Hoet Ariana C, Burgin Chris J, Eddington Kari M, Silvia Paul J
University of North Carolina at Greensboro; Greensboro, North Carolina.
Tennessee Technological University; Cookeville, Tennessee.
Cognit Ther Res. 2018 Apr;42(2):184-192. Epub 2017 Apr 13.
Previous studies have shown that the use of therapy skills in between sessions is an important mechanism of symptom improvement. The current study expands this line of research by using a diary approach to examine the use of therapy skills in daily life. A sample of 39 depressed adults (85% female, mean age 38) were signaled twice per week throughout the course of either cognitive-behavioral therapy (CBT) or self-system therapy (SST). Results showed that, on days when participants reported greater use of therapy skills, they reported better mood and functioning in almost all domains. Additionally, participants in CBT reported greater use of cognitive skills while participants in SST reported greater use of self-regulatory skills. This study demonstrates that repeated assessments of daily events and experiences, which prevent retrospective reporting biases, further confirm the importance of therapy skill use as a mechanism of action in psychotherapy.
以往的研究表明，在治疗期间运用治疗技巧是症状改善的重要机制。本研究通过采用日记法来考察日常生活中治疗技巧的运用，拓展了这一研究方向。39名成年抑郁症患者（85%为女性，平均年龄38岁）参与了研究，他们在认知行为疗法（CBT）或自我系统疗法（SST）治疗过程中每周被提醒两次。结果显示，在参与者报告更多运用治疗技巧的日子里，他们在几乎所有领域的情绪和功能状况都更好。此外，接受CBT治疗的参与者报告更多运用认知技巧，而接受SST治疗的参与者报告更多运用自我调节技巧。本研究表明，对日常事件和经历进行反复评估可避免回顾性报告偏差，进一步证实了运用治疗技巧作为心理治疗作用机制的重要性。
