Relapses in recurrent depression 1year after psychoeducational treatment: The role of therapist adherence and competence, and the therapeutic alliance
Relapses in recurrent depression 1year after psychoeducational treatment: The role of therapist adherence and competence, and the therapeutic alliance
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心理教育治疗一年后复发性抑郁症复发：治疗师依从性和能力以及治疗联盟的作用
DOI：
10.1016/j.psychres.2011.07.025
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发表时间：
2012
影响因子：
11.3
通讯作者：
Stangier U
中科院分区：
文献类型：
--
作者：
Weck F;Weigel M;Hautzinger M;Barocka A;Schlösser R;Stangier U
心理教育是预防复发性抑郁症复发的有效治疗方法。然而，很少有人知道的过程，可以解释心理教育治疗的效果。在这项研究中，复发性抑郁症患者（目前已缓解）在8个月内接受了16次心理教育治疗，以防止复发。治疗师的依从性和能力，以及治疗联盟，作为降低抑郁症复发风险的预测因素进行了研究。为了评估治疗师的依从性和能力，我们分析了43名参与抑郁症心理教育治疗的参与者的录像带。此外，治疗联盟通过问卷调查进行评估。治疗一年后，没有发现治疗师的依从性或能力与复发风险之间存在关联。患者对治疗联盟的看法与复发时间中度相关。然而，当控制了以前抑郁发作的次数时，这种相关性就消失了。后者是复发时间的最重要的预测因子，解释了15%的方差。
Psychoeducation has proved to be an effective treatment method for the prevention of relapse in recurrent depression. However, little is known about the processes which could account for the effects of psychoeducational treatment. In this study, patients with recurrent depression (currently remitted) received, over a period of 8months, 16 sessions of psychoeducational treatment, in order to prevent relapse. Therapist adherence and competence, and the therapeutic alliance, were investigated as predictors of reducing the recurrence risk in depression. Videotapes of 43 participants in a psychoeducational treatment for depression were analyzed, in order to evaluate therapist adherence and competence. Additionally, the therapeutic alliance was assessed by means of a questionnaire. One year after treatment, no associations were found between therapist adherence or competence and the risk of relapse. The patients' view of the therapeutic alliance was moderately associated with the time to relapse. However, the correlation disappeared when controlled for the number of previous depressive episodes. The latter was the most important predictor of time to relapse, explaining 15% of variance.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
[随机对照试验中临床管理的依从性。
DOI：
--
发表时间：
2008
期刊：
PPmP. Psychotherapie, Psychosomatik, medizinische Psychologie
影响因子：
--
作者：
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通讯作者：
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DOI：
--
发表时间：
2003
期刊：
Verhaltenstherapie (Basel)
影响因子：
--
作者：
A. Fries;M. Pfammatter;A. Andres;H. Brenner
通讯作者：
H. Brenner
影响因子：
--
作者：
Jarrett, RB;Kraft, D;Silver, PC
通讯作者：
Silver, PC
抑郁症心理教育——记录干预特点和治疗技巧
影响因子：
0.9
作者：
Weck F;Hautzinger M;Heidenreich T;Stangier U
通讯作者：
Stangier U