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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抑郁症认知行为治疗的突然收获和关键疗程。
DOI：
10.1037//0022-006x.67.6.894
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发表时间：
1999
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
在这项认知行为疗法治疗抑郁症的研究中，许多患者在单一的治疗间隔时间内经历了大量的症状改善。这些突如其来的进步的平均幅度为11个贝克抑郁指数，占这些患者总改善的50%。经历突然好转的患者在治疗后比其他患者的抑郁程度更低，18个月后他们仍然如此。在突然获得之前的治疗过程中观察到了实质性的认知变化，而在对照过程中观察到的认知变化很少，这表明在预先获得过程中的认知变化触发了突然获得。在突然获益后立即进行的治疗中也观察到了改善的治疗联盟，以及额外的认知变化，这表明这些患者的康复是一个三阶段模型：准备→关键时段/突然获益→向上螺旋。
In this study of cognitive–behavioral therapy for depression, many patients experienced large symptom improvements in a single between-sessions interval. 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 18 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.