Modifying Interpretation and Imagination in Clinical Depression: A Single Case Series Using Cognitive Bias Modification

Modifying Interpretation and Imagination in Clinical Depression: A Single Case Series Using Cognitive Bias Modification
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DOI:
10.1002/acp.1680
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发表时间:
2010-04-01
影响因子:
2.4
通讯作者:
Holmes, Emily A.
Holmes, Emily A.
中科院分区:
心理学3区
文献类型:
--
作者:
Blackwell, Simon E.;Holmes, Emily A.

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当前认知偏差修正(CBM)范式通过促进积极意象来改善抑郁症患者的解释偏差(CBM-I)。我们调查了重复的CBM-I对目前经历重度抑郁发作的参与者的解释偏差,情绪和心理健康的影响。7名参与者在一个单一的病例系列中完成了为期一周的建立信任措施-I的日常会话。在一周基线期前后以及每日CBM-I一周后完成结果测量。在2周随访时还评估了抑郁症状。七名参与者中有四名在一周的CBM-I治疗后表现出情绪,偏见和/或心理健康的改善,随访时抑郁症状得到改善。对其余三个问题的讨论突出了将第一阶段建立信任措施的干预措施从实验室转化为临床所涉及的困难。为了弥合这一差距,我们建议,审查失败和成功都至关重要。版权所有(C)2010约翰威利父子有限公司
The current cognitive bias modification (CBM) paradigm targets interpretation bias (CBM-I) in depression via promoting positive imagery. We investigated the impact of repeated sessions of this CBM-I on interpretation bias, mood and mental health in participants currently experiencing a major depressive episode. Seven participants completed daily sessions of CBM-I at home for one week in a single case series. Outcome measures were completed pre and post a one-week baseline period, and after the week of daily CBM-I. Depressive symptoms were also assessed at a 2-week follow-up. Four of seven participants demonstrated improvements in mood, bias and/or mental health after one week of CBM-I, with improvements in depressive symptoms maintained at follow-up. Discussion of the remaining three highlights difficulties involved in translating CBM-I interventions from the laboratory to the clinic. To bridge this gap, we suggest that it is critical to examine the failures as well as the successes. Copyright (C) 2010 John Wiley & Sons, Ltd.