Clinical psychology & psychotherapy最新文献_第6页

Contexts Matter in ‘a Distress Shared Is a Distress Halved’: A Meta-Analysis of Distress Sharing–Psychological Distress Relations 情境在 "分担的痛苦减半 "中很重要：压力分担与心理压力关系的元分析》（Meta-Analysis of Distress Sharing-Psychological Distress Relations.

IF 3.6 3区心理学 Q2 Psychology

Clinical psychology & psychotherapy

Pub Date : 2024-05-20 DOI: 10.1002/cpp.2999

Sooyeon Kim, Sunkyung Yoon

Can ‘a distress shared is a distress halved’ be universally applied? The relationship between sharing distress with others and individuals' psychological health may oscillate depending on how and where it is shared. This meta-analysis aimed to examine (1) whether the relationship between sharing distress and psychological distress is moderated by the manner of sharing (i.e. general tendency to share distress with others [general distress sharing] vs. ruminatively fixating on the negatives during the sharing [co-rumination]) and (2) cultural context (Eastern vs. Western). A total of 110 effect sizes from 105 studies (91 articles on general distress sharing and 84 articles on co-rumination) were included in the analysis with sharing manner as a moderator. For the cross-cultural analyses, 61 studies were included with 47 studies conducted in Western cultures and 15 studies conducted in Eastern cultures. Whereas generally sharing distress was negatively related to psychological distress, co-rumination showed a positive correlation with psychological distress. Culture significantly moderated co-rumination but not general distress sharing in relation to psychological distress. General distress sharing was consistently associated with decreased psychological distress across cultures. In contrast, co-rumination was related to deleterious psychological health only among Westerners, while Easterners showed a non-significant association with psychological distress. Our results align with the increasing importance of taking contextual factors into account in the field of emotion regulation literature.

与他人分担痛苦就是将痛苦减半 "能否普遍适用？与他人分担痛苦与个人心理健康之间的关系可能会因分担痛苦的方式和地点而摇摆不定。本荟萃分析旨在研究：(1) 与他人分担困扰与心理困扰之间的关系是否会受到分担方式（即与他人分担困扰的一般倾向[一般困扰分担]与在分担过程中专注于负面情绪的反刍[共同反刍]）和(2) 文化背景（东方与西方）的影响。共有来自 105 项研究的 110 个效应大小（91 篇关于一般苦恼分担的文章和 84 篇关于共同发泄的文章）被纳入以分担方式为调节因子的分析中。在跨文化分析中，共纳入了 61 项研究，其中 47 项研究在西方文化中进行，15 项研究在东方文化中进行。一般来说，分享痛苦与心理痛苦呈负相关，而共同辱骂与心理痛苦呈正相关。文化在很大程度上调节了共同倾诉与心理困扰之间的关系，但没有调节一般的困扰分担与心理困扰之间的关系。在不同的文化中，一般苦恼分担始终与心理压力的减少相关。相反，只有西方人的共同倾诉与有害的心理健康有关，而东方人的共同倾诉与心理困扰的关系并不明显。我们的研究结果表明，在情绪调节研究领域，考虑情境因素越来越重要。

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引用次数: 0

A Brief Cognitive Analytic Therapy–Informed Approach for Young People That Have Self-Injured (CATCH-Y): A Case Series 针对自伤青少年的简易认知分析疗法 (CATCH-Y)：病例系列

IF 3.6 3区心理学 Q2 Psychology

Clinical psychology & psychotherapy

Pub Date : 2024-05-17 DOI: 10.1002/cpp.2976

R. Haw, M. Marsden, S. Hartley, C. Turpin, P. J. Taylor

Background

Non-suicidal self-injury (NSSI) presents an increasingly prevalent problem for young people; however, there remains a scarce evidence base for effective, scalable treatments for adolescents. This study aimed to assess the feasibility and acceptability of a brief, cognitive analytic therapy (CAT)–informed intervention for young people who engage in NSSI (CATCH-Y).

