Sudden gains and outcome: A broader temporal analysis of cognitive therapy for depression

Sudden gains and outcome: A broader temporal analysis of cognitive therapy for depression
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DOI:
10.1016/j.beth.2005.04.002
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发表时间:
2006-03-01
期刊:
影响因子:
3.7
通讯作者:
Kohlenberg, Robert J.
Kohlenberg, Robert J.
中科院分区:
心理学2区
文献类型:
--
作者:
Busch, Andrew M.;Kanter, Jonathan W.;Kohlenberg, Robert J.

文献摘要

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采用贝克抑郁量表(BDI)对38名接受认知疗法(CT)和改良形式的CT的患者进行了时间过程研究,以探讨CT治疗抑郁症的时间变化。其主要目的是确定在CT早期出现的定义和计算增益的替代方法是否会改变当前文献中得出的结论。研究了三种类型的增益:突然增益(先前研究的第二次会议后第一次会议间隔期间抑郁症的突然,实质性和稳定改善),第一次会议增益(第一次会议后发生)和治疗前增益(治疗前评估后发生)。积极的结果预测的第一次会议的收益和突然收益发生在前半年的治疗,突出的重要性,早期改变CT抑郁症。
Individual Beck Depression Inventory (BDI) time courses of 38 clients receiving cognitive therapy (CT) and a modified form of CT were studied in order to investigate temporal changes during CT for depression. The primary aim was to determine if alternative methods of defining and computing gains occurring early in CT would alter the conclusions drawn in the current literature. Three types of gains were studied: sudden gains (previously studied sudden, substantial, and stable improvements in depression during I between-session interval after Session 2), first-session gains (occurring after first sessions), and pretreatment gains (occurring after pretreatment assessments). Positive outcomes were predicted by first-session gains and by sudden gains occurring in the first half of treatment, highlighting the importance of early change in CT for depression.