Reasons for depression and the process and outcome of cognitive-behavioral psychotherapies.
Reasons for depression and the process and outcome of cognitive-behavioral psychotherapies.
复制标题
抑郁症的原因以及认知行为心理治疗的过程和结果。
DOI：
10.1037//0022-006x.64.6.1417
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发表时间：
1996
影响因子：
5.9
通讯作者：
Jacobson,NS
中科院分区：
文献类型：
--
作者：
Addis,ME;Jacobson,NS
本研究探讨了抑郁症患者的抑郁原因与认知疗法（CT）和行为激活疗法（BA）治疗过程和结果之间的关系。给出理由被概念化为对一个问题提供多种解释的倾向。抑郁症的不同原因也被认为与每种治疗方法的理论模型相匹配或不匹配。抑郁症的原因进行了评估与先前开发的问卷治疗前。过程变量，包括家庭作业的依从性和感知治疗帮助在治疗早期进行测量。结果表明，认为有益的治疗与BA的积极成果。在BA中，给出原因与更差的结局相关。具体原因也预测了两种治疗的不同结局。支持存在抑郁原因的患者在CT中的结果更好，在BA中的结果更差。在CT检查中，以体检为导向的原因始终与阴性过程和结果相关。结果进行了讨论，在功能的原因给予和抑郁症的治疗过程和结果的具体解释的作用。
This study examined the relationships between clients' reasons for depression and the process and outcome of a cognitive therapy (CT) and a behavioral activation (BA) treatment for major depression. Reason giving was conceptualized as the tendency to offer multiple explanations for a problem. Different reasons for depression were also thought to match or mismatch the theoretical model underlying each treatment. Reasons for depression were assessed pretreatment with a previously developed questionnaire. Process variables including homework compliance and perceived treatment helpfulness were measured early in treatment. Results demonstrated that perceived helpfulness of the treatment was associated with positive outcomes in BA. Reason giving was associated with worse outcomes in BA. Specific reasons also predicted differential outcome in the 2 treatments. Clients who endorsed existential reasons for depression had better outcomes in CT and worse outcomes in BA. Relationship-oriented reasons were consistently associated with negative process and outcome in CT. Results are discussed in terms of the function of reason giving and the role of specific explanations for depression in treatment process and outcome.