What changes in cognitive therapy for depression? An examination of cognitive therapy skills and maladaptive beliefs.
What changes in cognitive therapy for depression? An examination of cognitive therapy skills and maladaptive beliefs.
复制标题
抑郁症的认知治疗有何变化？对认知治疗技能和适应不良信念的检查。
DOI：
10.1016/j.beth.2014.09.001
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发表时间：
2015-01
期刊：
影响因子：
3.7
通讯作者：
Fazio, Russell H.
中科院分区：
文献类型：
--
作者：
Adler, Abby D.;Strunk, Daniel R.;Fazio, Russell H.
这项研究调查了接受抑郁症认知疗法 (CT) 治疗的患者的努力认知技能和潜在的适应不良信念。抑郁症患者 (n = 44) 在 16 周 CT 之前和之后完成了认知测量。措施包括：CT技能评估（反应方式量表，WOR）、适应不良信念的内隐测试（内隐关联测试，IAT）以及适应不良信念的自我报告问卷（功能失调态度量表，DAS）。从未抑郁的参与者的匹配样本（n = 44）也完成了研究测量。在治疗之前，与从未抑郁的参与者相比，抑郁症患者在 WOR、IAT 和 DAS 上的不良认知明显更多。在治疗过程中，患者的 WOR 和 DAS 有所改善，但 IAT 没有变化。此外，WOR 和 DAS 的改善均与抑郁症状的更大程度减轻有关。结果表明，参与 CT 的患者症状减轻的程度与患者获得需要刻意努力和反思性思考的应对技能的变化有关，但与内隐评估的适应不良信念的认可度减少无关。
This study examined effortful cognitive skills and underlying maladaptive beliefs among patients treated with Cognitive Therapy for depression (CT). Depressed patients (n = 44) completed cognitive measures before and after 16 weeks of CT. Measures included: an assessment of CT skills (Ways of Responding Scale, WOR), an implicit test of maladaptive beliefs (Implicit Association Test, IAT), and a self-report questionnaire of maladaptive beliefs (Dysfunctional Attitude Scale, DAS). A matched sample of never-depressed participants (n = 44) also completed study measures. Prior to treatment, depressed patients endorsed significantly more undesirable cognitions on the WOR, IAT, and DAS compared to never-depressed participants. Patients displayed improvement on the WOR and DAS over the course of treatment, but showed no change on the IAT. Additionally, improvements on the WOR and DAS were each related to greater reductions in depressive symptoms. Results suggest that the degree of symptom reduction among patients participating in CT is related to changes in patients’ acquisition of coping skills requiring deliberate efforts and reflective thought, but not related to reduced endorsement of implicitly-assessed maladaptive beliefs.
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