The prevalence and impact of large sudden improvements during adolescent therapy for depression: A comparison across cognitive-behavioral, family, and supportive therapy
The prevalence and impact of large sudden improvements during adolescent therapy for depression: A comparison across cognitive-behavioral, family, and supportive therapy
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DOI：
10.1037/0022-006x.71.2.386
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发表时间：
2003-04-01
影响因子：
5.9
通讯作者：
Brent, DA
中科院分区：
文献类型：
--
作者：
Gaynor, ST;Weersing, VR;Brent, DA
本研究评估了认知行为、家庭和支持治疗之前和期间发生的大的、突然的症状改善的治疗特异性和对结果的影响。87名抑郁症青少年接受至少8次治疗。通过每周贝克抑郁量表评分的变化来确定抑郁症状的突然大幅下降。总体而言，28%的患者经历了治疗前增益，39%的患者经历了治疗内突然增益。这两种类型的收益与自我报告和访谈者抑郁评分的上级结果相关。在那些治疗前或治疗中没有突然增加的参与者中，认知行为治疗产生了更好的上级结果。这些结果表明，治疗前和治疗内的突然收益是值得进一步研究的重要治疗事件。
This study assessed the treatment specificity and impact on outcome of large, abrupt symptomatic improvements occurring prior to and during cognitive-behavioral, family, and supportive therapy. Eighty-seven depressed adolescents receiving at least 8 therapy sessions were included. Abrupt large decreases in depressive symptoms were identified by changes in weekly Beck Depression Inventory scores. Overall, 28% experienced a pretreatment gain and 39% a sudden within-treatment gain. Both types of gains were associated with superior outcome on self-report and interviewer ratings of depression. Among those participants failing to experience a pretreatment or sudden within-treatment gain, cognitive-behavioral therapy produced the superior outcomes. These findings suggest pretreatment and sudden within-treatment gains are important therapeutic events worthy of further investigation.