Spangler D L, Simons A D, Monroe S M, Thase M E
Department of Psychology, University of Oregon, USA.
J Consult Clin Psychol. 1997 Aug;65(4):568-75. doi: 10.1037//0022-006x.65.4.568.
Response to cognitive-behavioral therapy (CBT) for depression is variable and the factors that account for differences in response are not yet well established. Level of cognitive dysfunction and the occurrence of negative life stress have been theorized as patient variables, which may account for differences in response to CBT. The relationship between response to CBT and the interaction of cognitive dysfunction with negative life events was examined in a sample of 53 depressed outpatients. Overall, there was little support for the prediction of a difference in acute outcome between patients with or without pretreatment cognitive dysfunction and negative stressors.
抑郁症认知行为疗法(CBT)的疗效存在差异,导致疗效差异的因素尚未完全明确。认知功能障碍程度和负面生活压力的出现被认为是患者个体变量,可能导致CBT疗效存在差异。在53名门诊抑郁症患者样本中,研究了CBT疗效与认知功能障碍和负面生活事件之间的相互作用。总体而言,几乎没有证据支持预测有或没有治疗前认知功能障碍和负面压力源的患者在急性治疗结果上存在差异。