THERAPEUTIC EMPATHY AND RECOVERY FROM DEPRESSION IN COGNITIVE BEHAVIORAL-THERAPY - A STRUCTURAL EQUATION MODEL
THERAPEUTIC EMPATHY AND RECOVERY FROM DEPRESSION IN COGNITIVE BEHAVIORAL-THERAPY - A STRUCTURAL EQUATION MODEL
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DOI：
10.1037/0022-006x.60.3.441
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发表时间：
1992-06-01
影响因子：
5.9
通讯作者：
NOLENHOEKSEMA, S
中科院分区：
文献类型：
--
作者：
BURNS, DD;NOLENHOEKSEMA, S
这项研究表明，在185名接受认知行为疗法（CBT）治疗的患者中，治疗性共情对抑郁症的康复具有中等到较大的因果效应。作者同时评估了抑郁严重程度对治疗性共情的相互影响，发现这种影响非常小。此外，作业完成情况对临床康复有独立的影响，且超出了治疗性共情的影响。在控制治疗性共情和作业完成情况时，新手治疗师的患者比经验更丰富的治疗师的患者改善明显更少。过早终止治疗的受试者在治疗期间完成自助作业的可能性更低，对其治疗师的共情评价明显更低，且改善也明显更少。边缘性人格障碍患者改善明显更少，但他们对治疗师的共情和关怀评价与其他患者相同。本文讨论了这些发现对心理治疗研究、治疗和临床培训的意义。
This study demonstrated that therapeutic empathy has a moderate-to-large causal effect on recovery from depression in a group of 185 patients treated with cognitive-behavioral therapy (CBT). The authors simultaneously estimated the reciprocal effect of depression severity on therapeutic empathy and found that this effect was quite small. In addition, homework compliance had a separate effect on clinical recovery, over and above the effect of therapeutic empathy. The patients of novice therapists improved significantly less than did the patients of more experienced therapists, when controlling for therapeutic empathy and homework compliance. Ss who terminated therapy prematurely were less likely to complete the self-help assignments between sessions, rated their therapists as significantly less empathic, and improved significantly less. Ss with borderline personality disorder improved significantly less, but they rated their therapists as just as empathic and caring as other patients. The significance of these findings for psychotherapy research, treatment, and clinical training is discussed.