The role of avoidance and obsessiveness in matching patients to cognitive and interpersonal psychotherapy. Empirical findings from the treatment for depression collaborative research program
The role of avoidance and obsessiveness in matching patients to cognitive and interpersonal psychotherapy. Empirical findings from the treatment for depression collaborative research program
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DOI：
10.1037/0022-006x.64.5.951
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发表时间：
1996-10-01
影响因子：
5.9
通讯作者：
Muenz, LR
中科院分区：
文献类型：
--
作者：
Barber, JP;Muenz, LR
本文检验了这样的假设：对于回避型人格水平较高的抑郁症患者，认知疗法（CT）比人际关系疗法（IPT）更有效，而对于强迫性人格水平较高的抑郁症患者，认知疗法（CT）则相反。这一假设部分源自之前未发表的试点工作的初步结果，该工作研究了回避型和强迫型人格障碍的动态和认知疗法的过程。利用抑郁症治疗合作研究计划（I. Elkin 等，1989）提供的“完整”数据集，发现了治疗（CT 与 IPT）和回避之间以及治疗和强迫之间预期的显着相互作用。婚姻状况和治疗之间也发现了显着的交互作用，表明已婚患者在 CT 后表现更好，而单身和非同居患者在 IPT 后改善更多。使用汉密尔顿抑郁量表和贝克抑郁量表也发现了类似的结果模式。提出了患者 CT 与 IPT 的匹配因子公式。
This article examines the hypothesis that cognitive therapy (CT) is more effective than interpersonal therapy (IPT) for treatment of depressed patients with an elevated level of avoidant personality, whereas the reverse holds for depressed patients with elevated level of obsessive personality. This hypothesis was derived in part from the preliminary results of previous unpublished pilot work, which examined the course of dynamic and cognitive therapies for avoidant and obsessive-compulsive personality disorders. With the ''completer'' data set available from the Treatment for Depression Collaborative Research Program (I. Elkin et al., 1989), the expected significant interactions between treatment (CT vs. IPT) and avoidance and between treatment and obsessiveness were found. A significant interaction was also found between marital status and treatment, indicating that married patients did better after CT, whereas single and noncohabiting patients improved more after IPT. Similar patterns of results were found using the Hamilton Rating Scale for Depression and the Beck Depression inventory. A matching factor formula of patients to CT vs. IPT is presented.