Changes in cognitive content during and following cognitive therapy for recurrent depression: Substantial and enduring, but not predictive of change in depressive symptoms
Changes in cognitive content during and following cognitive therapy for recurrent depression: Substantial and enduring, but not predictive of change in depressive symptoms
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DOI：
10.1037/0022-006x.75.3.432
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发表时间：
2007-06-01
影响因子：
5.9
通讯作者：
Clark, Lee Anna
中科院分区：
文献类型：
--
作者：
Jarrett, Robin B.;Vittengl, Jeffrey R.;Clark, Lee Anna
作者研究了156例复发性重性抑郁症成人门诊患者在接受认知疗法治疗后认知内容的变化量和持久性。前后变化幅度较大的归因方式问卷失败复合（d = 0.79），功能失调态度量表（d = 1.05），和自我效能量表（d = 0.83），和归因方式问卷成功复合（d = 0.30）小。认知内容的变化具有临床意义，其64%-87%的评分与社区居民的评分分布重叠。在2年的随访中，改善是持久的。消极认知内容的变化可以早期检测到，并区分反应者和无反应者。在应答者中，持续阶段认知治疗仅与1项认知内容测量的进一步改善相关。消极认知内容的早期变化并不能预测抑郁症状的后期变化，作者在方法学挑战和抑郁认知理论的背景下对此进行了讨论。
The authors examined the amount and durability of change in the cognitive content of 156 adult outpatients with recurrent major depressive disorder after treatment with cognitive therapy. The pre-post magnitude of change was large for the Attributional Style Questionnaire Failure composite (d = 0.79), Dysfunctional Attitudes Scale (d = 1.05), and Self-Efficacy Scale (d = 0.83), and small for the Attributional Style Questionnaire Success composite (d = 0.30). Changes in cognitive content were clinically significant, as defined by their 64%-87% scores overlapping with score distributions from community dwellers. Improvement was durable over a 2-year follow-up. Changes in negative cognitive content could be detected early and distinguished responders from nonresponders. In responders, continuation-phase cognitive therapy was associated with further improvements on only 1 measure of cognitive content. Early changes in negative cognitive content did not predict later changes in depressive symptoms, which the authors discuss in the context of methodological challenges and the cognitive theory of depression.