当认知疗法结合抗抑郁药物治疗抑郁症时的变化过程：早期会话症状改善的预测因素。
The process of change in cognitive therapy for depression when combined with antidepressant medication: Predictors of early intersession symptom gains.
机构信息
Department of Psychology, Ohio State University, 1835 Neil Avenue, Columbus, OH 43210, USA.
出版信息
J Consult Clin Psychol. 2012 Oct;80(5):730-8. doi: 10.1037/a0029281. Epub 2012 Jul 9.
Abstract
OBJECTIVE
Previous studies of cognitive therapy (CT) for depression have examined therapist adherence and the therapeutic alliance as predictors of subsequent symptom change. However, little is known about these CT process variables when CT is delivered in combination with antidepressant medication.
METHOD
In a sample of 176 depressed outpatients randomized to the combined condition of a clinical trial, we examined ratings of adherence and alliance as predictors of subsequent session-to-session symptom change across early CT sessions.
RESULTS
Both adherence to Behavioral Methods/Homework and the therapeutic alliance significantly predicted session-to-session symptom change. In models in which patients' medication regimen and prior symptom change were covaried, only Behavioral Methods/Homework remained a significant predictor of subsequent symptom change.
CONCLUSIONS
Our findings highlight the utility of Behavioral Methods/Homework in combined treatment for promoting early session-to-session symptom change.
摘要
目的
先前关于认知疗法（CT）治疗抑郁症的研究已经检验了治疗师的依从性和治疗联盟作为随后症状变化的预测因子。然而，当 CT 与抗抑郁药物联合使用时，对于这些 CT 过程变量知之甚少。
方法
在一项针对 176 名随机分配到临床试验联合治疗组的抑郁门诊患者的样本中，我们考察了治疗依从性和治疗联盟的评分，以预测早期 CT 疗程中的随后的疗程到疗程的症状变化。
结果
行为方法/家庭作业的依从性和治疗联盟均显著预测了疗程到疗程的症状变化。在模型中，患者的药物治疗方案和先前的症状变化被协变，只有行为方法/家庭作业仍然是随后症状变化的显著预测因子。
结论
我们的发现强调了行为方法/家庭作业在联合治疗中促进早期疗程到疗程的症状变化的效用。
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本文引用的文献
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The process of change in cognitive therapy for depression: predictors of early inter-session symptom gains.抑郁症认知治疗中的变化过程：预测早期会话间症状改善的因素。
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Psychology should list empirically supported principles of change (ESPs) and not credential trademarked therapies or other treatment packages.心理学应该列出基于实证的改变原则（ESPs），而不是认证有商标的疗法或其他治疗方案。
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National trends in the outpatient treatment of depression.抑郁症门诊治疗的全国趋势。
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