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Twelve-month follow-up: Comparative efficacy of cognitive therapy, behavior therapy, and cognitive behavior therapy for patients with insomnia. 12个月随访:认知疗法、行为疗法和认知行为疗法对失眠患者的疗效比较。
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-10-01 Epub Date: 2023-02-23 DOI: 10.1037/ccp0000802
Laurel D Sarfan, Charles M Morin, Allison G Harvey

Objective: Treatments that alleviate insomnia over the long term are critical. We evaluated the relative long-term efficacy of cognitive therapy (CT), behavior therapy (BT), and cognitive behavior therapy (CBT) for insomnia.

Method: Patients (N = 188, 62.2% female, 81.1% White, 6.5% Hispanic or Latinx, Mage = 47.4 years) with insomnia were randomized to eight sessions of CT, BT, or CBT for insomnia. Assessments at pretreatment and 12-month follow-up measured insomnia severity, insomnia response/remission, sleep diary parameters, and daytime functioning.

Results: Patients in all three treatment groups improved on insomnia severity, sleep onset latency, wake after sleep onset, total sleep time, sleep efficiency, work and social adjustment, and mental health (ps < .05). Moreover, in each treatment group, a substantial proportion of patients achieved remission and response. CBT was associated with larger improvements in insomnia severity relative to CT as well as greater remission and improvements in physical health, relative to CT and BT (ps < .05). For patients with a psychiatric comorbidity, CBT was associated with greater improvements in work and social adjustment and mental health, relative to CT (ps < 0.05). CT was not associated with change in time in bed, and none of the treatment conditions were associated with change in daytime fatigue (ps > .05).

Conclusions: These encouraging results suggest that therapists may be able to offer CBT, BT, or CT to improve nighttime and daytime symptoms of insomnia over the long-term, with CBT offering a relative advantage for select outcomes and subgroups. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

目的:长期治疗失眠至关重要。我们评估了认知疗法(CT)、行为疗法(BT)和认知行为疗法(CBT)治疗失眠的相对长期疗效。方法:将患有失眠的患者(N=188,女性62.2%,白人81.1%,西班牙裔或拉丁裔6.5%,Mage=47.4岁)随机分为八组,分别接受CT、BT或CBT治疗。预处理和12个月随访的评估测量了失眠的严重程度、失眠反应/缓解、睡眠日记参数和日间功能。结果:三个治疗组的患者在失眠严重程度、睡眠开始潜伏期、睡眠开始后醒来、总睡眠时间、睡眠效率、工作和社会适应以及心理健康方面都有所改善(ps<.05)。此外,在每个治疗组中,相当大比例的患者都获得了缓解和缓解。与CT相比,CBT与失眠严重程度的更大改善以及与CT和BT相比,身体健康的更大缓解和改善相关(ps<.05)。对于患有精神病合并症的患者,与CT相比(ps<0.05),CBT在工作、社会适应和心理健康方面有更大改善。CT与卧床时间的变化无关,结论:这些令人鼓舞的结果表明,治疗师可能能够长期提供CBT、BT或CT来改善夜间和日间失眠症状,CBT在选择结果和亚组方面具有相对优势。(PsycInfo数据库记录(c)2023 APA,保留所有权利)。
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引用次数: 0
Clinical science and practice in the age of large language models and generative artificial intelligence. 大型语言模型和生成人工智能时代的临床科学与实践。
IF 5.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-10-01 DOI: 10.1037/ccp0000848
Stephen M Schueller, Robert R Morris

In this article, Schueller and Morris discuss the recent advances made from large language models (LLMs) and generative artificial intelligence (AI). These advances include supporting humans to provide better interventions, understanding processes in clinical interventions, and providing ethical considerations for the use of generative AI in clinical research and practice. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

在这篇文章中,Schueller和Morris讨论了大型语言模型(LLM)和生成人工智能(AI)的最新进展。这些进展包括支持人类提供更好的干预,理解临床干预的过程,以及为在临床研究和实践中使用生成性人工智能提供伦理考虑。(PsycInfo数据库记录(c)2023 APA,保留所有权利)。
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引用次数: 0
Sexual identity and race/ethnicity as predictors of treatment outcome and retention in dialectical behavior therapy. 性别认同和种族/民族是辩证行为疗法中治疗结果和保留的预测因素。
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-10-01 Epub Date: 2023-06-01 DOI: 10.1037/ccp0000826
Cindy J Chang, Max A Halvorson, Keren Lehavot, Tracy L Simpson, Melanie S Harned

