Sudden gains in cognitive therapy of depression and depression relapse/recurrence.
Sudden gains in cognitive therapy of depression and depression relapse/recurrence.
复制标题
抑郁症认知治疗和抑郁症复发/复发的突然进展。
DOI：
10.1037/0022-006x.75.3.404
复制
发表时间：
2007
影响因子：
5.9
通讯作者：
Shelton,Richard
中科院分区：
文献类型：
--
作者：
Tang,TonyZ;Derubeis,RobertJ;Hollon,StevenD;Amsterdam,Jay;Shelton,Richard
认知疗法（CT）在预防抑郁症复发方面可能比抗抑郁药具有显着优势。许多CT患者经历了突然的收益：在一个会话间隔内症状大幅改善。过去的研究将CT突然增益与会话中的认知变化相关联，但与生活事件无关。本研究检查了60例CT临床试验患者的突然收益和抑郁复发/复发。生存分析显示，只有三分之一的突然获得反应者在2年内复发，他们的复发风险比非突然获得反应者低74%。在持续反应的患者中，73%的患者经历了突然的增益。作者还重复了JR Vittengl、LA Clark和RB Jarrett（见记录2005-01321-021）的发现，即用他们独特的标准确定的突然增加并不能预测复发。目前作者的研究结果表明，CT突然增益不是测量伪影，突然增益及其原因和后果可能对预防复发很重要。（PsycINFO数据库记录（c）2016阿帕，保留所有权利）
Cognitive therapy (CT) may have significant advantages over antidepressants in preventing depression relapses. Many CT patients experience sudden gains: large symptom improvement in 1 between-session interval. Past studies have associated CT sudden gains with in-session cognitive changes but not with life events. This study examined sudden gains and depression relapse/recurrence among 60 CT clinical-trial patients. Survival analyses showed that only one third of sudden-gain-responders relapsed in 2 years, and they had 74% lower relapse risks than did non-sudden-gain-responders. Among patients with sustained responses, 73% experienced sudden gains. The authors also replicated JR Vittengl, LA Clark, and RB Jarrett's (see record 2005-01321-021) finding that sudden gains identified with their unique criteria did not predict relapse. The current authors' findings suggest that CT sudden gains are not measurement artifacts, and that sudden gains and their causes and consequences might be important in preventing relapses.(PsycINFO Database Record (c) 2016 APA, all rights reserved)