早期痛苦评分不稳定可预测短期心理治疗的结果。

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
ACS Applied Electronic Materials Pub Date : 2023-10-01 Epub Date: 2023-05-18 DOI:10.1037/cou0000683
Andrew Koffmann
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引用次数: 0

摘要

在心理治疗患者中,不稳定的早期痛苦评分可以预测后期治疗的实质性间歇改善。关于早期痛苦不稳定是否也能预测结果,证据一直模糊不清。我们调查了早期痛苦不稳定、后期会话间改善和结果之间的联系。在大学咨询中心接受短暂心理治疗的1796名学生的样本中,我们试图通过前四次治疗期间评估的痛苦不稳定指数来预测会话间的改善和治疗结果。治疗后期的大的间歇期变化似乎是早期痛苦不稳定和结果之间的中介。这些关系仅限于表现出早期得分变化大于测量误差的参与者。正如动态系统理论所假设的那样,一些心理治疗患者经历了逐步改善,之前是痛苦评分的早期不稳定。然而,将早期不稳定与结果联系起来的影响程度很小。突然的收获可能不是阐明这些关系的最佳衡量标准。(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。
Early distress score instability predicts outcome in brief psychotherapy.

Among psychotherapy patients, unstable early distress scores are known to predict substantial intersession improvement later in treatment. The evidence has been ambiguous as to whether early distress instability also predicts outcome. We investigated the links among early distress instability, later intersession improvement, and outcome. In a sample of 1,796 students treated with brief psychotherapy at university counseling centers, we sought to predict intersession improvement and treatment outcome from an index of distress instability, as assessed during the first four treatment sessions. Large intersession shifts late in treatment appeared to mediate the link between early distress instability and outcome. These relationships were limited to participants who demonstrated early score shifts larger than measurement error. As hypothesized by dynamic systems theory, some psychotherapy patients experience stepwise improvement that is preceded by early instability in distress scores. However, the effect size linking early instability to outcome is small. Sudden gains may not be the optimal measure to elucidate these relationships. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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来源期刊
CiteScore
7.20
自引率
4.30%
发文量
567
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