Insight as a mechanism of change in dynamic therapy for major depressive disorder.
Insight as a mechanism of change in dynamic therapy for major depressive disorder.
复制标题
洞察力作为重度抑郁症动态治疗的变化机制。
DOI：
10.1037/cou0000554
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发表时间：
2021
影响因子：
3.9
通讯作者：
Dinger,Ulrike
中科院分区：
文献类型：
--
作者：
Jennissen,Simone;ConnollyGibbons,MaryBeth;Crits-Christoph,Paul;Schauenburg,Henning;Dinger,Ulrike
本研究旨在探讨在心理治疗的过程中，对适应不良的人际关系模式的洞察力的变化，以及洞察力作为动态治疗的变化机制的特异性。在一项随机临床试验中，共有100名患者接受了多达16次的认知或动态治疗。在治疗开始时、第2个月和第5个月进行自知力（对人际关系模式的洞察力量表）和抑郁严重程度（汉密尔顿抑郁量表）评估。在动态治疗过程中，患者的洞察力显著改善。从治疗开始到第2个月的洞察力的增加是动态治疗第2个月至第5个月抑郁症状减少的重要预测因素，但在认知治疗组中并非如此，尽管存在非显著的相互作用。结果提供了支持的洞察力作为一个变化因素，在动态治疗。更好地自我理解功能失调的互动模式可以帮助患者找到更适应的行为方式，形成更满意的关系，并改善他们的抑郁症。（PsycInfo数据库记录（c）2021阿帕，保留所有权利）
This study aimed to investigate change in insight into maladaptive interpersonal patterns over the course of psychotherapy, as well as the specificity of insight as a change mechanism in dynamic treatments. A total of 100 patients received up to 16 sessions of either cognitive or dynamic therapy for major depressive disorder in a randomized clinical trial. Assessments of insight (Insight into Conflictual Relationship Patterns scale) and depression severity (Hamilton Depression Inventory) took place at the beginning of treatment, at month 2, and month 5. Patient insight significantly improved over the course of dynamic treatments. Gains in insight from the beginning to month 2 of treatment were a significant predictor of decreases of depressive symptoms from month 2 to month 5 of treatment in the dynamic, but not in the cognitive treatment group, despite a nonsignificant interaction. Results provide support for insight as a change factor in dynamic therapies. Better self-understanding of dysfunctional interaction patterns could help patients to find more adaptive ways of behaving, to form more satisfying relationships, and to improve their depression.(PsycInfo Database Record (c) 2021 APA, all rights reserved)