Methods

A case series design recruited 13 young people who met the inclusion and exclusion criteria to participate in the five-session intervention. Eligible participants were aged 13–17 years (M = 15.15, SD = 1.28) and had engaged in NSSI at least once in the previous 6 months. Feasibility and acceptability were measured via recruitment, retention, qualitative feedback and missing data. The secondary outcome measures of personal recovery and motivation were administered pre- and post-assessment, with measures of depressive symptoms and urges to self-injure.

Results

The intervention was found to be largely feasible and acceptable with high rates of recruitment, retention and pre-/post-assessment data completeness. Measures showed preliminary support for positive change in rates of NSSI, urges to self-harm, low mood and personal recovery, although results were mixed. Completion rates for remote assessments were low.

Conclusions

The findings of this study support further evaluation of the CATCH-Y intervention on a larger scale. In-person assessments may be preferable to remote to ensure good completion rates.

背景非自杀性自伤（NSSI）在青少年中是一个日益普遍的问题；然而，针对青少年的有效、可扩展的治疗方法的证据基础仍然很少。本研究旨在评估针对 NSSI 青少年的简短认知分析疗法（CAT）干预（CATCH-Y）的可行性和可接受性。方法采用病例系列设计，招募 13 名符合纳入和排除标准的青少年参加为期五节课的干预。符合条件的参与者年龄为 13-17 岁（M = 15.15，SD = 1.28），在过去 6 个月中至少有过一次 NSSI 行为。可行性和可接受性通过招募、保留、定性反馈和缺失数据来衡量。个人康复和动机的次要结果测量是在评估前后进行的，同时还测量了抑郁症状和自我伤害冲动。结果干预措施基本可行且可接受，招募率、保留率和评估前/后数据完整率都很高。测量结果显示，尽管结果参差不齐，但初步支持在非自伤行为、自伤冲动、情绪低落和个人康复方面出现积极变化。远程评估的完成率较低。结论本研究的结果支持对 CATCH-Y 干预进行更大规模的进一步评估。为确保良好的完成率，面对面评估可能比远程评估更可取。

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引用次数: 0

Correction to ‘Development and Validation of a Short Version of the Questionnaire of Stressful Life Events (QSLE)’ Butjosa, A., Usall, J., Vila-Badia, R., Del Cacho, N., Gómez-Benito, J., Barajas, A., Banos, I., Grau, N., Granell, L., Sola, A., Hami-Carlson, J., Dolz, M., Sanchez, B., GENIPE group, & Ochoa, S. (2023). Development and validation of a short version of the questionnaire of stressful life events (QSLE). Clinical Psychology & Psychotherapy, 30(6), 1464–1470. https://doi.org/10.1002/cpp.2886. 生活压力事件问卷（QSLE）简易版的开发与验证 "的更正 Butjosa, A., Usall, J., Vila-Badia, R.、 Del Cacho, N., Gómez-Benito, J., Barajas, A., Banos, I., Grau, N., Granell, L., Sola, A., Hami-Carlson, J., Dolz, M., Sanchez, B., GENIPE group, & Ochoa, S. (2023). 生活压力事件调查问卷（QSLE）简版的开发与验证》。临床心理学与心理治疗》，30（6），1464-1470。https://doi.org/10.1002/cpp.2886。

IF 3.6 3区心理学 Q2 Psychology

Clinical psychology & psychotherapy

Pub Date : 2024-05-17 DOI: 10.1002/cpp.2994

引用次数: 0

Emotional Regulation as a Transdiagnostic Process of Emotional Disorders in Therapy: A Systematic Review and Meta-Analysis 情绪调节是治疗情绪失调的跨诊断过程：系统回顾与元分析》。

IF 3.6 3区心理学 Q2 Psychology

Clinical psychology & psychotherapy

Pub Date : 2024-05-15 DOI: 10.1002/cpp.2997

Celia Antuña-Camblor, Francisco J. Gómez-Salas, Francisco A. Burgos-Julián, Anabel González-Vázquez, Joel Juarros-Basterretxea, Francisco Javier Rodríguez-Díaz

Context

Several studies have shown that emotional regulation (ER) is a transdiagnostic construct of emotional disorders. Therefore, if therapy improves ER, it would improve psychological distress.

Objective

This review assesses and compares the changes in ER due to psychological treatment in different therapies.