Objective: There is inconclusive evidence regarding sexual identity and race/ethnicity differences in outcomes in evidence-based psychological treatments. Although dialectical behavior therapy (DBT) is well-studied, little is known about the extent to which its efficacy generalizes to sexual minority and racial/ethnic minority people. This study examined sexual identity, race/ethnicity, and their interaction as predictors of treatment outcome and retention in DBT.

Method: Data were from five clinical trials conducted in research and community settings with a variety of adult populations (N = 269) engaged in standard DBT, augmented DBT, or DBT components. Longitudinal mixed-effects models evaluated sexual identity and racial/ethnic differences in clinical outcomes (suicide attempts, nonsuicidal self-injury [NSSI], global functioning, psychiatric hospitalizations) and retention.

Results: Sexual identity, race/ethnicity, and their interaction did not predict the average severity or the rate of change in any clinical outcome over time. Sexual minority identity was associated with decreased risk of treatment dropout (OR = .44, p < .001). However, this effect was moderated by race/ethnicity, such that non-Hispanic White sexual minority participants had the lowest rates of dropout. Exploratory analyses suggested potential differences related to NSSI for certain sexual and racial/ethnic minority subgroups.

Conclusions: Findings suggest no significant differences in DBT treatment outcomes when comparing between sexual minority and heterosexual individuals and between non-Hispanic White and racial/ethnic minority individuals. Sexual minority identity interacted with race/ethnicity to predict dropout, such that non-Hispanic sexual minority people were more likely to complete DBT compared to sexual minority people of color and heterosexual individuals. Further research is needed to clarify potential subgroup and intersectional differences. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

目的:在循证心理治疗的结果中,没有关于性身份和种族/民族差异的不确定证据。尽管辩证行为疗法(DBT)得到了很好的研究,但人们对其疗效在多大程度上适用于性少数群体和种族/少数民族人群知之甚少。这项研究考察了性身份、种族/民族及其相互作用作为DBT治疗结果和保留率的预测因素。方法:数据来自在研究和社区环境中进行的五项临床试验,其中各种成年人群(N=269)参与了标准DBT、增强DBT或DBT成分。纵向混合效应模型评估了临床结果(自杀未遂、非自杀性自伤[NSSI]、整体功能、精神病住院)和保留方面的性认同和种族/民族差异。结果:性别认同、种族/民族及其相互作用并不能预测任何临床结果随时间的平均严重程度或变化率。性少数群体身份与治疗辍学风险降低相关(OR=0.44,p<.001)。然而,这种影响受到种族/民族的调节,因此非西班牙裔白人性少数群体参与者的辍学率最低。探索性分析表明,某些性和种族/少数民族亚组与NSSI相关的潜在差异。结论:研究结果表明,在性少数群体和异性恋个体之间以及在非西班牙裔白人和种族/族裔少数群体之间进行比较时,DBT治疗结果没有显著差异。性少数群体身份与种族/民族相互作用来预测辍学,因此与有色人种和异性恋的性少数群体相比,非西班牙裔性少数群体更有可能完成DBT。需要进一步的研究来澄清潜在的亚组和交叉差异。(PsycInfo数据库记录(c)2023 APA,保留所有权利)。
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引用次数: 0
Biomedical and behavioral outcomes of 2GETHER: A randomized controlled trial of a telehealth HIV prevention program for young male couples. 2GETHER 的生物医学和行为结果:针对年轻男性伴侣的远程医疗艾滋病预防项目随机对照试验。
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-01 Epub Date: 2023-05-04 DOI: 10.1037/ccp0000823
Michael E Newcomb, Gregory Swann, Kathryn Macapagal, Elissa L Sarno, Sarah W Whitton, Brian Mustanski

Objective: This study evaluated the efficacy of the 2GETHER relationship education and HIV prevention program for young male couples in reducing risk for HIV.

