Campbell Iain N, Gallagher Melanie, McLeod Hamish J, O'Neill Brian, McMillan Tom M
a Institute of Health and Wellbeing , College of Veterinary, Medical and Life Sciences, University of Glasgow, Gartnavel Royal Hospital , Glasgow , UK.
Neuropsychol Rehabil. 2019 Jul;29(6):917-927. doi: 10.1080/09602011.2017.1342663. Epub 2017 Jun 30.
To determine whether participants with severe head injury (SHI) allocated to a brief compassion focused imagery (CFI) intervention show greater change in compassion than those exposed to relaxation imagery (RI).
Participants were exposed to a preparatory video to promote engagement and then randomly allocated to intervention. Pre- and post-preparatory measures were Motivation for Intervention and Fears of Compassion Scales, State-Trait Anxiety Inventory (STAI) and PANAS. Pre- and post-intervention self-report measures were the Empathy Quotient, Self-Compassion Scale, STAI and Relaxation Scale. Heart rate variability (HRV) was monitored throughout.
Motivation for therapy increased after the preparatory video (z = 3.44, p = 0.001). Across the intervention, group differences were not found on self-report measures or HRV changes. When CFI and RI groups were pooled, improvement in relaxation (r = .41, p < 0.01) and state anxiety (r = .29, p < 0.05) were found across the intervention; these outcomes were not associated with changes in self-compassion or HRV.
Brief CFI, a central aspect of compassion focused therapy, did not produce a reliable change in people with SHI. Enhanced motivation for psychological therapy after a brief preparatory video is relevant and underlines the need to understand mechanisms of action rather than the pursuing whole protocol approaches to therapy.
确定分配到简短的以同情为中心的意象干预（CFI）的重度颅脑损伤（SHI）参与者是否比接受放松意象干预（RI）的参与者在同情心方面有更大的变化。
参与者观看一段预备视频以促进参与，然后随机分配到干预组。预备视频前后的测量指标包括干预动机量表、同情恐惧量表、状态-特质焦虑量表（STAI）和积极与消极情感量表（PANAS）。干预前后的自我报告测量指标包括共情商数、自我同情量表、STAI和放松量表。全程监测心率变异性（HRV）。
预备视频后治疗动机增加（z = 3.44，p = 0.001）。在整个干预过程中，自我报告测量指标或HRV变化方面未发现组间差异。当将CFI组和RI组合并时，发现整个干预过程中放松（r = 0.41，p < 0.01）和状态焦虑（r = 0.29，p < 0.05）有所改善；这些结果与自我同情或HRV的变化无关。
简短的CFI作为以同情为中心疗法的核心方面，对SHI患者并未产生可靠的变化。简短的预备视频后心理治疗动机增强是相关的，这突出了理解作用机制而非采用整个治疗方案方法的必要性。
