解释心理疗法如何影响大脑可提高心理疗法的认知效果:随机对照试验

IF 3.4 2区 心理学 Q2 PSYCHIATRY
Annalise Perricone, Alma Bitran, Woo-kyoung Ahn
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引用次数: 0

摘要

过去的研究一再发现,对精神障碍的生物学解释会让非专业人士和临床医生对心理治疗的效果产生怀疑。这在临床上可能是有害的,因为联合药物治疗和心理治疗通常是最佳的。据推测,对心理疗法的不信任源于二元论推理,即心理疗法被认为发生在头脑中,并不一定会影响大脑。目前的研究旨在通过随机对照试验来减轻这种看法。参与者(有抑郁症状的个人(n = 262)、普通大众(n = 374)和心理健康临床医生(n = 607))在得知抑郁症是由生物因素引起之前和之后,对心理治疗的疗效进行评分。此外,参与者还收到了描述心理治疗如何导致大脑层面变化的干预段落、强调心理治疗有效性但未解释潜在生物机制的主动对照段落,或者未收到干预段落。与主动对照组和无干预对照组不同的是,即使参与者了解到抑郁症是由生物因素造成的,干预也会使他们判断心理治疗的效果明显优于基线时的效果。抵消二元论的干预措施可以减轻心理治疗对生物性抑郁症效果较差的看法。未来的研究应考察这种干预在临床环境中的持久性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Explaining How Psychotherapy Affects the Brain Can Increase the Perceived Effectiveness of Psychotherapy: A Randomized Controlled Trial

Past studies repeatedly found that biological explanations of mental disorders cause laypeople and clinicians to doubt the effectiveness of psychotherapy. This could be clinically detrimental, as combined pharmacotherapy and psychotherapy is often optimal. The distrust of psychotherapy is theorized to stem from dualistic reasoning that psychotherapy, perceived as occurring in the mind, does not necessarily affect the brain. The current study aims to mitigate this belief in a randomized controlled trial. Participants (individuals with symptoms of depression (n = 262), the general public (n = 374), and mental health clinicians (n = 607)) rated the efficacy of psychotherapy for a depression case before and after learning that the case was biologically caused. Participants also received either an intervention passage describing how psychotherapy results in brain-level changes, an active control passage emphasizing the effectiveness of psychotherapy without explaining the underlying biological mechanisms, or no intervention. Unlike the active control and no-intervention control conditions, the intervention caused participants to judge psychotherapy as significantly more effective than at baseline even though they learned that depression was biologically caused. An intervention counteracting dualism can mitigate the belief that psychotherapy is less effective for biologically caused depression. Future research should examine the durability of this intervention in clinical settings.

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来源期刊
Behavior Therapy
Behavior Therapy Multiple-
CiteScore
7.40
自引率
2.70%
发文量
113
审稿时长
121 days
期刊介绍: Behavior Therapy is a quarterly international journal devoted to the application of the behavioral and cognitive sciences to the conceptualization, assessment, and treatment of psychopathology and related clinical problems. It is intended for mental health professionals and students from all related disciplines who wish to remain current in these areas and provides a vehicle for scientist-practitioners and clinical scientists to report the results of their original empirical research. Although the major emphasis is placed upon empirical research, methodological and theoretical papers as well as evaluative reviews of the literature will also be published. Controlled single-case designs and clinical replication series are welcome.
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