Negative Affective Spillover From Daily Events Predicts Early Response to Cognitive Therapy for Depression
Negative Affective Spillover From Daily Events Predicts Early Response to Cognitive Therapy for Depression
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DOI：
10.1037/a0014131
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发表时间：
2008-12-01
影响因子：
5.9
通讯作者：
Beck, Judith S.
中科院分区：
文献类型：
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作者：
Cohen, Lawrence H.;Gunthert, Kathleen C.;Beck, Judith S.
本研究评估了抑郁症门诊患者（N = 62）对日常压力的情感反应在认知治疗（CT）改善率中的预测作用。在治疗前一周，患者完成每晚电子日记，评估每日压力源和负面影响（NA）。作者使用多水平模型来计算每个患者的每日压力源和每日NA（日内反应性）之间的日内关系。以及日常压力源与第二天NA（第二天反应;情感溢出）之间的关系。增长模型分析。作者评价了患者的NA反应性在其早期（第1-4次）和晚期（第5-12次）对CT的反应中的预测作用。日内NA反应性不能预测对CT的早期或晚期反应。然而.第二天的反应性预测了对CT的早期反应，因此，在前4个疗程中，对阴性事件有较大NA溢出反应的患者的症状变化率较慢。情感溢出并不影响后来对CT的反应。研究结果表明，抑郁症患者在第二天难以从他们的NA反应中恢复到日常负面事件的相对增加，对早期CT的反应速度较慢。
This Study evaluated the predictive role of depressed outpatients' (N = 62) affective reactivity to daily stressors in their rates of improvement in cognitive therapy (CT). For I week before treatment, patients completed nightly electronic diaries that assessed daily stressors and negative affect (NA). The authors used multilevel modeling to compute each patient's within-day relationship between daily stressors and daily NA (within-day reactivity). its well as the relationship between daily stressors and next-day NA (next-day reactivity; affective spillover). In growth model analyses. the authors evaluated the predictive role of patients' NA reactivity in their early (Sessions 1-4) and late (Sessions 5-12) response to CT. Within-day NA reactivity did not predict early or late response to CT. However. next-day reactivity predicted early response to CT, such that patients who had greater NA spillover in response to negative events had a slower rate of symptom change during the first 4 sessions. Affective spillover did not influence later response to CT. The findings suggest that depressed patients who have difficulty bouncing back the next day from their NA reactions to a relative increase in daily negative events, will respond less quickly to the early sessions of CT.