Cognitive and Behavioral Centre for Research and Intervention, University of Coimbra, Coimbra, Portugal.
Department of Psychology, Miami University, Oxford, OH, USA.
Clin Psychol Psychother. 2018 Jan;25(1):76-84. doi: 10.1002/cpp.2130. Epub 2017 Sep 10.
The assimilation model describes therapeutic change as an integration of experiences that had previously been problematic, distressing, avoided, or warded off. This study assessed whether assimilation was associated with treatment outcome in a sample of psychotherapeutic treatments for depression. Further, it assessed the direction of the association-whether increasing assimilation predicted decreases in symptom intensity or decreasing symptom intensity predicted increases in assimilation.
Participants were 22 clients with mild to moderate depression drawn from a clinical trial comparing cognitive behavioral therapy with emotion-focused therapy. The direction of prediction between assimilation progress and changes in self-reported symptom intensity was assessed.
The assimilation progress was shown to be a better predictor of decreases in symptom intensity than the reverse.
The results supported the assimilation model's suggestion that assimilation progress promotes decreases in symptom intensity in the treatment of clients with major depressive disorder.
同化模型将治疗变化描述为对先前存在问题、令人痛苦、回避或抵制的经验的整合。本研究评估了同化是否与抑郁症心理治疗样本的治疗结果有关。此外,它还评估了关联的方向——是同化的增加预示着症状强度的降低,还是症状强度的降低预示着同化的增加。
参与者是 22 名轻度至中度抑郁的患者,他们来自一项比较认知行为疗法和情绪聚焦疗法的临床试验。评估了同化进展和自我报告的症状强度变化之间的预测方向。
同化进展显示出比相反情况更好的症状强度降低的预测指标。
结果支持同化模型的建议,即同化进展促进了对重度抑郁症患者的症状强度降低。