international authorities, this state-of-the-science journal addresses all scientific and clinical aspects of cognitive therapy. Featured are: Empirical research studies Cutting-edge theoretical articles Literature reviews and meta-analyses Special focus issues The scope of coverage encompasses basic research on cognitive clinical processes, innovative assessment and treatment technologies, expert perspectives on specific clinical problems and populations, and critical issues in translating research to practice. Recent thematic issues have included Recent Advances in Suicide Research: Mediators and Moderators of Risk and Resilience; Cognitive Mechanisms of Change in the Treatment of Depression; and Combined CBT and Pharmacotherapy.
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