Turning the UPPS down: Urgency predicts treatment outcome in a partial hospitalization program.
Turning the UPPS down: Urgency predicts treatment outcome in a partial hospitalization program.
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调低 UPPS：紧急程度预测部分住院治疗计划的治疗结果。
DOI：
10.1016/j.comppsych.2018.11.005
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发表时间：
2019
影响因子：
7.3
通讯作者：
Björgvinsson,Thröstur
中科院分区：
文献类型：
--
作者：
Peckham,AndrewD;Forgeard,Marie;Hsu,KeanJ;Beard,Courtney;Björgvinsson,Thröstur
背景：消极情绪（消极急迫性）和积极情绪（积极急迫性）反应的冲动性在精神疾病中很常见。本研究的目的是测试急迫性是否可以预测在部分住院期间的治疗反应，以及急迫性在短暂治疗过程中是否具有延展性。方法参与者（N= 348,55%为女性，Mage = 32.9）为接受基于cbt的部分住院治疗方案的患者。在治疗期间用自我报告方法评估急迫性和一系列症状。结果急迫性阴性评分越高，抑郁和焦虑症状的预后越差。负紧迫性（p< ）。0.001, Cohen’s sdz= 0.61)和积极的紧迫性（p< ）。0.001, Cohen’s sdz= 0.39)在治疗期间显著降低。研究结果表明，参与者报告在短暂的部分住院治疗期间急迫性降低。较高的负性急迫性预示着对抑郁和焦虑症状较差的治疗反应，表明需要新的急迫性治疗方法。
BackgroundImpulsivity in response to negative mood (negative urgency) and positive mood (positive urgency) is common in psychiatric disorders. The aims of this study were to test if urgency predicts treatment response during partial hospitalization in a transdiagnostic sample, and if urgency is malleable over the course of brief treatment.MethodParticipants (N= 348, 55% female,Mage = 32.9) were patients presenting to a CBT-based partial hospitalization program. Urgency and a range of symptoms were assessed with self-report measures during treatment.ResultsHigher negative urgency scores predicted worse outcome for depression and anxiety symptoms. Negative urgency (p< .001, Cohen'sdz= 0.61) and positive urgency (p< .001, Cohen'sdz= 0.39) significantly decreased during treatment.DiscussionFindings suggest that participants report decreases in urgency during brief partial hospitalization treatment. Higher negative urgency predicted poorer treatment response for symptoms of depression and anxiety, demonstrating the need for novel treatments for urgency.