Sudden Gains in Day-to-Day Change: Revealing Nonlinear Patterns of Individual Improvement in Depression
Sudden Gains in Day-to-Day Change: Revealing Nonlinear Patterns of Individual Improvement in Depression
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DOI：
10.1037/ccp0000469
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发表时间：
2020-02-01
影响因子：
5.9
通讯作者：
Snippe, Evelien
中科院分区：
文献类型：
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作者：
Helmich, Marieke A.;Wichers, Marieke;Snippe, Evelien
目标：我们研究了个人的整体轨迹的变化和发生的突然收益，在日常自我评定的问题的严重程度和这些模式的关系，治疗反应。方法：情绪障碍患者（N = 329，平均年龄= 44，55%的女性）使用治疗过程问卷（TPQ）完成了每日自我评定，作为治疗的标准部分，他们的投诉的严重程度。每例个体，检验最佳拟合定义（线性、对数线性、1步）轨迹的显著性：随时间的变化和最佳拟合轨迹的特异性。203例患者治疗后进行ICD-10症状评定（ISR）抑郁评分：A评分
Objective: We examined individual overall trajectories of change and the occurrence of sudden gains in daily self-rated problem severity and the relation of these patterns to treatment response. Method: Mood disorder patients (N = 329, mean age = 44, 55% women) completed daily self-ratings about the severity of their complaints as a standard part of treatment, using the Therapy Process Questionnaire (TPQ). Per individual, the best-fitting defined (linear, log-linear, 1-step) trajectory was tested for significance: for change over time, and for specificity of the best-fitting trajectory. Two-hundred and three cases had ICD-10 Symptom Rating (ISR) depression scores posttreatment: a score