a Department of Psychology , University of Trier , Trier , Universitätsring 15, 54296 , Germany.
b Department of Psychology , Boston University , 648 Beacon Street, Boston , MA , 02215 , USA.
Cogn Behav Ther. 2018 Jul;47(4):315-327. doi: 10.1080/16506073.2017.1419505. Epub 2018 Jan 18.
We analyzed the verbal behavior of patients with mood or/and anxiety disorders during psychotherapy. Investigating the words people used, we expected differences due to cognitive and emotional foci in patients with depression vs. anxiety. Transcripts of therapy sessions from 85 outpatients treated with cognitive behavioral therapy were analyzed using the software program Linguistic Inquiry and Word Count. Multivariate group comparisons were carried out investigating the LIWC-categories first-person-singular pronouns, sad, anxiety and fillers. Differences between the three diagnostic groups were found in verbal utterances related to sadness (p = .05). No differences were found for first-person-singular pronouns and content-free fillers. Comparing the distinct groups "depression" and "anxiety", depressed patients used more words related to sadness (p = .01). Mood and anxiety disorders differ in the experience of emotions, but only slightly in self-focused attention. This points to differences in language use for different diagnostic groups and may help to improve diagnostic procedures or language-driven interventions which enhance therapists' attention to patients' verbal behavior.
我们分析了患有情绪或/和焦虑障碍的患者在心理治疗过程中的言语行为。通过研究人们使用的词汇，我们期望在抑郁症和焦虑症患者中因认知和情感焦点的不同而产生差异。使用语言查询和词汇计数软件程序分析了 85 名接受认知行为治疗的门诊患者的治疗会话记录。进行了多元组比较，首先调查了第一人称单数代词、悲伤、焦虑和填充物等 LIWC 类别。在与悲伤相关的言语表达方面，三个诊断组之间存在差异（p =.05）。第一人称单数代词和无内容填充物之间没有差异。将“抑郁”和“焦虑”这两个不同的组进行比较，抑郁患者使用了更多与悲伤相关的词汇（p =.01）。情绪和焦虑障碍在情绪体验上存在差异，但在自我关注方面差异很小。这表明不同的诊断组在语言使用上存在差异，这可能有助于改进诊断程序或语言驱动的干预措施，从而增强治疗师对患者言语行为的关注。
