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CBT 是否促进情绪加工?

Does CBT facilitate emotional processing?

机构信息

Dorset Research and Development Support Unit, Bournemouth University, Bournemouth, UK.

出版信息

Behav Cogn Psychother. 2012 Jan;40(1):19-37. doi: 10.1017/S1352465810000895. Epub 2011 Mar 11.

DOI:10.1017/S1352465810000895
PMID:21392415
Abstract

BACKGROUND

Cognitive Behavioural Therapy (CBT) is not primarily conceptualized as operating via affective processes. However, there is growing recognition that emotional processing plays an important role during the course of therapy.

AIMS

The Emotional Processing Scale was developed as a clinical and research tool to measure emotional processing deficits and the process of emotional change during therapy.

METHOD

Fifty-five patients receiving CBT were given measures of emotional functioning (Toronto Alexithymia Scale [TAS-20]; Emotional Processing Scale [EPS-38]) and psychological symptoms (Brief Symptom Inventory [BSI]) pre- and post-therapy. In addition, the EPS-38 was administered to a sample of 173 healthy individuals.

RESULTS

Initially, the patient group exhibited elevated emotional processing scores compared to the healthy group, but after therapy, these scores decreased and approached those of the healthy group.

CONCLUSIONS

This suggests that therapy ostensibly designed to reduce psychiatric symptoms via cognitive processes may also facilitate emotional processing. The Emotional Processing Scale demonstrated sensitivity to changes in alexithymia and psychiatric symptom severity, and may provide a valid and reliable means of assessing change during therapy.

摘要

背景

认知行为疗法(CBT)并非主要被视为通过情感过程起作用。然而,越来越多的人认识到,在治疗过程中,情绪处理起着重要的作用。

目的

情感处理量表是作为一种临床和研究工具开发的,用于衡量治疗过程中的情绪处理缺陷和情绪变化过程。

方法

55 名接受 CBT 的患者在治疗前后接受了情绪功能(多伦多述情障碍量表[TAS-20];情感处理量表[EPS-38])和心理症状(简明症状量表[BSI])的测量。此外,还对 173 名健康个体进行了 EPS-38 的测试。

结果

最初,患者组的情绪处理评分高于健康组,但治疗后,这些评分下降并接近健康组。

结论

这表明,表面上旨在通过认知过程减少精神症状的治疗方法也可能促进情绪处理。情感处理量表对述情障碍和精神症状严重程度的变化具有敏感性,并且可能提供一种在治疗过程中评估变化的有效且可靠的方法。

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