揭示认知行为疗法中与问题相关的情感体验和需求满足之间的最佳平衡:响应面分析

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL
Nicolas Wrede, Nils F Töpfer, Gabriele Wilz
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引用次数: 0

摘要

目的:尽管我们鼓励治疗师在治疗过程中平衡涉及病人问题的情感工作和需求满足,但这种平衡的效果却很少得到实证研究。因此,我们研究了认知行为疗法(CBT)中与问题相关的情感体验和需求满足体验之间的一致性效应。研究方法165 名苦恼的家庭照顾者在接受了 12 次 CBT 治疗后,对与问题相关的情感体验、包括自尊、积极的人际关系和控制体验在内的需求满足体验以及应对体验进行了评分。通过多层次反应曲面分析,我们研究了与问题相关的情感体验和需求满足体验对后续应对的人际一致性效应。此外,我们还将人与人之间与问题相关的情感体验和需求满足体验以及治疗前的抑郁和焦虑作为人内效应的调节因素。研究结果自尊略高于与问题相关的情感体验,以及与问题相关的情感体验与人际体验和控制体验之间的精确对应,是预测应对的最主要因素。人与人之间的调节因素支持与问题相关的情感体验和自尊体验的跨层次平衡启发式。最后,对高焦虑和低抑郁患者而言,更强调自尊和人际关系而非与问题相关的情感体验更有益。结论:研究结果强调了在 CBT 中平衡与问题相关的情感体验和需求满足体验的重要性,并为如何针对特定患者调整平衡提供了启示。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unraveling the optimal balance of problem-related affective experiences and need satisfaction in cognitive-behavioral therapy: A response surface analysis.

Objective: Although therapists are encouraged to balance emotionally involving work on the patient's problems with need satisfaction in therapy sessions, effects of this balance have rarely been studied empirically. Hence, we examined congruence effects between problem-related affective and need-satisfying experiences in cognitive-behavioral therapy (CBT). Method: 165 distressed family caregivers rated problem-related affective experiences, need-satisfying experiences comprising self-esteem, positive interpersonal, and control experiences, as well as coping experiences after 12 CBT sessions. We examined within-person congruence effects of problem-related affective and need-satisfying experiences on subsequent coping in multilevel response surface analysis. Further, we included between-person problem-related affective and need-satisfying experiences and pretreatment depression and anxiety as moderators of within-person effects. Results: A slight predominance of self-esteem over problem-related affective experiences as well as exact correspondence between problem-related affective and both interpersonal and control experiences was most predictive of coping. Between-person moderators supported a cross-level balance heuristic of problem-related affective and self-esteem experiences. Finally, a stronger emphasis on self-esteem and interpersonal over problem-related affective experiences proved more beneficial for patients with high anxiety and low depression. Conclusions: The findings highlight the importance of balancing problem-related affective and need-satisfying experiences in CBT and provide insights into how balancing may be tailored to specific patients.

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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
期刊介绍: Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.
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