Effectiveness of targeting the vulnerability factors of depression in cognitive therapy.
Effectiveness of targeting the vulnerability factors of depression in cognitive therapy.
复制标题
认知治疗中针对抑郁症脆弱因素的有效性。
DOI：
10.1037//0022-006x.64.3.623
复制
发表时间：
1996
影响因子：
5.9
通讯作者：
Goldfried,MR
中科院分区：
文献类型：
--
作者：
Hayes,AM;Castonguay,LG;Goldfried,MR
IH Gotlib 和 C. L Hammen (1992) 的抑郁症精神病理学模型被用作研究抑郁症认知治疗 (CT) 有效过程的变化过程的概念框架。研究了认知药物治疗项目（SD Hollon 等人；参见记录 1993-06449-001）中 30 名抑郁症门诊患者的存档 CT 记录。使用观察编码系统来评估治疗师是否关注抑郁症的认知、人际和发育脆弱性，以及这些干预措施是否与症状减轻相关。治疗师主要保持认知焦点，但干预措施解决了与改善相关的人际关系和发展领域。发展重点还预测在 24 个月的随访期内会有更长的恢复时间和更好的全球功能。这些发现与认知治疗的最新理论发展以及抑郁症的精神病理学研究一致。（PsycINFO 数据库记录 (c) 2016 APA，保留所有权利）
IH Gotlib and C. L Hammen's (1992) psychopathology model of depression was used as a conceptual framework for studying the process of change in an effective course of cognitive therapy (CT) for depression. Archived CT transcripts from 30 depressed outpatients in the Cognitive-Pharmacotherapy Treatment project (SD Hollon et al; see record 1993-06449-001) were studied. An observational coding system was used to assess whether therapists focused on the cognitive, interpersonal, and developmental vulnerabilities of depression and whether these interventions were associated with symptom reduction. Therapists maintained a primarily cognitive focus, but it was interventions that addressed the interpersonal and developmental domains that were associated with improvement. A developmental focus also predicted a longer time of recovery and better global functioning over the 24-mo followup period. These findings are consistent with recent theoretical developments in cognitive therapy and with the psychopathology research on depression.(PsycINFO Database Record (c) 2016 APA, all rights reserved)