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认知行为疗法治疗抑郁症中的认知变化、关键疗程及突然改善

Cognitive changes, critical sessions, and sudden gains in cognitive-behavioral therapy for depression.

作者信息

Tang Tony Z, DeRubeis Robert J, Beberman Rachel, Pham Thu

机构信息

Department of Psychology, Northwestern University, Evanston, IL 60208, USA.

出版信息

J Consult Clin Psychol. 2005 Feb;73(1):168-72. doi: 10.1037/0022-006X.73.1.168.

Abstract

Using an independent cognitive-behavioral therapy (CBT) data set, the authors replicated T. Z. Tang and R. J. DeRubeis' (1999) discovery of sudden gains--sudden and large decreases in depression severity in a single between-session interval. By incorporating therapy session transcripts, the authors of this study improved the reliability of the Patient Cognitive Change Scale to .75 and found that these CBT sudden gains were also preceded by substantial cognitive changes in the pregain sessions.

摘要

作者使用一个独立的认知行为疗法(CBT)数据集,复制了T.Z.唐和R.J.德鲁比斯(1999年)关于突然改善的发现——在单次疗程间隔中抑郁严重程度突然大幅下降。通过纳入治疗会话记录,本研究的作者将患者认知改变量表的信度提高到了0.75,并发现这些认知行为疗法的突然改善之前,在改善前的疗程中也有显著的认知变化。

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