Method: We conducted a comparative effectiveness randomized controlled trial of 2GETHER, a five-session hybrid group- and couple-based intervention delivered via videoconference, relative to a single-session HIV testing and risk reduction counseling protocol delivered to couples. We randomized 200 young male couples (N = 400) to 2GETHER or control from 2018 to 2020. Primary biomedical (i.e., rectal Chlamydia and Gonorrhea infection) and behavioral outcomes (i.e., condomless anal sex [CAS]) were measured at 12-months postintervention. Secondary outcomes were other HIV prevention and risk behaviors, relationship quality, and substance use. Multilevel regression was used to model intervention outcomes to account for clustering within couples. Postintervention change over time was modeled as a latent linear growth curve at the within-persons level.

Results: We observed significant intervention effects on primary biomedical and behavioral HIV risk outcomes. Participants in 2GETHER had significantly lower odds of rectal STIs at 12-months relative to control. We also observed significantly steeper declines in the number of CAS partners and acts from baseline to 12-month follow-up in 2GETHER relative to control. Few differences were observed for secondary relationship and HIV-related outcomes.

Conclusions: 2GETHER is an efficacious intervention that has a significant impact on both biomedical and behavioral HIV prevention outcomes among male couples. Couple-based HIV prevention programs enhanced with evidence-based relationship education may effectively reduce the most proximal predictors of HIV infection. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

研究目的本研究评估了针对年轻男性伴侣的 2GETHER 关系教育和 HIV 预防项目在降低 HIV 风险方面的效果:我们对 2GETHER 进行了一项比较效果随机对照试验,2GETHER 是一项通过视频会议进行的五节课小组和情侣混合干预项目,相对于向情侣提供的单节课 HIV 检测和降低风险咨询方案。从 2018 年到 2020 年,我们将 200 对年轻男性夫妇(N = 400)随机分配到 2GETHER 或对照组。主要生物医学结果(即直肠衣原体和淋病感染)和行为结果(即无套肛交 [CAS])在干预后 12 个月进行测量。次要结果包括其他 HIV 预防和风险行为、人际关系质量和药物使用。多层次回归用于建立干预结果模型,以考虑夫妇内部的聚类。干预后随时间发生的变化被建模为人内水平的潜在线性增长曲线:我们观察到干预措施对主要的生物医学和行为艾滋病风险结果产生了重大影响。与对照组相比,2GETHER 的参与者在 12 个月时直肠性传播感染的几率明显降低。我们还观察到,与对照组相比,从基线到 12 个月随访期间,2GETHER 的 CAS 伴侣和行为数量的下降幅度明显更大。在次要关系和艾滋病相关结果方面几乎没有观察到差异:2GETHER是一种有效的干预措施,对男性伴侣的生物医学和行为艾滋病预防结果都有显著影响。以夫妻为基础的艾滋病预防计划通过以证据为基础的关系教育来加强,可以有效减少艾滋病感染的最近端预测因素。(PsycInfo Database Record (c) 2023 APA, 版权所有)。
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引用次数: 0
Immersive and reflective recall of a suicidal episode: Implications for assessing and treating suicidal adolescents. 对自杀事件的沉浸式和反思性回忆:对评估和治疗自杀青少年的影响。
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-01 Epub Date: 2023-06-01 DOI: 10.1037/ccp0000829
Abigail Zisk, Caroline H Abbott, E Stephanie Krauthamer Ewing, Megan Haley Fitter, Guy S Diamond, Roger Kobak

Objective: The present study tested the validity and clinical utility of adolescents' reports of two distinct modes of processing during the recall of a suicidal episode in the Suicide Narrative Interview (SNI). Recall Intensity (RI) items were designed to capture a tendency to become immersed in thoughts and feelings during the interview, while Meaning Making (MM) items were designed to assess more distant and reflective processing.

Method: The construct and predictive validity of pretreatment MM and RI was tested in a 16-week randomized clinical trial (RCT) for depressed and suicidal adolescents (N = 113, Mage = 14.95, 84.1% female, 51.8% Black/African American). Adolescents rated MM and RI immediately following the SNI during a baseline assessment.

