Institute of Medical Psychology, Center for Psychosocial Medicine, Medical Faculty, Heidelberg University, Heidelberg, Germany.
Center for Psychological Psychotherapy, Heidelberg University, Heidelberg, Germany.
J Integr Complement Med. 2022 Jul;28(7):591-599. doi: 10.1089/jicm.2022.0497. Epub 2022 May 17.
Compassion training seems to be a promising intervention for couples to improve individual psychopathology and relationship quality. Beyond studying the efficacy of training such as Cognitively-Based Compassion Training or ouples (CBCT-), it is important to gain insights into the putative mechanisms along the process. Theoretically derived presumed mechanisms of compassion training (clarification of values, self-regulation, decentering, and exposure) and additional therapeutic factors (emotional bond, social learning, and clarification of meaning) were studied over the course of a 10-session-long group-based CBCT- among women with depressive disorders. Dyadic growth curve models indicated that emotional bond, social learning, and clarification of meaning increase over time in both partners. In decentering and clarification of values, women who suffered from depression showed a larger increase than men, while men had higher values at the start of the training. Women with depression seem to benefit from CBCT- in terms of an increase in decentering and value clarification, important mechanisms of compassion training. This study is the first to show that theoretically derived mechanisms of compassion and additional therapeutic factors can describe the process along secular contemplative training sessions, which are increasingly implemented in the health care system. Future studies should explore the relationship of mechanisms and the outcome along the process of the training. Trial registration number NCT03080025.
共情训练似乎是一种很有前途的干预措施，可以改善夫妻双方的个体精神病理学和关系质量。除了研究认知为基础的共情训练（Cognitively-Based Compassion Training 或 CBCT）等训练的疗效外，了解该过程中的潜在机制也很重要。本研究在为期 10 次的基于小组的 CBCT 中，对女性抑郁障碍患者进行了共情训练的理论推导的假设机制（价值观澄清、自我调节、去中心化和暴露）和其他治疗因素（情感联系、社会学习和意义澄清）进行了研究。对偶增长曲线模型表明，情感联系、社会学习和意义澄清在两个伴侣中都随着时间的推移而增加。在去中心化和价值观澄清方面，患有抑郁症的女性比男性有更大的改善，而男性在培训开始时的价值观更高。患有抑郁症的女性似乎从 CBCT 中受益，表现在去中心化和价值澄清方面有所增加，这是共情训练的重要机制。本研究首次表明，共情的理论推导机制和其他治疗因素可以描述在世俗冥想训练过程中的情况，这种训练在医疗保健系统中越来越多。未来的研究应该探讨机制与训练过程中的结果之间的关系。试验注册号：NCT03080025。