Methods

A systematic review and meta-analysis of RCTs published in the databases PubMed, PsycINFO and Web of Science was performed. It was registered in PROSPERO under the number CRD42023387317. Two independent experts in the field reviewed the articles.

Results

A total of 18 articles met the criteria for inclusion in the review. Analysis of these studies suggests that in unified protocol (UP), cognitive behaviour therapy, dialectical behaviour therapy (DBT) and mindfulness, there is evidence to support that a moderate effect occurs during treatment. Furthermore, in mindfulness and DBT, the effect was moderate in the follow-up period, while in UP, it was high.

Limitations

Given the heterogeneity of the applied interventions and the methodological limitations found in the reviewed trials, the results should be interpreted with caution.

Conclusions

UP, cognitive behaviour therapy, DBT and mindfulness can improve ER after therapy, while UP, DBT and mindfulness in the follow-up period. Other therapies, such as SKY or Flotation REST, require more research.

背景：多项研究表明，情绪调节（ER）是情绪障碍的一种跨诊断结构。因此，如果治疗能改善情绪调节，就能改善心理困扰：本综述评估并比较了不同疗法中心理治疗对情绪调节的影响：方法：对发表在 PubMed、PsycINFO 和 Web of Science 数据库中的 RCT 进行了系统回顾和荟萃分析。该研究已在 PROSPERO 登记，编号为 CRD42023387317。两位该领域的独立专家对文章进行了审阅：共有 18 篇文章符合纳入综述的标准。对这些研究的分析表明，在统一方案（UP）、认知行为疗法、辩证行为疗法（DBT）和正念疗法中，有证据支持在治疗过程中会产生适度的效果。此外，正念疗法和辩证行为疗法在随访期间的效果一般，而统一方案的效果较高：鉴于所采用干预措施的异质性以及所审查试验在方法上的局限性，在解释结果时应谨慎：UP、认知行为疗法、DBT和正念可以在治疗后改善ER，而UP、DBT和正念则可以在随访期间改善ER。其他疗法，如 SKY 或 Flotation REST，还需要更多的研究。

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引用次数: 0

Emotion Regulation and Mentalization in Patients With Depression and Anxiety 抑郁症和焦虑症患者的情绪调节和心智化。

IF 3.6 3区心理学 Q2 Psychology

Clinical psychology & psychotherapy

Pub Date : 2024-05-09 DOI: 10.1002/cpp.2995

Anne Bryde Christensen, Stig Poulsen, Trine Munk Højberg, Stine Bech Jessen, Nina Reinholt, Morten Hvenegaard, Anita Eskildsen, Mikkel Arendt, Sidse Arnfred

Objective

Theoretical conceptualizations of emotion and affect regulation have a considerable common ground. However, mentalization theory considers the ability to regulate affects as being contingent on the ability to mentalize. The aim of the present study is to examine the association between emotion regulation and mentalization, operationalized as reflective functioning, in a sample of patients with depression and/or anxiety.

Methods

The study used data from the TRAns-diagnostic Cognitive behavioural Therapy versus standard cognitive behavioural therapy (TRACT-RCT) trial. Patients with depression and/or anxiety (N = 291; 64.4% female; M_age = 32.2; SD = 11.0) completed the Emotion Regulation Strategies Questionnaire (ERSQ) and the Reflective Functioning Questionnaire (RFQ-6). Correlation and regression analyses were performed to determine associations of the measures of ERSQ and RFQ-6 in relation to the outcome variables, global well-being (World Health Organization Well-being Index; WHO-5) and social functioning (Work and Social Adjustment Scale; WSAS).

Results

Overall, the patients had a reduced level of emotion regulation (M_{ERSQ_Total} = 1.77; SD = 0.59). However, only mildly impaired reflective functioning was found (M_RFQ-6 = 3.57; SD = 1.26). ERSQ correlated significantly with RFQ-6 (r = −0.31), that is, more frequent use of emotion regulation strategies was associated with less hypomentalization. ERSQ was a stronger predictor of well-being and social function than RFQ-6.

