Anxiety symptom focus in sessions of cognitive therapy for depression
Anxiety symptom focus in sessions of cognitive therapy for depression
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DOI：
10.1016/j.beth.2007.05.006
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发表时间：
2008-06-01
期刊：
影响因子：
3.7
通讯作者：
DeRubeis, Robert J.
中科院分区：
文献类型：
--
作者：
Gibbons, Carly J.;DeRubeis, Robert J.
对于试图实施短期、集中治疗的治疗师来说，这位患者是一个特别困难的问题。本研究旨在探讨共病焦虑对抑郁症认知治疗的影响。参与者是被分配到认知治疗组的一组患者(N=24)，这是一项大型、随机、对照的抑郁症治疗试验。根据摄入量评估，患者被归类为有低水平或高水平的共病焦虑。每个患者治疗过程的两盘录像带被编码。无论摄入焦虑程度如何，在治疗过程中花在解决焦虑上的时间和精力越多，预测抑郁和焦虑症状的改善就越少。
The comorbid patient presents an especially difficult problem to a therapist who is attempting to implement a short-term, focused therapy. The current study investigates the effect of comorbid anxiety on cognitive therapy for depression. Participants were a subset of patients (N=24) assigned to the cognitive therapy arm of a large, randomized, controlled trial of treatment for depression. From intake assessments' patients were classified as having low or high levels of comorbid anxiety. Two videotapes of each patient's therapy sessions were coded. Irrespective of intake anxiety level, more time and effort spent addressing anxiety in session was found to predict less improvement in both depression and anxiety symptoms over the course of treatment.