Chen Jessica A, Gilmore Amanda K, Wilson Nicole L, Smith Ronald E, Quinn Kevin, Peterson A Paige, Fearey Eliot, Shoda Yuichi
University of Washington, Department of Psychology, Box 351525 Seattle, WA 98195, USA.
Cogn Behav Pract. 2017 May;24(2):226-244. doi: 10.1016/j.cbpra.2016.04.001. Epub 2016 May 8.
The purpose of this paper is to highlight the use of induced affect (IA) and collaborative (therapeutic) assessment (CA) as components of Cognitive-Affective Stress Management Training (CASMT). IA is a technique for rehearsing cognitive and physical relaxationcoping skills under conditions of high affective arousal, which has been shown to result in high levels of coping self-efficacy. CA provides diary-based feedback to clients about the processes underlying theirstress experiences and helps identify affect-arousing experiences to be targeted by IA. We include descriptions of the IA technique and anonline stress and coping daily diary, as well as sample transcripts illustrating how CA is integrated into CASMT and how IA evokes high affective arousal and skills rehearsal. To illustrate idiographic assessment, we also describe threetreatment cases involving female clients between the ages of 20 and 35 with anxiety symptoms who participated in six weeks of CASMT and reported their daily stress and coping experiences (before, during, and following the intervention)for a total of ten weeks. The resulting time series data, analyzed using Simulation Modeling Analysis (SMA), revealed that all clients reported improved negative affect regulation over the course of treatment, yet they exhibited idiographic patterns of change on other outcome and coping skills variables. These results illustrate how IA and CA may be used to enhance emotional self-regulation and how time-series analyses can identify idiographic aspects of treatment response that would not be evident in group data.
本文旨在强调将诱导情感（IA）和协作（治疗性）评估（CA）作为认知-情感压力管理训练（CASMT）的组成部分加以运用。IA是一种在高度情感唤起状态下演练认知和身体放松应对技能的技术，已被证明能带来高水平的应对自我效能感。CA为客户提供基于日记的反馈，内容涉及他们压力体验背后的过程，并有助于识别IA所针对的情感唤起体验。我们包括对IA技术以及一份在线压力与应对日常日记的描述，还有示例文字记录，展示了CA如何融入CASMT以及IA如何引发高度情感唤起和技能演练。为说明个性化评估，我们还描述了三个治疗案例，涉及年龄在20至35岁之间有焦虑症状的女性客户，她们参加了为期六周的CASMT，并报告了自己在总共十周时间里（干预前、干预期间和干预后）的日常压力和应对体验。使用模拟建模分析（SMA）对所得时间序列数据进行分析后发现，所有客户在治疗过程中报告的负面情绪调节能力均有所改善，但在其他结果和应对技能变量上呈现出个性化的变化模式。这些结果说明了IA和CA如何可用于增强情绪自我调节，以及时间序列分析如何能够识别在分组数据中不明显的治疗反应的个性化方面。