Conclusion

In patients with anxiety and/or depression, hypomentalization as measured by the RFQ-6 is not a major problem, but emotion regulation is. It seems that these two, theoretically related constructs, do not necessarily co-occur. Alternatively, the RFQ-6 scale might not capture the mentalization construct in a valid way. Emotion regulation strategies are highly related to symptomatology; therefore, they are likely to be an important target for psychotherapy.

目的：情绪和情感调节的理论概念有相当多的共同点。然而，心智化理论认为情绪调节能力取决于心智化能力。本研究旨在对抑郁症和/或焦虑症患者样本中的情绪调节与心智化（操作化为反思功能）之间的关联进行研究：本研究使用了TRAns诊断认知行为疗法与标准认知行为疗法（TRACT-RCT）试验的数据。抑郁症和/或焦虑症患者（N = 291；64.4%为女性；Mage = 32.2；SD = 11.0）填写了情绪调节策略问卷（ERSQ）和反思功能问卷（RFQ-6）。研究人员对ERSQ和RFQ-6的测量结果进行了相关性和回归分析，以确定它们与结果变量--全球幸福感（世界卫生组织幸福指数；WHO-5）和社会功能（工作和社会适应量表；WSAS）--的关系：结果：总体而言，患者的情绪调节能力下降（MERSQ_Total = 1.77; SD = 0.59）。然而，患者的反思功能只有轻度受损（MRFQ-6 = 3.57; SD = 1.26）。ERSQ与RFQ-6有明显的相关性（r = -0.31），也就是说，更频繁地使用情绪调节策略与较少的低意念化有关。与 RFQ-6 相比，ERSQ 对幸福感和社会功能的预测作用更强：结论：在焦虑症和/或抑郁症患者中，RFQ-6 测定的意念减退不是主要问题，但情绪调节却是。看来，这两个理论上相关的概念并不一定同时存在。或者说，RFQ-6 量表可能并没有以有效的方式捕捉到心智化结构。情绪调节策略与症状学高度相关，因此很可能成为心理治疗的重要目标。

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引用次数: 0

Imagery-Focused Therapy for Visual Hallucinations: A Case Series 视觉幻觉的意象聚焦疗法：病例系列。

IF 3.6 3区心理学 Q2 Psychology

Clinical psychology & psychotherapy

Pub Date : 2024-05-09 DOI: 10.1002/cpp.2993

Georgie Paulik, Christopher D. J. Taylor

Introduction

Visual hallucinations (VH) are more common than previously thought and are linked to higher levels of distress and disability in people with a psychotic illness. Despite this, scant attention has been given to VHs in the clinical literature, and the few therapy case series of cognitive behavioural therapy (CBT) published to date have not demonstrated reliable change. In other areas of clinical research, problematic mental imagery has been found to be more strongly related to negative affect in psychological disorders than negative linguistic thinking, and imagery focused techniques have commonly been found to improve the outcomes in CBT trials. Given VHs have many similarities with visual mental imagery and many of the distressing beliefs associated with VHs targeted in CBT are maintained by accompanying mental imagery (i.e., imaging a hallucinated figure attacking them), it seems plausible that an imagery-focused approach to treating VHs may be most effective.

Methods

The current study is a multiple baseline case series (N = 11) of a 10-session imagery-focused therapy for VH in a transdiagnostic sample.

Results

The study had good attendance and feedback, no adverse events and only one [seemly unrelated] drop-out, suggesting good feasibility, safety and acceptability. The majority of clients reported reduction on both full-scale measures (administered at 3 baselines, midtherapy, posttherapy and 3-month follow-up) and weekly measures of VH severity and distress, ranging from medium to large effect sizes.

Conclusions

The case series suggests that an imagery-focused approach to treating VHs may be beneficial, with a recommendation for more rigorous clinical trials to follow.