Results: Baseline MM was associated with protective factors related to reduced suicidality, and RI was associated with several risk factors for suicidal symptoms. Adolescents who reported high MM and low RI reported greater reductions in both suicidal ideation and depressive symptoms during the RCT.

Conclusions: The results support MM and RI as two distinct modes of how adolescents process memories of suicidal episodes and highlight the potential clinical utility of RI and MM in assessing and treating suicidal adolescents. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

目的:本研究测试了青少年在自杀叙事访谈(SNI)中回忆自杀事件时两种不同处理模式的报告的有效性和临床实用性。回忆强度(RI)项目旨在捕捉面试过程中沉浸在思想和感受中的倾向,而意义制造(MM)项目旨在评估更遥远和反思的处理。方法:在一项为期16周的随机临床试验(RCT)中,对抑郁和自杀青少年(N=113,Mage=14.95,84.1%女性,51.8%黑人/非裔美国人)进行预处理MM和RI的构建和预测有效性测试。在基线评估中,青少年在SNI后立即对MM和RI进行评分。结果:基线MM与减少自杀相关的保护因素相关,RI与自杀症状的几个危险因素相关。报告高MM和低RI的青少年报告称,在随机对照试验期间,自杀意念和抑郁症状都有更大的减少。结论:研究结果支持MM和RI是青少年处理自杀事件记忆的两种不同模式,并强调了RI和MM在评估和治疗自杀青少年方面的潜在临床效用。(PsycInfo数据库记录(c)2023 APA,保留所有权利)。
{"title":"Immersive and reflective recall of a suicidal episode: Implications for assessing and treating suicidal adolescents.","authors":"Abigail Zisk, Caroline H Abbott, E Stephanie Krauthamer Ewing, Megan Haley Fitter, Guy S Diamond, Roger Kobak","doi":"10.1037/ccp0000829","DOIUrl":"10.1037/ccp0000829","url":null,"abstract":"<p><strong>Objective: </strong>The present study tested the validity and clinical utility of adolescents' reports of two distinct modes of processing during the recall of a suicidal episode in the Suicide Narrative Interview (SNI). Recall Intensity (RI) items were designed to capture a tendency to become immersed in thoughts and feelings during the interview, while Meaning Making (MM) items were designed to assess more distant and reflective processing.</p><p><strong>Method: </strong>The construct and predictive validity of pretreatment MM and RI was tested in a 16-week randomized clinical trial (RCT) for depressed and suicidal adolescents (<i>N</i> = 113, <i>M</i><sub>age</sub> = 14.95, 84.1% female, 51.8% Black/African American). Adolescents rated MM and RI immediately following the SNI during a baseline assessment.</p><p><strong>Results: </strong>Baseline MM was associated with protective factors related to reduced suicidality, and RI was associated with several risk factors for suicidal symptoms. Adolescents who reported high MM and low RI reported greater reductions in both suicidal ideation and depressive symptoms during the RCT.</p><p><strong>Conclusions: </strong>The results support MM and RI as two distinct modes of how adolescents process memories of suicidal episodes and highlight the potential clinical utility of RI and MM in assessing and treating suicidal adolescents. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"91 9","pages":"533-546"},"PeriodicalIF":4.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10526636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9984514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
E-Connect: Linking probation youth at risk for suicide to behavioral health services. E-Connect:将有自杀风险的缓刑青年与行为健康服务联系起来。
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-01 Epub Date: 2023-06-01 DOI: 10.1037/ccp0000824
Katherine S Elkington, Gail A Wasserman, Margaret E Ryan, Corianna E Sichel, Casey Sarapas, Michael L Dennis, Faye S Taxman

Objective: Youth involved in the justice system (YIJ) have higher rates of suicidal thoughts and behaviors (STB) and associated behavioral health (BH) problems, yet lower levels of service use compared to youth in the general population. This study examined the efficacy of e-Connect, a digital clinical decision support system (CDSS), at improving STB risk identification, referral, and linkage to BH services by probation officers. As the intervention spanned pre- and post-COVID-19 shutdown periods, we also examined the disruption in public agencies' service provision on study outcomes.

