Cognitive-affective processing system analysis of intra-individual dynamics in collaborative therapeutic assessment: translating basic theory and research into clinical applications.
Cognitive-affective processing system analysis of intra-individual dynamics in collaborative therapeutic assessment: translating basic theory and research into clinical applications.
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协作治疗评估中个体内动态的认知情感处理系统分析：将基础理论和研究转化为临床应用。
DOI：
10.1111/jopy.12015
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发表时间：
2013
影响因子：
5
通讯作者：
Smith,RonaldE
中科院分区：
文献类型：
--
作者：
Shoda,Yuichi;Wilson,NicoleL;Chen,Jessica;Gilmore,AmandaK;Smith,RonaldE
根据认知情感处理系统（CAPS）模型，行为是个体独特的认知情感系统如何对所遇到的情况的主观体验做出反应的函数。因此，可以通过识别客户所经历的高压力情况的性质以及它们引发的心理反应来理解个人的适应不良应对过程。初步研究确定了基于互联网的 CAPS 日记程序的可行性和实用性；然后它被用来促进临床压力管理干预。每日日记使研究人员和临床医生能够收集与日常生活压力相关的情景特征、认知、情感和应对行为的高重复性内部（HRWP）数据，然后对每个参与者进行单独分析，以确定每个人独特的个体内部动态模式。结果表明，个体在引发压力和适应不良的应对行为的心理状况特征上确实存在差异。对每日日记数据的 HRWP 分析增强了临床干预的效果，并且客户的自我调节能力和生活满意度在干预过程中得到了提高。我们讨论我们的研究计划如何适应转化科学的更大目标和当前 NIMH 临床研究重点。
According to the cognitive‐affective processing system (CAPS) model, behavior is a function of how the distinctive cognitive‐affective system of the individual responds to one's subjective experience of the situation encountered. Thus an individual's maladaptive coping processes may be understood by identifying the nature of the situations that a client experiences as highly stressful and the psychological reactions they trigger. An initial study established the feasibility and utility of an Internet‐based CAPS daily diary program; it was then used to facilitate a clinical stress‐management intervention. The daily diary enabled researchers and clinicians to gather Highly‐Repeated Within‐Persons (HRWP) data on the situational features, cognitions, affect, and coping behaviors associated with daily life stress, which were then analyzed separately for each participant to identify each individual's unique and distinctive pattern of intra‐individual dynamics. Results suggested that individuals differed reliably in the features of psychological situations that triggered stress and maladaptive coping behaviors. HRWP analysis of daily diary data enhanced the efficacy of clinical intervention, and clients' self‐regulatory capabilities and life satisfaction were shown to increase over the course of the intervention. We discuss how our program of research fits into the larger goals of translational science and current NIMH clinical research priorities.