McCarthy Kevin S, Keefe John R, Barber Jacques P
a Department of Psychology , Chestnut Hill College , Philadelphia , PA , USA.
b Department of Psychology , University of Pennsylvania , Philadelphia , PA , USA.
Psychother Res. 2016;26(3):307-17. doi: 10.1080/10503307.2014.973921. Epub 2014 Nov 3.
Greater symptom change is often assumed to follow greater technique use, a "more is better" approach. We tested whether psychodynamic techniques, as well as common factors and techniques from other orientations, had a curvilinear relation to outcome (i.e., whether moderate or "just right" intervention levels predict better outcome than lower or higher levels).
For 33 patients receiving supportive-expressive psychodynamic psychotherapy for depression, interventions were assessed at Week 4 using the multitheoretical list of therapeutic interventions and symptoms were rated with the Hamilton Rating Scale for Depression.
Moderate psychodynamic and experiential techniques predicted greater symptom change compared to lower or higher levels.
This "Goldilocks effect" suggests a more complex relation of intervention use to outcome might exist.
人们常常认为，更多地运用技术会带来更大的症状改善，即一种“越多越好”的方法。我们测试了心理动力技术以及来自其他取向的共同因素和技术与治疗结果之间是否存在曲线关系（也就是说，适度或“恰到好处”的干预水平是否比低水平或高水平的干预能预测出更好的结果）。
对于33名接受支持性表达心理动力疗法治疗抑郁症的患者，在第4周使用治疗干预的多理论清单对干预进行评估，并用汉密尔顿抑郁评定量表对症状进行评分。
与低水平或高水平相比，适度的心理动力和体验技术能预测出更大的症状改善。
这种“金发姑娘效应”表明，干预使用与治疗结果之间可能存在更复杂的关系。
