评估统一协议中神经质和症状改善的状态和特质变化理论

IF 3.4 2区 心理学 Q2 PSYCHIATRY
Nicole E. Stumpp, Matthew W. Southward, Shannon Sauer-Zavala
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引用次数: 0

摘要

研究人员发现,神经质会随着治疗而减少(Roberts 等人,2017 年),但目前还不清楚这是否反映了转瞬即逝的状态级变化(状态-假说立场)或特质级变化(原因-校正假说)。这些理论进一步提出,神经质的变化可以预测症状的变化(原因-校正假说),或者由症状的变化预测(状态-假说位置)。我们在统一方案(UP)的临床试验中对这些理论进行了比较。符合DSM-5原发性情绪障碍标准的参与者(38人;年龄=34.55岁,71.1%为女性,78.9%为白种人)完成了每周最多12次的UP训练。神经质在第 6 个疗程出现了状态层面的变化,但在第 12 个疗程出现了特质层面的变化。人内神经质的减少与焦虑症状的变化呈双向关系,但却预示着抑郁情绪在疗程间的单向减少。这些发现为 "原因校正假设 "提供了相对更细致的支持,即 "UP "会导致神经质特质的变化,而神经质特质的变化往往先于症状的变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing Theories of State and Trait Change in Neuroticism and Symptom Improvement in the Unified Protocol

Researchers have shown neuroticism decreases with treatment (Roberts et al., 2017), although it is unclear if this reflects fleeting state-level changes (state-artifact position) or trait-level change (cause-correction hypothesis). These theories further propose that changes in neuroticism predict symptom change (cause-correction hypothesis) or are predicted by symptom change (state-artifact position). We compared these theories in a clinical trial of the Unified Protocol (UP). Participants (N = 38; Mage = 34.55, 71.1% female, 78.9% Caucasian) meeting DSM-5 criteria for a primary emotional disorder completed up to 12 weekly sessions of the UP. Neuroticism exhibited state-level changes by Session 6 but trait-level changes by Session 12. Within-person reductions in neuroticism exhibited bidirectional relations with anxiety symptom change but predicted unidirectional session-to-session reductions in depression. These findings provide relatively more nuanced support for the cause-correction hypothesis that the UP leads to trait changes in neuroticism that tend to precede symptom change.

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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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