Sudden gains and critical sessions in cognitive-behavioral therapy for depression
Sudden gains and critical sessions in cognitive-behavioral therapy for depression
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DOI：
10.1037/0022-006x.67.6.894
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发表时间：
1999-12-01
影响因子：
5.9
通讯作者：
DeRubeis, RJ
中科院分区：
文献类型：
--
作者：
Tang, TZ;DeRubeis, RJ
在这项针对抑郁症的认知行为疗法的研究中，许多患者在两次治疗之间的一次治疗中症状得到了很大的改善。这些突然改善的平均幅度为11分，占这些患者总改善的50%。经历突然收益的患者：治疗后抑郁程度低于其他患者，并且在几个月后仍然如此IB。在治疗过程中观察到大量的认知变化之前突然增益，但很少认知！在对照组中观察到了变化，表明增益前阶段的认知变化触发了突然增益，在突然增益后立即在治疗阶段中也观察到了改善的治疗联盟，以及额外的认知变化，表明这些患者的恢复有三个阶段模型：准备->关键阶段/突然增益->螺旋上升。
In this study of cognitive-behavioral therapy for depression, many patients experienced large symptom improvements in a single between sessions. These sudden gains' average magnitude was 11 Beck Depression Inventory points, accounting for 50% of these patients' total improvement. Patients who experienced sudden gains were: less depressed than the other patients at posttreatment, and they remained so IB months later. Substantial cognitive changes were observed in the therapy sessions preceding sudden gains, but few cognitive! changes were observed in control sessions, suggesting that cognitive change in the pregain sessions triggered the sudden gains, improved therapeutic alliances were also observed in the therapy sessions immediately after the sudden gains, as were additional cognitive changes, suggesting a three-stage model for these patients' recovery: preparation --> critical session/sudden gain --> upward spiral.