Centrality of Self-Criticism in Depression and Anxiety Experienced by Breast Cancer Patients Undergoing Short-Term Psychodynamic Psychotherapy.

IF 2.7 4区医学 Q2 PSYCHIATRY

Psychiatry-Interpersonal and Biological Processes Pub Date : 2022-01-01 Epub Date: 2022-02-09 DOI:10.1080/00332747.2021.2004786

Golan Shahar, Raz Bauminger, Rüdiger Zwerenz, Elmar Brähler, Manfred Beutel

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引用次数: 0

Abstract

Introduction: Depression and anxiety are prevalent in women suffering from breast cancer. However, the determinants of depression and anxiety in this population are not well known, particularly in the context of psychotherapy. Drawing from Blatt's theory, we examined the role of Depressive Personality Vulnerability (DPV) in depression and anxiety experienced in female sufferers of breast cancer treated for depression as part of a Randomized Clinical Trial.

Methods: Seventy-eight patients were treated by Short-Term Psychodynamic Psychotherapy and 79 patients by Treatment as Usual. Assessments were conducted pre-treatment, at termination, and at six-month follow-up. Main outcomes were the depression and anxiety subscales of the Hospital Depression and Anxiety Scale. Predictors were pre-treatment dependency, self-criticism, and self-efficacy, assessed via the Depressive Experiences Questionnaire. Analyses targeted associations of these dimensions with baseline levels, main effects on pretreatment-termination and pretreatment-follow-up changes in depression and anxiety, and DPV by treatment interactions.

Results: Consistent with our hypotheses, self-criticism - implicated in previous research as a serious dimension of vulnerability to psychopathology - predicted elevated levels, as well as pretreatment-follow-up changes, in both depression and anxiety. However, self-criticism also augmented the effect of STPP (compared with TAU) on depression in the pretreatment-termination period.

Conclusions: These findings highlight the centrality of self-criticism for both risk and resilience processes in breast cancer.

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接受短期心理动力治疗的乳腺癌患者抑郁和焦虑中自我批评的中心性

导读:患有乳腺癌的女性普遍存在抑郁和焦虑。然而，这一人群中抑郁和焦虑的决定因素并不为人所知，特别是在心理治疗方面。根据Blatt的理论，作为随机临床试验的一部分，我们研究了抑郁症人格脆弱性(DPV)在女性乳腺癌患者的抑郁和焦虑中所起的作用。方法:78例患者采用短期心理动力治疗，79例患者采用常规治疗。在治疗前、终止治疗时和6个月随访时进行评估。主要结果为医院抑郁焦虑量表的抑郁和焦虑分量表。预测因子为治疗前依赖、自我批评和自我效能，通过抑郁经历问卷进行评估。有针对性地分析这些维度与基线水平、治疗前-终止和治疗前-随访抑郁和焦虑变化的主要影响以及治疗相互作用的DPV的关联。结果:与我们的假设一致，自我批评——在之前的研究中被认为是精神病理脆弱性的一个严重维度——预示着抑郁和焦虑的水平升高，以及治疗前-随访的变化。然而，自我批评也增强了STPP在治疗前-终止期对抑郁的影响(与TAU相比)。结论:这些发现强调了自我批评在乳腺癌风险和恢复过程中的中心地位。

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

Psychiatry-Interpersonal and Biological Processes 医学-精神病学

CiteScore

2.70

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Internationally recognized, Psychiatry has responded to rapid research advances in psychiatry, psychology, neuroscience, trauma, and psychopathology. Increasingly, studies in these areas are being placed in the context of human development across the lifespan, and the multiple systems that influence individual functioning. This journal provides broadly applicable and effective strategies for dealing with the major unsolved problems in the field.