强化短期动态心理治疗对单一治疗难治性抑郁症患者抑郁症状、负面影响和情绪抑制的影响:一项随机对照试验。

IF 2.6 2区 心理学 Q2 PSYCHOLOGY, CLINICAL
Psychotherapy Pub Date : 2023-12-01 Epub Date: 2023-10-16 DOI:10.1037/pst0000500
Rasoul Heshmati, Frederik J Wienicke, Ellen Driessen
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引用次数: 0

摘要

强化短期动态心理治疗(ISTDP)理论上是通过挑战患者的防御机制来减少负面影响,使他们能够体验和处理依恋创伤相关的情绪。虽然ISTDP已被证明可以减少单次治疗难治性抑郁症(TRD)的抑郁症状,但尚未确定负面影响和情绪抑制是否如理论所述减少。除了抑郁症状(https://osf.io/v46gy)因此,随机对照试验检验了ISTDP对TRD成人情绪抑制和负面影响的影响。86名患有严重抑郁障碍的成年人,对至少一项抗抑郁药试验没有反应,被随机分为20次ISTDP(N=43)或一种等待名单对照条件(N=43)。意向治疗样本的混合效应模型显示,与对照组相比,ISTDP导致治疗后抑郁症状(d=-1.73)、情绪抑制(d=-1.91)和负面影响(d=-1.45)水平显著降低。同样,ISTDP也导致抑郁症状(d=-2.67)、情绪压抑(d=-2.69)水平显著下降,在3个月的随访中出现负面影响(d=-1.85)。这些结果支持ISTDP的证据基础,表明它可以减少TRD的抑郁症状、情绪压抑和负面影响。未来的研究应该评估这些影响是否是ISTDP特有的。(PsycInfo数据库记录(c)2023 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effects of intensive short-term dynamic psychotherapy on depressive symptoms, negative affect, and emotional repression in single treatment-resistant depression: A randomized controlled trial.

Intensive short-term dynamic psychotherapy (ISTDP) is theorized to reduce negative affect by challenging patients' defense mechanisms so that they can experience and work through attachment-trauma-related emotions. While ISTDP has been shown to decrease depressive symptoms in single treatment-resistant depression (TRD), it has not been established whether negative affect and emotional repression are reduced, as theorized. Next to depressive symptoms, this retrospectively registered (https://osf.io/v46gy) randomized controlled trial, therefore, examined the effects of ISTDP on emotional repression and negative affect in adults with TRD. Eighty-six adults with major depressive disorder, who had not responded to at least one trial of antidepressants were randomized to 20 sessions of ISTDP (N = 43) or a waitlist control condition (N = 43). Mixed-effect models on the intention-to-treat sample showed that compared to the control condition, ISTDP resulted in significantly lower posttreatment levels of depressive symptoms (d = -1.73), emotional repression (d = -1.91), and negative affect (d = -1.45). Similarly, ISTDP resulted in significantly lower levels of depressive symptoms (d = -2.67), emotional repression (d = -2.69), and negative affect (d = -1.85) at the 3-month follow-up. These results support the evidence base of ISTDP by showing that it can decrease depressive symptoms, emotional repression, and negative affect in TRD. Future studies should assess whether these effects are specific to ISTDP. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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来源期刊
Psychotherapy
Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
4.60
自引率
12.00%
发文量
93
期刊介绍: Psychotherapy Theory, Research, Practice, Training publishes a wide variety of articles relevant to the field of psychotherapy. The journal strives to foster interactions among individuals involved with training, practice theory, and research since all areas are essential to psychotherapy. This journal is an invaluable resource for practicing clinical and counseling psychologists, social workers, and mental health professionals.
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