Method: Administrative record data (1,488 youth, ages 10-18 years, 56% male, 56% White) allowed examination of differences between care-as-usual (baseline) and e-Connect in screening, identification of STB and BH problems, referral, and treatment initiation.

Results: Compared to care-as-usual, probation officers using e-Connect were over five times as likely to identify YIJ with STB (adjusted odds ratio [aOR] = 5.86; 95% confidence interval, CI [3.24, 11.7]) and over 11 times more likely to refer YIJ in need of BH services to treatment (aOR = 11.04; 95% CI [6.54, 19.43]). In turn, youth referred to treatment via e-Connect were nearly 17 times more likely to initiate (aOR = 16.92; 95% CI [9.17, 32.60]). Results remained unchanged during the pre- and post-COVID-19 shutdown periods.

Conclusion: e-Connect is one of the first digital STB screening, referral, and linkage-to-service systems that use CDSS technology to successfully assist probation officers in linking youth on their caseload to treatment. Such an approach may support identification of STB and cross-systems linkage in other youth-serving organizations, such as schools, that increasingly manage youth BH problems with minimal clinical support. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

目的:与普通人群中的年轻人相比,参与司法系统的年轻人有更高的自杀想法和行为(STB)以及相关的行为健康(BH)问题,但服务使用水平较低。本研究检验了数字临床决策支持系统(CDSS)e-Connect在改进STB风险识别、转诊以及缓刑官与BH服务的联系方面的有效性。由于干预跨越了COVID-19关闭前和关闭后的时期,我们还研究了公共机构服务提供对研究结果的干扰。方法:管理记录数据(1488名青年,10-18岁,56%男性,56%白人)允许检查在筛查、STB和BH问题的识别、转诊和治疗开始方面,照常护理(基线)和e-Connect之间的差异。结果:与正常护理相比,使用e-Connect的缓刑监督官识别YIJ患有STB的可能性是正常护理的五倍多(调整后的比值比[aOR]=5.86;95%置信区间CI[3.24,11.7]),将需要BH服务的YIJ转介治疗的可能性是普通护理的11倍多(aOR=11.04;95%CI[6.54,19.43]),通过e-Connect转诊接受治疗的年轻人开始接受治疗的可能性高出近17倍(aOR=16.92;95%置信区间[9.17,32.60])。在COVID-19关闭前后,结果保持不变。结论:e-Connect是第一个使用CDSS技术成功帮助缓刑监督官将案件中的青少年与治疗联系起来的数字STB筛查、转诊和连接到服务系统之一。这种方法可以支持在其他青年服务组织(如学校)中识别STB和跨系统联系,这些组织越来越多地用最少的临床支持来管理青年BH问题。(PsycInfo数据库记录(c)2023 APA,保留所有权利)。
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引用次数: 0
A framework for neurodiversity-affirming interventions for autistic individuals. 针对自闭症患者的神经多样性干预框架。
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-01 DOI: 10.1037/ccp0000839
Matthew D Lerner, Ava N Gurba, Dena L Gassner

Despite being targets of intervention practice and research for over 60 years, autistic people have been left out of the conversation. Until recently, nearly no research or implementation work has sought the input of autistic people in regard to the design of interventions and, more importantly, how the goals for such interventions are prioritized and determined. This reframe has profound implications for autism-focused interventions and research, most of which have aimed to reduce or eliminate autism symptoms, with variable empirical support (Bottema-Beutel, 2023). These outcomes are practically and ethically incompatible with a neurodiversity perspective. Most prominently, applied behavior analysis (ABA), which was the first intervention approach widely applied to autistic people, has come under increasing scrutiny and criticism for failing to include autistic people in the design of intervention elements and consideration of goals; moreover, autistic people are increasingly identifying iatrogenic effects they have experienced when receiving ABA (Bottema-Beutel, 2023), with these concerns often being met with minimization rather than an endorsement of their validity and willingness to hear them out. Thus, there is a pressing need for a neurodiversity-affirming interventions (NAI) framework for autism. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