简介视幻觉（VH）比以前想象的更为常见，它与精神病患者更高的痛苦和残疾程度有关。尽管如此，临床文献中对视幻觉的关注却很少，迄今为止发表的认知行为疗法（CBT）的少数治疗病例系列也未显示出可靠的改变。在其他领域的临床研究中，有问题的心理想象比消极的语言思维与心理障碍中的消极情绪有更密切的关系，以想象为重点的技术通常被认为可以改善 CBT 试验的结果。鉴于VHs与视觉心理想象有许多相似之处，而且CBT所针对的许多与VHs相关的痛苦信念都是通过伴随的心理想象（即想象一个幻觉人物攻击他们）来维持的，因此以想象为重点的方法来治疗VHs可能是最有效的：本研究是一项多基线病例系列研究（N = 11），在跨诊断样本中对 VH 进行了为期 10 次的以意象为重点的治疗：该研究的出勤率和反馈情况良好，无不良事件发生，仅有一人[似乎与此无关]退出，这表明该疗法具有良好的可行性、安全性和可接受性。大多数客户报告说，他们在全面测量（3 次基线测量、治疗中期测量、治疗后测量和 3 个月随访测量）和每周测量 VH 严重程度和痛苦程度方面都有所减轻，效果大小从中等到较大不等：该系列病例表明，以意象为重点的方法可能对治疗颅内高压有益，建议随后进行更严格的临床试验。

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引用次数: 0

Psychological Group Interventions for Reducing Distress Symptoms in Healthcare Workers: A Systematic Review 减少医护人员压力症状的心理团体干预：系统回顾

IF 3.6 3区心理学 Q2 Psychology

Clinical psychology & psychotherapy

Pub Date : 2024-05-05 DOI: 10.1002/cpp.2980

Sandra Sanz, Carmen Valiente, Regina Espinosa, Almudena Trucharte

Healthcare workers exposed to emergencies and chronic stressors are at high risk of developing mental health problems. This review synthesized existing studies of group psychological therapy to reduce distress symptoms in healthcare workers (i.e., as complex and heterogeneous emotional states, characterized by the presence of symptoms associated with post-traumatic stress disorder, burnout, anxiety, depression and moral injury). Searches were conducted using PRISMA guidelines and databases such as PubMed, PsycINFO, Medline and Web of Science, along with manual searches of reference lists of relevant articles. The search returned a total of 1071 randomized trials, of which 23 met the inclusion criteria. Of the total studies, nine were mindfulness interventions, seven were cognitive behavioural programmes, one was a programme based on acceptance and commitment therapy, one was an EMDR protocol and two focused on systemic and art therapy. Most studies aimed to reduce burnout, anxiety and depression; only three focused on post-traumatic stress disorder, and no studies were found that addressed moral injury. The results suggested that group interventions could be an effective tool to improve the mental health of healthcare workers and reduce their symptoms of distress, although many of the studies have methodological deficiencies. Limitations and future directions are discussed.

医护人员面临突发事件和长期压力，极有可能出现心理健康问题。本综述综合了现有的关于团体心理疗法减轻医护人员痛苦症状的研究（即复杂而多变的情绪状态，其特点是存在与创伤后应激障碍、职业倦怠、焦虑、抑郁和精神伤害相关的症状）。检索采用了 PRISMA 准则和 PubMed、PsycINFO、Medline 和 Web of Science 等数据库，并对相关文章的参考文献列表进行了人工检索。搜索共检索到 1071 项随机试验，其中 23 项符合纳入标准。在所有研究中，有九项是正念干预，七项是认知行为方案，一项是基于接受和承诺疗法的方案，一项是 EMDR 方案，两项侧重于系统疗法和艺术疗法。大多数研究旨在减少职业倦怠、焦虑和抑郁；只有三项研究侧重于创伤后应激障碍，没有发现针对精神伤害的研究。研究结果表明，尽管许多研究在方法上存在缺陷，但团体干预可以成为改善医护人员心理健康和减轻其痛苦症状的有效工具。本文讨论了研究的局限性和未来发展方向。

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引用次数: 0

A Self-Reported Study on Explanatory Variables of Stress in Multiple Sclerosis Patients: Exploring the Effect of Physical Conditions and Emotion Regulation Processes 多发性硬化症患者压力解释变量的自述研究：探索身体状况和情绪调节过程的影响

IF 3.6 3区心理学 Q2 Psychology

Clinical psychology & psychotherapy

Pub Date : 2024-05-05 DOI: 10.1002/cpp.2992

Teresa Carvalho, Andreia Sousa-Mendes, Luís Benedito, Carolina Gomes, Carolina da Motta

Background

Multiple sclerosis (MS)-linked stress is frequent, multidetermined and facilitates the onset/exacerbation of MS. However, few explanatory models of stress analysed the joint explanatory effect of emotion regulation and clinical outcomes of MS in those patients.

