Barber J P, DeRubeis R J
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia 19104-3309, USA.
J Psychother Pract Res. 2001 Winter;10(1):8-13.
The Ways of Responding (WOR) was developed to assess change in compensatory or metacognitive skills taught by cognitive therapists. Thus, one would expect WOR scores to change during cognitive therapy (CT) and to be associated with change in depression level. Twenty-seven patients with a DSM-III-R diagnosis of major depression who had received CT filled out the WOR and other measures of cognition. After 12 weeks of CT, the patients exhibited change in the WOR, the Attributional Style Questionnaire, the Dysfunctional Attitude Scale, and the Self-Control Scale. Furthermore, there were indications that change in depression was associated with changes in these measures of cognition, including the WOR. The WOR appears to be a sensitive measure of change during CT that covaries with change in depression. It remains to be tested whether change on the WOR is specific to CT.
应对方式量表（WOR）旨在评估认知治疗师所教授的代偿性或元认知技能的变化。因此，人们预期WOR得分在认知治疗（CT）期间会发生变化，并与抑郁水平的变化相关。27名被诊断为符合《精神疾病诊断与统计手册第三版修订版》（DSM-III-R）标准的重度抑郁症患者在接受CT治疗后填写了WOR及其他认知测量量表。经过12周的CT治疗后，患者在WOR、归因方式问卷、功能失调性态度量表和自我控制量表上均表现出变化。此外，有迹象表明抑郁的变化与这些认知测量指标的变化相关，包括WOR。WOR似乎是CT治疗期间变化的一个敏感指标，且与抑郁变化相关。WOR的变化是否特定于CT治疗仍有待检验。
