Autonomous Motivation Moderates the Relation of Self-Criticism to Depressive Symptoms Over One Year: A Longitudinal Study of Cognitive-Behavioral Therapy Patients in a Naturalistic Setting

IF 1 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Journal of Social and Clinical Psychology Pub Date : 2020-12-01 DOI:10.1521/JSCP.2020.39.10.876

Geneviève Taylor, David M Dunkley, D. Zuroff, M. Lewkowski, J. E. Foley, G. Myhr, R. Westreich

{"title":"Autonomous Motivation Moderates the Relation of Self-Criticism to Depressive Symptoms Over One Year: A Longitudinal Study of Cognitive-Behavioral Therapy Patients in a Naturalistic Setting","authors":"Geneviève Taylor, David M Dunkley, D. Zuroff, M. Lewkowski, J. E. Foley, G. Myhr, R. Westreich","doi":"10.1521/JSCP.2020.39.10.876","DOIUrl":null,"url":null,"abstract":"Introduction: This study examined whether motivation moderated the relation between self-criticism and depression over one year in a sample of adults receiving cognitive-behavior therapy (CBT). Methods: Participants (N = 38) completed measures of pre-treatment self-criticism (Time 1), autonomous/controlled motivation for engaging in CBT at the beginning of treatment (Time 2), and interviewer-rated depression at Time 1, and one year after baseline (Time 3). Results: Multiple regression analyses of moderator effects showed that patients higher in self-criticism with lower autonomous motivation for CBT had higher levels of depressive symptoms one year later. The effect of controlled motivation was nonsignificant. Discussion: Our findings support the buffering hypothesis that engaging in CBT because it is personally meaningful may protect patients high in self-criticism from experiencing the poorer treatment outcomes associated with their specific vulnerability. However, given the small sample size, the results will need to be replicated within larger samples to ensure generalizability.","PeriodicalId":48202,"journal":{"name":"Journal of Social and Clinical Psychology","volume":"39 1","pages":"876-896"},"PeriodicalIF":1.0000,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Social and Clinical Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1521/JSCP.2020.39.10.876","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: This study examined whether motivation moderated the relation between self-criticism and depression over one year in a sample of adults receiving cognitive-behavior therapy (CBT). Methods: Participants (N = 38) completed measures of pre-treatment self-criticism (Time 1), autonomous/controlled motivation for engaging in CBT at the beginning of treatment (Time 2), and interviewer-rated depression at Time 1, and one year after baseline (Time 3). Results: Multiple regression analyses of moderator effects showed that patients higher in self-criticism with lower autonomous motivation for CBT had higher levels of depressive symptoms one year later. The effect of controlled motivation was nonsignificant. Discussion: Our findings support the buffering hypothesis that engaging in CBT because it is personally meaningful may protect patients high in self-criticism from experiencing the poorer treatment outcomes associated with their specific vulnerability. However, given the small sample size, the results will need to be replicated within larger samples to ensure generalizability.

查看原文本刊更多论文

自主动机调节自我批评与抑郁症状的关系:一项自然环境下认知行为治疗患者的纵向研究

摘要:本研究以接受认知行为疗法(CBT)的成年人为研究对象，在一年的时间里，研究动机是否能调节自我批评和抑郁之间的关系。方法:参与者(N = 38)完成了治疗前自我批评(时间1)、治疗开始时参与CBT的自主/控制动机(时间2)、时间1和基线后一年的访谈者抑郁量表(时间3)。结果:调节效应的多元回归分析显示，自我批评水平较高、CBT自主动机较低的患者一年后抑郁症状水平较高。控制性动机的影响不显著。讨论:我们的研究结果支持缓冲假设，即参与CBT是因为它对个人有意义，可以保护高度自我批评的患者免受与他们特定脆弱性相关的较差治疗结果的影响。然而，由于样本量小，结果将需要在更大的样本中重复，以确保普遍性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Social and Clinical Psychology Multiple-

CiteScore

2.90

自引率

0.00%

发文量

期刊介绍： This journal is devoted to the application of theory and research from social psychology toward the better understanding of human adaptation and adjustment, including both the alleviation of psychological problems and distress (e.g., psychopathology) and the enhancement of psychological well-being among the psychologically healthy. Topics of interest include (but are not limited to) traditionally defined psychopathology (e.g., depression), common emotional and behavioral problems in living (e.g., conflicts in close relationships), the enhancement of subjective well-being, and the processes of psychological change in everyday life (e.g., self-regulation) and professional settings (e.g., psychotherapy and counseling). Articles reporting the results of theory-driven empirical research are given priority, but theoretical articles, review articles, clinical case studies, and essays on professional issues are also welcome. Articles describing the development of new scales (personality or otherwise) or the revision of existing scales are not appropriate for this journal.