Medical Psychosomatic Clinic Bad Bramstedt, Bad Bramstedt, Germany.
Psychother Res. 2010 Jul;20(4):488-94. doi: 10.1080/10503301003796839.
The present study is the first aimed at investigating the influence of goal definition on treatment outcome in a sample of depressed patients. Data from 657 inpatients admitted to a psychosomatic clinic in Germany being treated in a cognitive-behavioral therapy program were analyzed. Treatment goals were identified as either approach or avoidance, and the sample was classified accordingly. Patients who identified approach goals only were placed in the approach group, and those who identified at least one avoidance goal were placed in the avoidance group. Results showed that framing goals using avoidance terms was associated with less symptomatic improvement but did not affect goal attainment. Findings from this research should be utilized in practice not only for process management such as individual treatment planning but also to control outcome quality. Furthermore, goal definition should be considered as a control variable in research on depression.
本研究旨在调查目标定义对抑郁患者样本治疗结果的影响。对德国一家身心诊所中接受认知行为治疗项目的 657 名住院患者的数据进行了分析。将治疗目标定义为接近或回避，并据此对样本进行分类。仅确定接近目标的患者被归入接近组，而确定至少一个回避目标的患者被归入回避组。结果表明，使用回避术语来框定目标与症状改善程度较低有关，但并不影响目标的实现。该研究结果不仅应在实践中用于过程管理，如个体化治疗计划，还应用于控制结果质量。此外，在抑郁症研究中，应将目标定义视为控制变量。
