A re-examination of process-outcome relations in cognitive therapy for depression: Disaggregating within-patient and between-patient effects.
A re-examination of process-outcome relations in cognitive therapy for depression: Disaggregating within-patient and between-patient effects.
复制标题
抑郁症认知治疗过程与结果关系的重新审视：分解患者内部和患者之间的影响。
DOI：
10.1080/10503307.2015.1026423
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Brotman,MelissaA
中科院分区：
文献类型：
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作者：
Sasso,KatherineE;Strunk,DanielR;Braun,JustinD;DeRubeis,RobertJ;Brotman,MelissaA
我们以前研究了联盟和治疗师依从性作为症状变化的预测因子。应用一种新的分析策略，我们可以确保确定的任何关系都不能归因于稳定的patient characteristics.MethodParticipants是57抑郁症认知治疗患者。我们分解内和患者之间的变化过程measures. Resultsbetween患者，在坚持认知方法和谈判/结构化预测患者的症状变化的变化。在患者内，只有在遵守认知方法预测下一届symptom changes.ConclusionsRelations的评级变异涉及患者之间的过程变量可能归因于稳定的患者特征。然而，患者内认知方法和会话间症状变化的关系不能归因于稳定的特征，并且与因果关系一致。
ObjectiveWe previously examined alliance and therapist adherence as predictors of symptom change. Applying a new analytic strategy, we can ensure that any relations identified were not attributable to stable patient characteristics.MethodParticipants were 57 depressed cognitive therapy patients. We disaggregated within- and between-patient variation in process measures.ResultsBetween-patients, variability in adherence to Cognitive Methods and Negotiating/Structuring predicted patients' symptom change. Within-patients, only variability in ratings of adherence to Cognitive Methods predicted next-session symptom change.ConclusionsRelations involving between-patient process variables are potentially attributable to stable patient characteristics. However, the relation of within-patient Cognitive Methods and session-to-session symptom change cannot be attributed to stable characteristics and is consistent with a causal relationship.