Wichita State University, Wichita, Kansas, USA
Wichita State University, Wichita, Kansas, USA.
J Cogn Psychother. 2023 Feb 1;37(1):63-81. doi: 10.1891/JCPSY-D-21-00014. Epub 2022 Jun 3.
Process-based cognitive behavior therapy (PB-CBT) may be informed by identifying shared mechanisms of disorder linked to shared processes of therapeutic change. Repetitive negative thinking (RNT) is a molar pathogenic process common to both generalized anxiety disorder and depression. Acceptance and commitment therapy (ACT) and metacognitive therapy (MCT) offer separate models of the relationship between RNT and emotional distress. In a pair of related studies, the relative degree to which processes specific to the two models accounted for variability in levels of generalized anxiety and depression in college student samples was evaluated. Across both studies, processes of cognitive fusion and obstructed valued living within the ACT model and beliefs about the negative consequences of RNT within the MCT model were most predictive of variability in levels of emotional distress. Limitations of this project as well as implications for further research and practice of PB-CBT for disorders of emotional distress are discussed.
基于过程的认知行为疗法（PB-CBT）可以通过确定与治疗变化的共享过程相关的障碍的共享机制来获得信息。重复消极思维（RNT）是广泛性焦虑症和抑郁症共有的一种摩尔发病过程。接受和承诺疗法（ACT）和元认知疗法（MCT）提供了 RNT 与情绪困扰之间关系的两种不同模型。在两项相关研究中，评估了两种模型中特定于每种模型的过程在大学生样本中解释广泛性焦虑和抑郁水平变化的相对程度。在两项研究中，ACT 模型中的认知融合和受阻的有价值的生活过程以及 MCT 模型中关于 RNT 的负面后果的信念，是预测情绪困扰水平变化的最主要因素。讨论了本项目的局限性以及对进一步研究和实践针对情绪困扰障碍的 PB-CBT 的意义。
