Between- and within-person effects of affective experiences on coping in CBT: Direct effects and interplay with therapeutic alliance and resource activation.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Research Pub Date : 2024-11-01 Epub Date: 2023-11-03 DOI:10.1080/10503307.2023.2277290

Nicolas Wrede, Nils F Töpfer, Gabriele Wilz

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Abstract

Objective: The role of affective experiences (AE) in cognitive-behavioral therapy (CBT) has rarely been investigated. We examined between- and within-person effects of AE on coping in CBT for family caregivers and interactions with therapeutic alliance and resource activation.

Methods: 67 family caregivers rated AE, therapeutic alliance, resource activation, and coping after each of 12 sessions of telephone-based CBT. We examined direct session-to-session effects of AE on coping in structural equation modeling and interactions of AE with therapeutic alliance and resource activation in multilevel models.

Results: AE did not directly predict coping. Instead, within-person effects of AE interacted with simultaneous within-person emotional bond. Given strong emotional bond, AE positively predicted coping, whereas given weak emotional bond, AE negatively predicted coping. Further, cross-level interactions of between-person AE and within-person agreement on collaboration and resource activation indicated that these positively predicted coping only in dyads with high between-person AE.

Conclusion: AE may enhance coping when complemented with strong emotional bond. Further, within-person effects of agreement on collaboration and resource activation seem to rely on a certain degree of between-person AE. Results are discussed in relation to current findings on emotional processing in CBT.

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CBT中情感体验对应对的人际影响：与治疗联盟和资源激活的直接影响和相互作用。

目的：情感体验（AE）在认知行为治疗（CBT）中的作用很少被研究。我们研究了AE对家庭照顾者应对CBT的人际和内部影响，以及与治疗联盟和资源激活的互动。方法：67名家庭护理人员在12次基于电话的CBT后分别对AE、治疗联盟、资源激活和应对进行评分。我们在结构方程模型中研究了AE对应对的直接会话间影响，以及在多层次模型中AE与治疗联盟和资源激活的相互作用。结果：不良事件不能直接预测应对能力。相反，AE的人内效应与同时发生的人内情感纽带相互作用。在情感纽带较强的情况下，AE积极预测应对，而在情感纽带较弱的情况下则消极预测应对。此外，人与人之间的AE和人与人在协作和资源激活方面的一致性的跨层面互动表明，只有在人与人间AE较高的二人组中，这些交互作用才能积极预测应对。此外，协议对协作和资源激活的人内效应似乎在一定程度上依赖于人与人之间的AE。结果与CBT中情绪处理的当前发现有关。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.