Relationships of biomedical beliefs about depression to treatment-related expectancies in a treatment-seeking sample.

Relationships of biomedical beliefs about depression to treatment-related expectancies in a treatment-seeking sample.
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在寻求治疗的样本中,关于抑郁症的生物医学信念与治疗相关预期的关系。

DOI:
10.1037/pst0000320
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发表时间:
2021-09
期刊:
Psychotherapy (Chicago, Ill.)
影响因子:
--
通讯作者:
Zilcha-Mano S
Zilcha-Mano S
中科院分区:
其他
文献类型:
--
作者:
Lebowitz MS;Dolev-Amit T;Zilcha-Mano S

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与其他精神障碍一样,重度抑郁症越来越多地被解释为一种生物医学疾病。在寻求治疗的样本中,我们研究了将抑郁症归因于生物医学原因是否会与悲观的心理治疗预期有关。寻求抑郁症心理治疗的个人对他们症状的生物医学解释、对治疗结果的期望以及对与治疗师结成工作联盟的期望进行了评分。我们发现,寻求治疗的人对他们症状的生物医学解释的认可与对治疗成功的悲观有关。这种悲观情绪反过来又与对一个人与治疗师结成强大的治疗联盟的能力持有更多负面预期有关。考虑到抑郁症的生物医学解释的优势和患者期望对临床结果的影响,可能需要分离生物医学归因和悲观期望的策略。
Like other mental disorders, major depression is increasingly explained as a biomedical illness. We examined, in a treatment-seeking sample, whether attributing one’s depression to biomedical causes would be associated with pessimistic psychotherapy treatment expectancies. Individuals seeking psychotherapy for depression rated their endorsement of biomedical explanations for their symptoms, expectations regarding treatment outcome, and expectations about forming a working alliance with a therapist. We found that treatment-seekers’ endorsement of biomedical explanations for their symptoms was associated with pessimism about treatment being successful. This pessimism was in turn associated with holding more negative expectancies about one’s ability to form a strong therapeutic alliance with a therapist. Given the ascendancy of biomedical explanations for depression and the influence of patient expectancies on clinical outcomes, strategies for disassociating biomedical attributions from pessimistic expectancies may be needed.
DOI: 10.1037/0022-0167.36.2.223
发表时间: 1989-04-01
影响因子: 3.9
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