Schmidt M M, Miller W R
Acta Psychiatr Scand. 1983 May;67(5):319-32. doi: 10.1111/j.1600-0447.1983.tb00349.x.
An 8-week multidimensional program of behavioral management, cognitive restructuring, and assertiveness training was administered to depressed outpatients either individually with a single therapist (n = 12), in two small groups (n = 11), or one large group (n = 11), or as bibliotherapy (n = 12). A randomly assigned waiting list control group was also included (n = 10). Follow-up assessments were conducted at 18 weeks. Principal findings were that 1) there were no significant pretreatment differences among groups, 2) all treated groups including bibliotherapy improved substantially over the course of treatment, 3) the waiting list control group was unchanged during this same period, 4) there were no significant differences among treated groups at termination or at follow-up, nor did these groups change significantly over the period of follow-up. Thus the effectiveness of this multidimensional program was supported, but its efficacy was not systematically influenced by amount of therapist contact.
一项为期8周的行为管理、认知重构和自信训练的多维度项目，以个体形式由单一治疗师进行（n = 12），分两个小组进行（n = 11），或一个大组进行（n = 11），或以自助治疗形式进行（n = 12），施用于门诊抑郁症患者。还纳入了一个随机分配的等待名单对照组（n = 10）。在18周时进行随访评估。主要研究结果为：1）各治疗组在治疗前无显著差异；2）包括自助治疗在内的所有治疗组在治疗过程中均有显著改善；3）等待名单对照组在此期间无变化；4）各治疗组在治疗结束时或随访时无显著差异，且在随访期间这些组也无显著变化。因此，该多维度项目的有效性得到了支持，但其疗效并未受到治疗师接触量的系统性影响。
