The Effect of Comorbid Depression on Sudden Gains During Transdiagnostic Cognitive-Behavioural Therapy for Anxiety Disorders

IF 1.5 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Behaviour Change Pub Date : 2021-01-13 DOI:10.1017/BEC.2020.20

Sasha D'Arcy, P. Norton

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引用次数: 1

Abstract

During psychotherapy some patients experience large symptom improvements between sessions, termed sudden gains. Most commonly, sudden gains are observed during treatment for depression (40–50% of participants), but these are occasionally also observed in treatment for anxiety (15–20%). This study investigated the impact of comorbid depression on sudden gains in a primary anxiety sample. It was hypothesised that sudden gains would occur more frequently in participants with anxiety and comorbid depression than anxiety-only participants. The sample consisted of 58 adults who participated in a 12-week transdiagnostic cognitive-behavioural therapy (tCBT) programme. Sudden gains were more frequent in the comorbid depression group than in the anxiety-only group. Sudden gains may be predominantly a function of depressive disorders, which supports the higher rates seen in depressive disorders compared with anxiety disorders. Future research should endeavour to replicate these findings, as this was the first study designed to specifically investigate comorbidity in sudden gains.

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共病性抑郁对焦虑症跨诊断认知行为治疗中突然获益的影响

在心理治疗过程中，一些患者在两次治疗之间症状有了很大的改善，称为突然好转。最常见的是，在抑郁症治疗期间（40-50%的参与者）会观察到突然的好转，但在焦虑症治疗中偶尔也会观察到（15-20%）。本研究调查了原发性焦虑样本中共病抑郁症对突然增加的影响。有人假设，与只有焦虑的参与者相比，有焦虑和共病抑郁的参与者会更频繁地出现突然的收获。该样本由58名成年人组成，他们参加了为期12周的跨诊断认知行为疗法（tCBT）计划。与单纯焦虑组相比，合并抑郁组的突然好转更为频繁。突然增加可能主要是抑郁障碍的一种功能，这支持了与焦虑障碍相比，抑郁障碍的发病率更高。未来的研究应该努力复制这些发现，因为这是第一项专门研究突然增加的合并症的研究。

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

Behaviour Change PSYCHOLOGY, CLINICAL-

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies review articles case studies brief technical and clinical notes book reviews special issues dealing with particular topics in depth.