THE ROLE OF NONSPECIFIC FACTORS IN COGNITIVE-BEHAVIOR THERAPY FOR DEPRESSION
THE ROLE OF NONSPECIFIC FACTORS IN COGNITIVE-BEHAVIOR THERAPY FOR DEPRESSION
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DOI：
10.1111/j.1468-2850.1994.tb00016.x
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发表时间：
1994-12-01
影响因子：
5.8
通讯作者：
CRAIGHEAD, WE
中科院分区：
文献类型：
--
作者：
ILARDI, SS;CRAIGHEAD, WE
本文综述了非特异性治疗因素在抑郁症认知行为治疗（CBT）中的作用。对相关研究的分析表明，CBT的大部分症状改善发生在正式引入认知重构技术之前。这表明，其他可能非特异性的治疗因素在促进临床改善中发挥了重要作用。假设非特异性因素可以改善患者在治疗开始时的绝望感，这一过程催化了其他抑郁症状的改善。回顾的证据支持在CBT中绝望建构的中介作用。两个非特异性因素，治疗的基本原理和家庭作业的分配，似乎是早期症状改善的组成部分。根据这些发现讨论了认知技术的作用。
This article reviews the role of nonspecific treatment factors in cognitive-behavior therapy (CBT) for depression. An analysis of relevant studies reveals that the majority of symptomatic improvement in CBT occurs prior to the formal introduction of cognitive restrucing techniques. This suggests that other, likely nonspecific, treatment factors play a large role in mediating clinical improvement. Nonspecific factors are hypothesized to ameliorate patients' feelings of hopelessness at the beginning of treatment, a process that catalyzes improvement across other depressive symptoms. Reviewed evidence supports a mediational role for the hopelessness construct in CBT. Two nonspecific factors, the treatment rationale and the assignment of homework, appear integral to early symptomatic improvement. The role of cognitive techniques is discussed in light of these findings.