Objective

This study explored whether self-reported MS-related conditions (number of relapses, fatigue and global disability) and specific emotion regulation processes (experiential avoidance and self-compassion) explain stress symptoms in MS patients.

Methods

The MS sample comprised 101 patients with MS diagnosis receiving treatment in hospitals and recruited through the Portuguese MS Society. The no-MS sample included 134 age-, sex- and years of education-matched adults without MS recruited from the general Portuguese population. Both samples did not report other neurological disorders. Data were collected using self-response measures.

Results

All potential explanatory variables differed significantly between samples, with higher scores found in MS patients. In MS clinical sample, those variables and years of education correlated with stress symptoms and predicted stress symptoms in simple linear regression models. These results allowed their selection as covariates in a multiple linear regression model. Years of education, the number of relapses, fatigue and experiential avoidance significantly predicted 51% of stress symptoms' total variance.

Conclusions

This study provides preliminary evidence on the importance of clinicians and researchers considering the simultaneous contribution of years of education, the number of perceived relapses, fatigue and experiential avoidance as factors that can increase vulnerability to stress in MS patients. Psychological intervention programmes that tackle these factors and associated stress symptomatology should be implemented.

背景与多发性硬化症（MS）相关的压力是一种常见的、多因素的压力，并会促进多发性硬化症的发病/加重。然而，很少有压力解释模型分析多发性硬化症患者情绪调节和临床结果的共同解释作用。目的本研究探讨了自我报告的多发性硬化症相关情况（复发次数、疲劳和全身残疾）和特定情绪调节过程（体验性回避和自我同情）是否能解释多发性硬化症患者的压力症状。方法多发性硬化症样本包括通过葡萄牙多发性硬化症协会招募的 101 名在医院接受治疗的多发性硬化症患者。非多发性硬化症样本包括从葡萄牙普通人群中招募的 134 名年龄、性别和受教育年限匹配的非多发性硬化症成人。两个样本均未报告其他神经系统疾病。数据收集采用自应答方法。结果所有潜在的解释变量在样本之间都有显著差异，多发性硬化症患者的得分更高。在多发性硬化症临床样本中，这些变量和受教育年限与压力症状相关，并在简单线性回归模型中预测压力症状。这些结果允许在多元线性回归模型中选择它们作为协变量。教育年限、复发次数、疲劳和经验性回避显著预测了应激症状总方差的 51%。结论本研究提供了初步证据，说明临床医生和研究人员同时考虑教育年限、感知到的复发次数、疲劳和经验回避等因素的重要性，这些因素可能会增加多发性硬化症患者的应激易感性。应实施针对这些因素和相关压力症状的心理干预计划。

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引用次数: 0

Assessment of Voice Content for Voice Hearers: Psychometric Evaluation of the Perth Voice Content Questionnaire 评估听音者的语音内容：珀斯语音内容问卷的心理计量评估

IF 3.6 3区心理学 Q2 Psychology

Clinical psychology & psychotherapy

Pub Date : 2024-05-05 DOI: 10.1002/cpp.2991

Erica Salt, Petra Skeffington, Caitlin Reddyhough, Georgie Paulik

The experience of hearing voices is common to an estimated 7% of the general population, with the presence of negative content being the best predictor of whether individuals will require clinical support. Whilst largely neglected in the literature to date, there are calls to consider the significance of voice content for reducing voice-related distress. However, no quantitative and comprehensive measure of voice content with suitability for research and clinical use exists. This pilot study aimed to demonstrate preliminary psychometric properties of a newly developed measure, the Perth Voice Content Questionnaire (PVCQ), designed to measure the intensity and themes of positively and negatively valenced voice content, primarily of the dominant voice. The PVCQ and measures of voice severity and related beliefs were completed by 47 voice-hearing participants. The measure was found to be internally consistent, loaded onto two distinct factors of positive and negative content, and these factors were associated with voice-related distress and negative beliefs about voices and positive beliefs about voices, respectively, indicating good validity. The PVCQ offers the first self-report measure of voice content, with preliminary psychometric properties indicating its suitability for clinical and research use.

