Predictive role of daily coping and affective reactivity in cognitive therapy outcome: Application of a daily process design to psychotherapy research
Predictive role of daily coping and affective reactivity in cognitive therapy outcome: Application of a daily process design to psychotherapy research
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DOI：
10.1016/s0005-7894(05)80056-5
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发表时间：
2005-12-01
期刊：
影响因子：
3.7
通讯作者：
Beck, JS
中科院分区：
文献类型：
--
作者：
Gunthert, KC;Cohen, LH;Beck, JS
我们假设患者最初应对日常压力的能力将预测他们在认知治疗(CT)中的改善率。在CT开始的一周内，43名被诊断为抑郁症和/或焦虑症的成人门诊患者完成了对压力源及其相关评估、负面认知、应对策略和负面情绪的日常评估。在接受治疗时和每次治疗过程中都要评估抑郁。即使在摄入抑郁水平、治疗时间和同时服药状态的统计控制之后，许多压力和应对变量也与预期方向上的抑郁减少率相关。我们讨论了这些发现对CT理论和实践的启示，以及每日流程设计的启发式价值，以评估患者因素在心理治疗结果中的预测作用。
We hypothesized that patients' initial ability to cope with daily stress would predict their rates of improvement in cognitive therapy (CT). For 1 week at the beginning of CT, 43 adult outpatients with depression and/or anxiety diagnoses completed daily assessments of stressors and associated appraisals, negative cognitions, coping strategies, and negative mood. Depression was assessed at intake and at every treatment session. Even after the statistical control of intake depression level, treatment length, and concurrent medication status, many of the stress and coping variables were associated with rates of depression-reduction in the expected direction. We discuss the findings' implications for CT theory and practice as well as the heuristic value of a daily process design to evaluate the predictive role of patient factors in psychotherapy outcome.