Relationship of posttreatment decentering and cognitive reactivity to relapse in major depression
Relationship of posttreatment decentering and cognitive reactivity to relapse in major depression
复制标题
DOI：
10.1037/0022-006x.75.3.447
复制
发表时间：
2007-06-01
影响因子：
5.9
通讯作者：
Kennedy, Sydney
中科院分区：
文献类型：
--
作者：
Fresco, David M.;Segal, Zindel V.;Kennedy, Sydney
Z.V.西格尔等人。(2006)的研究表明，通过抗抑郁药物(ADM)或认知行为疗法(CBT)治疗缓解的抑郁症患者，如果有证据表明情绪相关的思维障碍增加，则在18个月内复发率较高。目前的研究试图评估治疗反应是否与偏心能力的提高有关，以及这些进步是否缓和了与情绪相关的认知反应性和严重抑郁症复发之间的关系。偏心能力是指在大脑中观察一个人的想法和感受的能力。研究结果显示，与ADM应答者相比，CBT应答者在去中心化方面表现出更大的收益。此外，急性治疗后较高的偏心水平和较低的认知反应性与18个月随访期内复发率最低有关。
Z. V. Segal et al. (2006) demonstrated that depressed patients treated to remission through either antidepressant medication (ADM) or cognitive-behavioral therapy (CBT), but who evidenced mood-linked increases in dysfunctional thinking, showed elevated rates of relapse over 18 months. The current study sought to evaluate whether treatment response was associated with gains in decentering - the ability to observe one's thoughts and feelings as temporary, objective events in the mind-and whether these gains moderated the relationship between mood-linked cognitive reactivity and relapse of major depression. Findings revealed that CBT responders exhibited significantly greater gains in decentering compared with ADM responders. In addition, high post acute treatment levels of decentering and low cognitive reactivity were associated with the lowest rates of relapse in the 18-month follow-up period.