Locke Kenneth D, Sayegh Liliane, Penberthy J Kim, Weber Charlotte, Haentjens Katherine, Turecki Gustavo
University of Idaho.
Douglas Mental Health University Institute and McGill University.
J Clin Psychol. 2017 Jun;73(6):595-611. doi: 10.1002/jclp.22343. Epub 2016 Jul 8.
We assessed severely and persistently depressed patients' interpersonal self-efficacy, problems, and goals, plus changes in interpersonal functioning and depression during 20 weeks of group therapy.
Outpatients (32 female, 26 male, mean age = 45 years) completed interpersonal circumplex measures of goals, efficacy, and problems before completing 20 weeks of manualized group therapy, during which we regularly assessed depression and interpersonal style.
Compared to normative samples, patients lacked interpersonal agency, including less self-efficacy for expressive/assertive actions; stronger motives to avoid conflict, scorn, and humiliation; and more problems with being too submissive, inhibited, and accommodating. Behavioral Activation and especially Cognitive Behavioral Analysis System of Psychotherapy interventions produced improvements in depression and interpersonal agency, with increases in "agentic and communal" efficacy predicting subsequent decreases in depression.
While severely and persistently depressed patients were prone to express maladaptive interpersonal dispositions, over the course of group therapy, they showed increasingly agentic and beneficial patterns of cognitions, motives, and behaviors.
我们评估了重度和持续性抑郁症患者的人际自我效能感、问题和目标，以及在为期20周的团体治疗期间人际功能和抑郁症状的变化。
门诊患者（32名女性，26名男性，平均年龄 = 45岁）在完成为期20周的标准化团体治疗之前，完成了关于目标、效能感和问题的人际环形测量，在此期间，我们定期评估抑郁症状和人际风格。
与正常样本相比，患者缺乏人际能动性，包括在表达/ assertive行为方面的自我效能感较低；避免冲突、轻蔑和羞辱的动机更强；在过于顺从、抑制和迎合方面存在更多问题。行为激活疗法，尤其是认知行为分析心理治疗干预措施，改善了抑郁症状和人际能动性，“能动和共融”效能感的增加预示着随后抑郁症状的减轻。
虽然重度和持续性抑郁症患者倾向于表现出适应不良的人际倾向，但在团体治疗过程中，他们表现出越来越多的能动和有益的认知、动机和行为模式。
