The Dynamics of Self-Esteem in Cognitive Therapy for Avoidant and Obsessive-Compulsive Personality Disorders: An Adaptive Role of Self-Esteem Variability?
The Dynamics of Self-Esteem in Cognitive Therapy for Avoidant and Obsessive-Compulsive Personality Disorders: An Adaptive Role of Self-Esteem Variability?
复制标题
自尊心在回避和强迫性人格障碍的认知疗法中的动力：自尊变异的适应性作用？
DOI：
10.1007/s10608-011-9375-x
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发表时间：
2012
影响因子：
2.8
通讯作者：
Newman CF
中科院分区：
文献类型：
--
作者：
Cummings JA;Hayes AM;Cardaciotto L;Newman CF
自尊的变异性往往与功能低下有关。然而，在对自我有根深蒂固的负面看法的障碍中，以及在旨在挑战这些看法的背景下，可变的自尊可能代表了变化的标志。我们研究了27例接受认知疗法（CT）的回避型和强迫型人格障碍患者的自尊变异性。在为期52周的治疗的前10个疗程中，使用治疗编码系统对患者自我表达的积极和消极观点进行评分。消极（反向评分）和积极的自我观的评级相加，以创建一个综合评分为每个会话。自尊变异性计算为各阶段自尊得分的标准差。在治疗结束时，更多的自尊变异性预测人格障碍和抑郁症状的改善，超过基线和平均自尊。在这一人群和背景下，自尊的早期变异似乎是治疗变化的标志。
Self-esteem variability is often associated with poor functioning. However, in disorders with entrenched negative views of self and in a context designed to challenge those views, variable self-esteem might represent a marker of change. We examined self-esteem variability in a sample of 27 patients with Avoidant and Obsessive-Compulsive Personality Disorders who received Cognitive Therapy (CT). A therapy coding system was used to rate patients’ positive and negative views of self expressed in the first ten sessions of a 52-week treatment. Ratings of negative (reverse scored) and positive view of self were summed to create a composite score for each session. Self-esteem variability was calculated as the standard deviation of self-esteem scores across sessions. More self-esteem variability predicted more improvement in personality disorder and depression symptoms at the end of treatment, beyond baseline and average self-esteem. Early variability in self-esteem, in this population and context, appeared to be a marker of therapeutic change.
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影响因子：
7.6
作者：
KERNIS, MH;CORNELL, DP;HARLOW, T
通讯作者：
HARLOW, T
影响因子：
4.1
作者：
Kashdan, Todd B.;Uswatte, Gitendra;Julian, Terri
通讯作者：
Julian, Terri
影响因子：
1.9
作者：
LANDIS, JR;KOCH, GG
通讯作者：
KOCH, GG
影响因子：
5.9
作者：
Grilo, Carlos M.;Masheb, Robin M.;Wilson, G. Terence
通讯作者：
Wilson, G. Terence
影响因子：
--
作者：
BECK, AT;ERBAUGH, J;MENDELSOHN, M
通讯作者：
MENDELSOHN, M