The Use and Nature of Present-Focused Interventions in Cognitive and Behavioral Therapies for Depression.
The Use and Nature of Present-Focused Interventions in Cognitive and Behavioral Therapies for Depression.
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抑郁症认知和行为疗法中关注当下的干预措施的用途和性质。
DOI：
10.1037/a0016083
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
Sedivy,SonjaK
中科院分区：
文献类型：
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作者：
Kanter,JonathanW;Rusch,LauraC;Landes,SaraJ;Holman,GarethI;Whiteside,Ursula;Sedivy,SonjaK
为了改善抑郁症的认知和行为疗法（CBT），有几种方法建议增加对问题发生的关注，因为它们发生在治疗关系中或与现场治疗过程有关，称为当前关注。一个挥之不去的问题是，CBT治疗师在多大程度上已经从事了以当下为中心的工作。这项研究利用了最近的CBT抑郁症试验的会议，在第一阶段，评分员在逐个回合的基础上确定了以当前为重点的干预措施。第二阶段评分员使用定性分析来确定当前重点干预措施的类别。结果表明，治疗师很少关注治疗关系;即使他们关注，也往往是短暂的，缺乏新方法所建议的详细说明。治疗师更经常进行治疗过程和情绪集中的干预，但这些也往往缺乏阐述。
To improve cognitive and behavioral therapies (CBT) for depression, several approaches recommend an increased focus on the occurrence of problems as they occur in the therapeutic relationship or in relation to the live therapy process, referred to as present-focused. A lingering question has been the degree to which CBT therapists already engage in present-focused work. This study utilized sessions from recent trials of CBT for depression and, in Phase I, raters identified present-focused interventions on a turn-by-turn basis. Phase II raters used a qualitative analysis to determine categories of present-focused interventions. Results indicated that therapists rarely focused on the therapeutic relationship; when they did, it was often transient and lacking in the elaborations suggested by newer approaches. Therapists more often performed therapy process and emotion focused interventions, but these also tended to lack elaboration.