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认知疗法和人际心理治疗治疗社交恐惧症的共同因素。

Common factors of cognitive therapy and interpersonal psychotherapy in the treatment of social phobia.

机构信息

Department of Psychology, Goethe University, Frankfurt, Germany.

出版信息

Anxiety Stress Coping. 2010 May;23(3):289-301. doi: 10.1080/10615800903180239.

Abstract

The comparison of active ingredients across different psychotherapeutic approaches is impeded by the specificity of the theoretical concepts explaining change mechanisms. This study aims to shed light on effective components of the therapeutic process in a trial comparing cognitive therapy (CT) and interpersonal psychotherapy (IPT) in the treatment of social anxiety disorder (SAD). Sixty-two outpatients with SAD were included in the study. Patients and therapists rated common efficacy factors after each session according to the generic model developed by Grawe (2004). Results show significant differences between treatment conditions on several therapist-rated subscales. Therapist ratings revealed a significantly greater focus on behavioral coping strategies in CT as compared with IPT. In addition, CT therapists also reported greater use of resource activation and motivational clarification. No differences were found with regard to problem activation or the therapeutic relationship. Therapeutic outcome was predicted by resource activation and problem activation. Implications of the findings for research and practice are discussed.

摘要

不同心理治疗方法的活性成分的比较受到解释变化机制的理论概念的特异性的阻碍。本研究旨在通过比较认知疗法(CT)和人际心理治疗(IPT)治疗社交焦虑障碍(SAD)的试验,阐明治疗过程中的有效成分。该研究纳入了 62 名 SAD 门诊患者。根据 Grawe(2004 年)开发的通用模型,患者和治疗师在每次治疗后对常见疗效因素进行评分。结果表明,在几个治疗师评定的子量表上,治疗条件之间存在显著差异。与 IPT 相比,治疗师评定显示 CT 更注重行为应对策略。此外,CT 治疗师还报告了更多地使用资源激活和动机澄清。在问题激活或治疗关系方面没有发现差异。治疗结果可由资源激活和问题激活预测。讨论了研究和实践的意义。

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