Department of Psychology, University of California, Berkeley, United States.
Department of Psychology, University of California, Berkeley, United States.
Behav Res Ther. 2019 May;116:80-89. doi: 10.1016/j.brat.2019.02.006. Epub 2019 Mar 1.
Patient memory for treatment is poor and associated with worse outcome. The Memory Support Intervention was designed to improve outcome by enhancing patient memory for treatment. Half of the strategies comprising the Memory Support Intervention (termed constructive memory support strategies) involve therapists inviting patients to construct new ideas, inferences, or connections related to treatment material that go beyond information already presented by therapists. This study investigated the relationship between patient responses to therapist use of constructive memory support strategies and patient recall of treatment contents. Therapist uses of constructive memory support strategies were coded from sessions recorded during a pilot trial of the Memory Support Intervention in the context of cognitive therapy for depression (n = 44 patients). Patients who successfully constructed new ideas, inferences, or connections (termed patient constructive learning behavior) in response to therapist use of constructive memory support strategies showed greater recall of treatment contents. Mediation analyses provided some evidence that patient constructive learning behavior may be a mechanism through which the Memory Support Intervention results in enhanced patient memory. Results highlight patient constructive learning behavior as a potential pathway for improving patient memory for treatment.
患者对治疗的记忆很差，且与较差的治疗结果相关。记忆支持干预旨在通过增强患者对治疗的记忆来改善治疗结果。记忆支持干预措施包括一半的策略（称为建设性记忆支持策略），涉及治疗师邀请患者构建与治疗材料相关的新想法、推断或联系，这些新想法、推断或联系超出了治疗师已经提供的信息。本研究调查了患者对治疗师使用建设性记忆支持策略的反应与患者对治疗内容的回忆之间的关系。在认知疗法治疗抑郁症的记忆支持干预试验（n=44 名患者）中，从记录的会议中对治疗师使用建设性记忆支持策略进行了编码。患者对治疗师使用建设性记忆支持策略做出构建新想法、推断或联系的反应（称为患者建设性学习行为），表明对治疗内容的回忆更多。中介分析提供了一些证据，表明患者建设性学习行为可能是记忆支持干预导致患者记忆增强的机制。研究结果强调了患者建设性学习行为作为改善患者对治疗记忆的潜在途径。
