Piccirilli Amanda M, Pos Alberta Eveline
Department of Psychology, York University, Toronto, Ontario, Canada.
Psychother Res. 2023 Feb;33(2):198-210. doi: 10.1080/10503307.2022.2076628. Epub 2022 May 20.
This study tested whether emotion-focused therapy's (EFT) emotion processing theory serves as a predictor of 18-month post-therapy outcomes for major depressive disorder (MDD), independent of experiential therapy received. We examined sequences of emotion episodes using the THEME™ sequential analysis of emotional processing in 55 clients who provided 18-month post-therapy Beck Depression Inventory reports after receiving experiential treatment in the York I and II trials, either emotion-focused or client-centered therapy. Archival Classification of Affective Meaning States (CAMS) ratings of emotion episodes of clients' working-phase sessions were analyzed using THEME™ sequential analyses of emotions coded during emotion episodes. According to THEME™, poor outcome clients (Beck Depression Inventory at 18 months ≥ 10) expressed more emotion episode sequences containing secondary, or self-protective emotions, than good outcome clients. Good outcome clients expressed more emotion sequences with needs, hurt/grief, and assertive anger than poor outcome clients. EFT sequential emotional processing theory appears to offer good basic assumptions for experiential long-term therapy outcomes after receiving therapy for MDD. Generalization of the theory for other treatments is desired.
本研究检验了情绪聚焦疗法（EFT）的情绪加工理论是否可作为重度抑郁症（MDD）治疗后18个月疗效的预测指标，且不受所接受的体验性疗法的影响。我们使用THEME™情绪加工序列分析方法，对55名患者的情绪发作序列进行了研究。这些患者在约克I期和II期试验中接受了体验性治疗（情绪聚焦疗法或来访者中心疗法），并提供了治疗后18个月的贝克抑郁量表报告。使用THEME™对患者工作阶段情绪发作的情感意义状态档案分类（CAMS）评分进行分析，这些评分是对情绪发作期间编码的情绪进行的。根据THEME™，疗效不佳的患者（18个月时贝克抑郁量表得分≥10）比疗效良好的患者表现出更多包含次生或自我保护情绪的情绪发作序列。疗效良好的患者比疗效不佳的患者表现出更多带有需求、伤害/悲伤和 assertive anger（此处可能有误，应为assertive anger，可译为“坚定的愤怒”）的情绪序列。EFT序列情绪加工理论似乎为MDD治疗后的体验性长期治疗效果提供了良好的基本假设。希望该理论能推广到其他治疗方法中。
