EFFECTS OF TREATMENT DURATION AND SEVERITY OF DEPRESSION ON THE EFFECTIVENESS OF COGNITIVE-BEHAVIORAL AND PSYCHODYNAMIC INTERPERSONAL PSYCHOTHERAPY
EFFECTS OF TREATMENT DURATION AND SEVERITY OF DEPRESSION ON THE EFFECTIVENESS OF COGNITIVE-BEHAVIORAL AND PSYCHODYNAMIC INTERPERSONAL PSYCHOTHERAPY
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DOI：
10.1037/0022-006x.62.3.522
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发表时间：
1994-06-01
影响因子：
5.9
通讯作者：
STARTUP, M
中科院分区：
文献类型：
--
作者：
SHAPIRO, DA;BARKHAM, M;STARTUP, M
总共 117 名抑郁症患者（按严重程度分层）完成了 8 或 16 次手动治疗，包括认知行为心理治疗 (CB) 或心理动力学-人际心理治疗 (PI)。 5 名临床研究人员分别在所有 4 种治疗条件下对客户进行了治疗。在大多数指标上，无论抑郁症的严重程度或治疗持续时间如何，CB 和 PI 都同样有效。然而，有证据表明 CB 在贝克抑郁量表中具有一些优势（Beck、Ward、Mendelson、Mock 和 Erbaugh，1961）。没有证据表明 CB 的效果比 PI 更快，每种治疗方法的效果也不会根据抑郁症的严重程度而变化。 16 次治疗比 8 次治疗没有总体优势。然而，那些患有相对严重抑郁症的人在 16 次治疗后比 8 次治疗后改善明显更多。
A total of 117 depressed clients, stratified for severity, completed 8 or 16 sessions of manualized treatment, either cognitive-behavioral psychotherapy (CB) or psychodynamic-interpersonal psychotherapy (PI). Each of 5 clinician-investigators treated clients in all 4 treatment conditions. On most measures, CB and PI were equally effective, irrespective of the severity of depression or the duration of treatment. However, there was evidence of some advantage to CB on the Beck Depression Inventory (Beck, Ward, Mendelson, Mock, & Erbaugh, 1961). There was no evidence that CB's effects were more rapid than those of PI, nor did the effects of each treatment method vary according to the severity of depression. There was no overall advantage to 16-session treatment over 8-session treatment. However, those presenting with relatively severe depression improved substantially more after 16 than after 8 sessions.