The temporal relation of adherence and alliance to symptom change in cognitive therapy for depression.
The temporal relation of adherence and alliance to symptom change in cognitive therapy for depression.
复制标题
抑郁症认知治疗中依从性和联合性与症状变化的时间关系。
DOI：
10.1037//0022-006x.67.4.578
复制
发表时间：
1999
影响因子：
5.9
通讯作者：
Gelfand,LA
中科院分区：
文献类型：
--
作者：
Feeley,M;DeRubeis,RJ;Gelfand,LA
这项研究试图复制早期的研究（RJ DeRubeis & M。Feeley，1990）的抑郁症门诊患者认知治疗中从过程变量预测症状变化的研究。在会话治疗师的行为和治疗师与病人的互动措施与先前和随后的症状变化。其中一项积极的调查结果得到了确认，但另一项调查结果只得到了很少的支持。一个“具体的”子集的理论指定的治疗师的行动，在治疗早期测量，预测随后的变化抑郁症。治疗联盟是通过2次后续评估中的1次评估中的既往症状变化预测的，但仅在趋势水平上。一些负面的发现与早期研究中获得的结果相似。具体来说，联盟，一个“抽象”的子集理论指定的治疗师的行动，和促进条件并没有预测随后的变化。因果推理在心理治疗过程研究的影响进行了讨论。（PsycInfo数据库记录（c）2016阿帕，保留所有权利）
This study attempted to replicate an earlier study (RJ DeRubeis & M. Feeley, 1990) of the prediction of symptom change from process variables in cognitive therapy for depressed outpatients. Measures of in-session therapist behavior and therapist–patient interactions were correlated with prior and subsequent symptom change. One of the positive findings was confirmed, but the other received only marginal support. A" concrete" subset of theory-specified therapist actions, measured early in treatment, predicted subsequent change in depression. The therapeutic alliance was predicted by prior symptom change in 1 of the 2 later assessments, but only at a trend level. Several negative findings were similar to those obtained in the earlier study. Specifically, the alliance, an" abstract" subset of theory-specified therapist actions, and facilitative conditions did not predict subsequent change. Implications for causal inferences in psychotherapy process research are discussed.(PsycINFO Database Record (c) 2016 APA, all rights reserved)