述情障碍与阈下抑郁的认知行为疗法疗效
Alexithymia and cognitive behaviour therapy outcome for subthreshold depression.
作者信息
Spek V, Nyklícek I, Cuijpers P, Pop V
机构信息
Department of Medical Psychology, Center of Research on Psychology in Somatic diseases (CoRPS), Tilburg University, Tilburg, the Netherlands.
出版信息
Acta Psychiatr Scand. 2008 Aug;118(2):164-7. doi: 10.1111/j.1600-0447.2008.01199.x. Epub 2008 May 22.
OBJECTIVE
Alexithymia is hypothesized to be a stable trait that hinders favourable outcomes of psychotherapy. We tested two hypotheses: i) alexithymia is not stable but changes along with a change in depressive symptoms and ii) pretreatment alexithymia hinders gaining benefits from psychotherapy.
METHOD
A total of 201 participants (mean age = 54 years, SD = 4.4) with subthreshold depression were treated with cognitive behaviour therapy. Outcome was defined as the change in depressive symptoms from pretreatment to post-treatment and to 1-year follow-up.
RESULTS
Changes in depressive symptoms were significantly correlated with changes in alexithymia. Baseline alexithymia scores were not correlated with treatment outcome.
CONCLUSION
Alexithymia is less stable than hypothesized: changes in alexithymia were associated with change in depressive symptoms. Furthermore, alexithymia does not hinder cognitive behaviour therapy outcome.
目的
情感难言症被认为是一种稳定的特质，会妨碍心理治疗取得良好效果。我们检验了两个假设：i）情感难言症并非稳定不变，而是会随着抑郁症状的变化而改变；ii）治疗前的情感难言症会妨碍从心理治疗中获益。
方法
共有201名阈下抑郁症患者（平均年龄=54岁，标准差=4.4）接受了认知行为疗法治疗。结果定义为从治疗前到治疗后以及到1年随访时抑郁症状的变化。
结果
抑郁症状的变化与情感难言症的变化显著相关。情感难言症的基线得分与治疗结果无关。
结论
情感难言症并不像假设的那样稳定：情感难言症的变化与抑郁症状的变化相关。此外，情感难言症并不妨碍认知行为疗法的治疗效果。
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