Research Institute, Modum Bad Psychiatric Center.
Department of Psychology, University of Oslo.
J Consult Clin Psychol. 2022 Apr;90(4):289-302. doi: 10.1037/ccp0000728.
The aim of this naturalistic process study was to investigate the relationship between emotional clarity and tolerance of emotional distress and depressive symptoms over the course of short-term psychodynamic psychotherapy for chronically depressed patients.
Weekly self-reports of emotional clarity, tolerance of emotional distress, and depressive symptoms (PHQ-9) were provided by 252 patients with chronic depression who were admitted to a 13-week inpatient treatment program. Latent curve modeling with structured residuals (LCM-SR) was applied to investigate the between- and within-person effects of week-to-week change in emotional clarity and tolerance of emotional distress as predictors of subsequent depression. The relationship between emotional clarity and tolerance of emotional distress was also investigated.
At the within-person level, higher level of emotional clarity and tolerance of emotional distress predicted subsequent lower level of depression. A reciprocal relationship was found for tolerance of emotional distress (lower level of depression predicted subsequent level of tolerance emotional distress) but not for emotional clarity. No within-person effect between emotional clarity and tolerance of emotional distress was found.
The results indicate that emotional clarity and tolerance of emotional distress may be mechanisms of change in short-term psychodynamic psychotherapy for chronic depression. The results are consistent with previous findings of the importance of emotional clarity and tolerance of emotional distress in psychotherapy. This study demonstrated the utility of LCM-SR as a method to identity mechanisms of change in psychotherapy. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
本自然主义过程研究旨在探讨情绪清晰度和对情绪困扰的容忍度与慢性抑郁患者短期心理动力学治疗过程中抑郁症状之间的关系。
252 名慢性抑郁症患者在接受为期 13 周的住院治疗计划期间，每周报告一次情绪清晰度、对情绪困扰的容忍度和抑郁症状（PHQ-9）。采用结构残差的潜在曲线建模（LCM-SR）来研究情绪清晰度和对情绪困扰的容忍度每周变化作为后续抑郁预测指标的个体间和个体内效应。还研究了情绪清晰度和对情绪困扰的容忍度之间的关系。
在个体内水平上，较高的情绪清晰度和对情绪困扰的容忍度预测随后较低的抑郁水平。对情绪困扰的容忍度（较低的抑郁水平预测随后的情绪困扰容忍度）存在互惠关系，但情绪清晰度不存在。在情绪清晰度和对情绪困扰的容忍度之间没有发现个体内效应。
结果表明，情绪清晰度和对情绪困扰的容忍度可能是短期心理动力学治疗慢性抑郁的变化机制。这些结果与情绪清晰度和对情绪困扰的容忍度在心理治疗中的重要性的先前发现一致。本研究证明了 LCM-SR 作为识别心理治疗变化机制的方法的效用。
