Comparing experiential acceptance and cognitive reappraisal as predictors of functional outcome in individuals with serious mental illness.
Comparing experiential acceptance and cognitive reappraisal as predictors of functional outcome in individuals with serious mental illness.
复制标题
比较经验接受和认知重新评估作为严重精神疾病患者功能结果的预测因素。
DOI：
10.1016/j.brat.2013.04.003
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发表时间：
2013
影响因子：
4.1
通讯作者：
Kambiz,Alaei
中科院分区：
文献类型：
--
作者：
Vilardaga,Roger;Hayes,StevenC;Atkins,DavidC;Bresee,Christie;Kambiz,Alaei
研究背景本研究探讨了认知行为传统中提出的两种科普精神病症状的心理调节策略：认知重评和经验接纳。虽然认知行为治疗精神病越来越多的实证支持，鲜为人知的是，这两个战略的作用，使用已知的生态validity.METHODS方法密集的纵向数据收集从25个人诊断为精神障碍与精神病的功能。在为期六天的过程中，我们测量了环境因素，精神病和压力事件，心理调节策略和功能output.Patients积极的精神病症状和压力事件与生活质量和情感呈负相关，而经验接受与他们呈正相关。认知重评与生活质量有不一致的关联，与情感没有关联。社会交往和参与活动与生活质量呈正相关。结果支持额外的和探索性的analysis.CONCLUSIONSAross功能结果的措施，经验的接受似乎是一个有效的应对策略，个人面临的精神病和压力的经验，而认知重新评估不。为了告知治疗开发工作，结果表明，需要进一步研究这些心理调节策略的作用，使用生态有效的方法。
BACKGROUNDTwo psychological regulation strategies to cope with psychotic symptoms proposed by the cognitive behavioral tradition were examined in this study: cognitive reappraisal and experiential acceptance. Although cognitive behavior therapy for psychosis has increasing empirical support, little is known about the role of these two strategies using methods of known ecological validity.METHODSIntensive longitudinal data was gathered from 25 individuals diagnosed with a psychiatric disorder with psychotic features. During the course of six days we measured contextual factors, psychotic and stressful events, psychological regulation strategies and functional outcome.RESULTSPositive psychotic symptoms and stressful events had negative associations with quality of life and affect, whereas experiential acceptance had positive associations with them. Cognitive reappraisal had inconsistent associations with quality of life and no association with affect. Social interactions and engagement in activities had a positive association with quality of life. Results were supported by additional and exploratory analyses.CONCLUSIONSAcross measures of functional outcome, experiential acceptance appears to be an effective coping strategy for individuals facing psychotic and stressful experiences, whereas cognitive reappraisal does not. In order to inform treatment development efforts, results suggest the need to further investigate the role of these psychological regulation strategies using ecologically valid methods.