Therapist Strategies for Building Involvement in Cognitive-Behavioral Therapy for Adolescent Depression
Therapist Strategies for Building Involvement in Cognitive-Behavioral Therapy for Adolescent Depression
复制标题
DOI：
10.1037/a0017325
复制
发表时间：
2009-12-01
影响因子：
5.9
通讯作者：
Shirk, Stephen R.
中科院分区：
文献类型：
--
作者：
Jungbluth, Nathaniel J.;Shirk, Stephen R.
本研究探讨了9个治疗师的行为和客户参与手册指导，认知行为治疗青少年抑郁症的预测关系。分析包括42名符合抑郁障碍（重度抑郁障碍，心境恶劣障碍或抑郁情绪适应障碍）标准并在学校诊所接受治疗的青少年。治疗师的行为假设，以促进客户参与编码从第1次会议录音带，客户参与编码从第2次会议。与以前的研究不同，本研究检查了行为和参与之间的关联，同时控制了最初的客户阻力，以隔离治疗师对参与的贡献。结果表明，3治疗师的行为，从第一次会议（出席青少年的经验，探索青少年的动机，和较少的结构）预测更大的客户参与会议2，控制初始阻力。只有探索动机和较少的结构唯一预测会话2参与时，3种行为同时进行检查。第一次会议治疗师的行为预测显着的方差参与会议2，4，和8。客户端最初的介绍，阻力与更多的探索动机和赞美，但最初的阻力并没有解释治疗师的行为和参与之间的关联。实施循证治疗的影响进行了讨论。
This study examined predictive relations between 9 therapist behaviors and client involvement in manual-guided, cognitive-behavioral therapy for adolescent depression. Analyses included 42 adolescents who met criteria for a depressive disorder (major depressive disorder, dysthymic disorder, or adjustment disorder with depressed mood) and who were treated in school-based clinics. Therapist behaviors hypothesized to promote client involvement were coded from Session 1 audiotapes; client involvement was coded from Session 2. Unlike prior research, the current study examined associations between behaviors and involvement while controlling for initial client resistance to isolate the therapist contribution to involvement. Result, show that 3 therapist behaviors from Session I (attending to teen's experience, exploring teen's motivation, and less structure) predicted greater client involvement in Session 2, controlling for initial resistance. Only exploring motivation and less structure uniquely predicted Session 2 involvement when the 3 behaviors were examined simultaneously. Session I therapist behaviors predicted significant variance in involvement at Sessions 2, 4, and 8. Client initial presentation as resistant was associated with more exploring motivation and praising, but initial resistance did not explain associations between therapist behaviors and involvement. Implications for implementing evidence-based treatments are discussed.