Effects of Two Forms of Internet-Delivered Cognitive Behaviour Therapy for Depression on Future Thinking

Effects of Two Forms of Internet-Delivered Cognitive Behaviour Therapy for Depression on Future Thinking
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DOI:
10.1007/s10608-012-9442-y
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发表时间:
2013-02-01
影响因子:
2.8
通讯作者:
Hesser, Hugo
Hesser, Hugo
中科院分区:
心理学3区
文献类型:
--
作者:
Andersson, Gerhard;Sarkohi, Ali;Hesser, Hugo

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本研究的目的是探讨两种形式的网络认知行为疗法(ICBT)治疗重性抑郁症后,未来思维是否会改变。第二个目的是研究未来思维的前后变化与抑郁症状的前后变化之间的关联。心理治疗的效果最常通过自我报告清单进行测试,很少通过认知功能测试。我们纳入了来自47名被诊断为重度抑郁症的患者的数据,这些患者在8周内接受了电子邮件治疗或指导性自助治疗。参与者完成了一项未来思考任务(FTT),在这项任务中,他们被要求产生他们认为未来会发生的积极和消极事件,并根据情绪和可能性对这些事件进行评级。在治疗前后完成FTT。还收集了有关抑郁症状的数据。治疗后阴性事件的FTT指数评分降低。阳性事件未增加。FTT负性事件和抑郁症状的变化分数显著相关。我们的结论是,ICBT可能会导致减少消极的未来思维和抑郁症状的变化在一定程度上与减少消极的未来思维。
The aim of this study was to investigate if future thinking would change following two forms of Internet-delivered cognitive behavior therapy (ICBT) for major depression. A second aim was to study the association between pre-post changes in future thinking and pre-post changes in depressive symptoms. Effects of psychological treatments are most often tested with self-report inventories and seldom with tests of cognitive function. We included data from 47 persons diagnosed with major depression who received either e-mail therapy or guided self-help during 8 weeks. Participants completed a future thinking task (FTT), in which they were asked to generate positive and negative events that they thought were going to happen in the future and rated the events in terms of emotion and likelihood. The FTT was completed before and after treatment. Data on depressive symptoms were also collected. FTT index scores for negative events were reduced after treatment. There was no increase for the positive events. Change scores for the FTT negative events and depression symptoms were significantly correlated. We conclude that ICBT may lead to decreased negative future thinking and that changes in depression symptoms correlate to some extent with reductions in negative future thinking.