Integrative cognitive therapy for depression: A randomized pilot comparison
Integrative cognitive therapy for depression: A randomized pilot comparison
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DOI：
10.1037/0033-3204.45.2.122
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发表时间：
2008-06-01
期刊：
影响因子：
2.5
通讯作者：
Arnow, Bruce A.
中科院分区：
文献类型：
--
作者：
Constantino, Michael J.;Marnell, Margaret E.;Arnow, Bruce A.
本初步研究考察了一种综合形式的认知疗法（ICT）对抑郁症的疗效，该疗法结合了解决联盟破裂的具体策略。虽然之前的一项关于抑郁症的研究发现ICT优于等待列表条件（L. G. castonway et al., 2004），但目前的研究提供了ICT与传统认知疗法（CT）之间的第一次直接比较。22名抑郁症成年人被随机分配到ICT或CT组（每种情况11名患者），由培训中的临床医生提供。结果用特定的抑郁测量和整体症状测量进行评估。两组还比较了患者感知的联盟质量和治疗师的同理心。效应量估计显示，与CT患者相比，ICT患者在两项结果测量指标上均表现出更大的治疗后改善（具有小到中等效果）和更显著的临床变化。ICT患者在整个治疗过程中也有更高的联盟和同理心得分（具有中到大的影响）。虽然研究结果非常初步，但支持ICT的潜在可行性以及破裂修复干预对治疗过程和结果的潜在因果影响。
This pilot study examined the efficacy of an integrative fom of cognitive therapy (ICT) for depression that incorporates specific strategies for addressing alliance ruptures. Although a previous study on depression found that ICT was superior to a wait-list condition (L. G. Castonguay et al., 2004), the current study provides the 1st direct comparison between ICT and traditional cognitive therapy (CT). Twenty-two depressed adults were randomly assigned to ICT or CT (11 patients per condition), which were delivered by clinicians in training. Outcome was assessed with a specific depression measure and a global symptomatology measure. The groups were also compared on patient-perceived alliance quality and therapist empathy. Effect size estimates revealed that ICT patients evidenced greater posttreatment improvement on both outcome measures (with small to medium effects) and more clinically significant change than did CT patients. ICT patients also had higher alliance and empathy scores across treatment (with medium to large effects). The findings, albeit very preliminary, support the potential viability of ICT and the potential causal influence of the rupture-repair interventions on treatment process and outcome.