The process of change in cognitive therapy for depression when combined with antidepressant medication: Predictors of early intersession symptom gains.
The process of change in cognitive therapy for depression when combined with antidepressant medication: Predictors of early intersession symptom gains.
复制标题
DOI：
10.1037/a0029281
复制
发表时间：
2012-10
影响因子：
5.9
通讯作者：
Hollon, Steven D.
中科院分区：
文献类型：
--
作者：
Strunk, Daniel R.;Cooper, Andrew A.;Ryan, Elizabeth T.;DeRubeis, Robert J.;Hollon, Steven D.
先前对抑郁症认知疗法(CT)的研究已经检验了治疗师的依从性和治疗联盟作为后续症状变化的预测因子。然而，当CT与抗抑郁药物联合应用时，对这些CT过程变量知之甚少。在一项临床试验的联合条件下随机抽取176名抑郁症门诊患者的样本中，我们检查了依从性和联盟的评级作为早期CT会话中后续会话间症状变化的预测因子。坚持行为方法/家庭作业和治疗联盟都显著预测了会话间症状的变化。在患者的用药方案和先前的症状变化是共同变化的模型中，只有行为方法/家庭作业仍然是后续症状变化的重要预测因素。我们的发现强调了行为方法/家庭作业在联合治疗中的效用，以促进早期会话到会话症状的改变。
Previous studies of cognitive therapy (CT) for depression have examined therapist adherence and the therapeutic alliance as predictors of subsequent symptom change. However, little is known about these CT process variables when CT is delivered in combination with antidepressant medication. In a sample of 176 depressed outpatients randomized to the combined condition of a clinical trial, we examined ratings of adherence and alliance as predictors of subsequent session-to-session symptom change across early CT sessions. Both adherence to Behavioral Methods / Homework and the therapeutic alliance significantly predicted session-to-session symptom change. In models in which patients’ medication regimen and prior symptom change were covaried, only Behavioral Methods / Homework remained a significant predictor of subsequent symptom change. Our findings highlight the utility of Behavioral Methods / Homework in combined treatment for promoting early session-to-session symptom change.
登录
查看更多内容
影响因子：
3.9
作者：
HORVATH, AO;GREENBERG, LS
通讯作者：
GREENBERG, LS
影响因子：
17.7
作者：
Harmer, Catherine J.;O'Sullivan, Ursula;Cowen, Philip J.
通讯作者：
Cowen, Philip J.
DOI：
10.1111/j.1468-2850.1994.tb00016.x
发表时间：
1994-12-01
影响因子：
5.8
作者：
ILARDI, SS;CRAIGHEAD, WE
通讯作者：
CRAIGHEAD, WE
影响因子：
2.8
作者：
DERUBEIS, RJ;FEELEY, M
通讯作者：
FEELEY, M
影响因子：
158.5
作者：
Keller, MB;McCullough, JP;Rothbaum, B
通讯作者：
Rothbaum, B