据估计，7% 的普通人群都会有幻听的经历，而负面内容的出现则是个人是否需要临床支持的最佳预测指标。迄今为止，虽然大部分文献都忽视了这一点，但仍有学者呼吁考虑声音内容对减少声音相关困扰的重要性。然而，目前还没有适合研究和临床使用的语音内容量化综合测量方法。本试验研究旨在展示新开发的测量方法--珀斯嗓音内容问卷（PVCQ）的初步心理测量特性，该方法旨在测量积极和消极嗓音内容的强度和主题，主要是主导嗓音的强度和主题。47 名嗓音听力参与者完成了 PVCQ 以及嗓音严重程度和相关信念的测量。结果表明，该量表具有内部一致性，包含积极和消极内容的两个不同因子，这些因子分别与嗓音相关困扰、对嗓音的消极信念和对嗓音的积极信念相关，表明该量表具有良好的有效性。PVCQ是首个自我报告嗓音内容的测量方法，其初步的心理测量特性表明它适合临床和研究使用。

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引用次数: 0

Goal-Directed Treatment of Patients With Anxiety and Mood Disorders in a Regular Curative Mental Health Care Setting 在常规治疗性精神保健机构中对焦虑症和情绪障碍患者进行目标导向治疗

IF 3.6 3区心理学 Q2 Psychology

Clinical psychology & psychotherapy

Pub Date : 2024-05-05 DOI: 10.1002/cpp.2984

Paulette Regina van Santen-Bauer, Edwin de Beurs, Mathijs Deen, Kees Korrelboom, Colin van der Heiden

This study examined whether goal-directed treatment leads to improved treatment outcomes for patients with a primary mood or anxiety disorder and whether beneficial outcomes are achieved sooner compared to treatment as usual. In a quasi-experimental controlled study with a nested design, 17 therapists received training in goal-directed treatment and treated 105 patients with anxiety or mood disorders using principles of goal-directed treatment. Treatment results on a generic self-report instrument were compared with two control groups: a historical control group consisting of 16 of the 17 participating therapists, who provided treatment as usual to 97 patients before having received training in goal-directed treatment, and a parallel control group consisting of various therapists, who provided treatment as usual to 105 patients. Symptom reduction on a self-report measure was compared using multilevel analysis. A survival analysis was performed to assess whether a satisfactory end state had been reached sooner after goal-directed treatment. The results of this study show that goal-directed treatment only led to a significantly better overall treatment outcome compared to the parallel treatment as usual group. Furthermore, goal-directed treatment was significantly shorter than both treatment as usual groups. In conclusion, this research suggest that goal-directed treatment led to a similar or better treatment outcome in a shorter amount of time.

本研究探讨了目标导向疗法是否能改善原发性情绪或焦虑障碍患者的治疗效果，以及与常规治疗相比，是否能更快地取得有益效果。在一项采用嵌套设计的准实验对照研究中，17 名治疗师接受了目标导向治疗培训，并运用目标导向治疗原则治疗了 105 名焦虑症或情绪障碍患者。研究人员将通用自我报告工具的治疗结果与两个对照组进行了比较：一个是历史对照组，由 17 名参与研究的治疗师中的 16 人组成，他们在接受目标导向治疗培训之前为 97 名患者提供了常规治疗；另一个是平行对照组，由不同的治疗师组成，他们为 105 名患者提供了常规治疗。通过多层次分析比较了自我报告测量的症状减轻情况。研究还进行了生存分析，以评估目标导向治疗后是否能更快达到满意的最终状态。研究结果表明，与平行的常规治疗组相比，目标导向治疗的总体治疗效果明显更好。此外，目标引导治疗组的治疗时间明显短于常规治疗组。总之，这项研究表明，目标导向治疗能在更短的时间内取得相似或更好的治疗效果。

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引用次数: 0