Sasso Katherine E, Strunk Daniel R, Braun Justin D, DeRubeis Robert J, Brotman Melissa A
a Department of Psychology , The Ohio State University , Columbus , OH , USA.
b Department of Psychology , University of Pennsylvania , Philadelphia , PA , USA.
Psychother Res. 2016 Jul;26(4):387-98. doi: 10.1080/10503307.2015.1026423. Epub 2015 Apr 16.
We previously examined alliance and therapist adherence as predictors of symptom change. Applying a new analytic strategy, we can ensure that any relations identified were not attributable to stable patient characteristics.
Participants were 57 depressed cognitive therapy patients. We disaggregated within- and between-patient variation in process measures.
Between-patients, variability in adherence to Cognitive Methods and Negotiating/Structuring predicted patients' symptom change. Within-patients, only variability in ratings of adherence to Cognitive Methods predicted next-session symptom change.
Relations involving between-patient process variables are potentially attributable to stable patient characteristics. However, the relation of within-patient Cognitive Methods and session-to-session symptom change cannot be attributed to stable characteristics and is consistent with a causal relationship.
我们之前研究了联盟和治疗师的依从性作为症状变化的预测因素。应用一种新的分析策略，我们可以确保所确定的任何关系并非归因于患者的稳定特征。
参与者为57名患有抑郁症的认知治疗患者。我们对过程测量中的患者内和患者间变异进行了分解。
在患者之间，对认知方法的依从性和协商/构建方面的变异性预测了患者的症状变化。在患者内部，只有对认知方法依从性评分的变异性预测了下一次治疗时的症状变化。
涉及患者间过程变量的关系可能归因于患者的稳定特征。然而，患者内部认知方法与逐次治疗症状变化之间的关系不能归因于稳定特征，且与因果关系一致。