尽管 60 多年来,自闭症患者一直是干预实践和研究的目标,但他们一直被排除在对话之外。直到最近,几乎没有任何研究或实施工作在干预措施的设计方面征求过自闭症患者的意见,更重要的是,这些干预措施的目标是如何优先考虑和确定的。这一重构对以自闭症为重点的干预和研究有着深远的影响,因为大多数干预和研究的目标都是减少或消除自闭症症状,但经验支持却不尽相同(Bottema-Beutel,2023 年)。这些结果在实践和伦理上都不符合神经多样性的观点。最突出的是,应用行为分析(ABA)是第一种广泛应用于自闭症患者的干预方法,但由于未能将自闭症患者纳入干预要素的设计和目标的考虑中,该方法受到越来越多的审查和批评;此外,自闭症患者越来越多地指出他们在接受 ABA 时所经历的先天性影响(Bottema-Beutel,2023 年),而这些担忧往往被最小化,而不是认可其有效性并愿意听取他们的意见。因此,迫切需要一个针对自闭症的神经多样性确认干预(NAI)框架。(PsycInfo Database Record (c) 2023 APA,保留所有权利)。
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引用次数: 0
Self-compassion and fear of compassion in the treatment of chronic depression: Mechanisms of change? 慢性抑郁症治疗中的自我同情和同情恐惧:改变机制?
IF 5.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-01 DOI: 10.1037/ccp0000822
Linne Melsom, Pål G Ulvenes, Ole André Solbakken, Patrick J Curran, Mikkel Eielsen, Bruce E Wampold

Objective: The aim of this naturalistic process study was to investigate the relationship between self-compassion, fear of compassion from others, and depressive symptoms over the course of psychotherapy in patients with chronic depression.

Method: A sample of 226 patients with chronic depression who received inpatient short-term psychodynamic psychotherapy (STPP) provided weekly self-report measures of self-compassion, fear of compassion, and depressive symptoms (Patient Health Questionnaire-9). Trivariate latent curve modeling with structured residuals was applied to investigate the between- and within-patient relationships among the variables.

Results: At the between-patient level, a significant positive correlation was found between slope of depression and the slope of fear of compassion. At the within-patient level, a lower than expected level of fear of compassion predicted a subsequent lower than expected level of depression (mean weekly effect size = 0.12), with a smaller reciprocal relationship (mean weekly effect size = 0.08). There was no significant within-patient effect of self-compassion predicting subsequent depression, but a significant effect of a lower than expected level of depression predicting a subsequent higher than expected level of self-compassion (mean weekly effect size = -0.13). No within-patient effect between self-compassion and fear of compassion was found.

Conclusions: In the context of this study, it appears that fear of compassion may be a putative mechanism of change involved in alleviating depressive symptoms in patients with chronic depression treated with STPP. On the other hand, self-compassion appears to be an outcome of psychotherapy. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

目的:本研究旨在探讨慢性抑郁症患者心理治疗过程中自我同情、他人同情恐惧与抑郁症状的关系。方法:选取226例接受短期住院心理动力治疗的慢性抑郁症患者,每周提供自我同情、同情恐惧和抑郁症状的自我报告(患者健康问卷-9)。采用结构残差的三变量潜在曲线模型来研究变量之间的患者间和患者内关系。结果:在患者间水平上,抑郁斜率与同情恐惧斜率呈显著正相关。在患者内部水平,低于预期的同情恐惧水平预示着随后低于预期的抑郁水平(平均每周效应量= 0.12),互惠关系较小(平均每周效应量= 0.08)。自我同情对随后的抑郁没有显著的患者内部效应,但低于预期的抑郁水平对随后高于预期的自我同情水平有显著的影响(平均每周效应量= -0.13)。病人内部的自我同情和对同情的恐惧之间没有发现任何影响。结论:在本研究的背景下,同情恐惧可能是STPP治疗慢性抑郁症患者抑郁症状缓解的一种假定的变化机制。另一方面,自我同情似乎是心理治疗的结果。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
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引用次数: 0
Supplemental Material for The Prognostic Role of Emotion Regulation Dynamics in the Treatment of Major Depressive Disorder 情绪调节动力学在重度抑郁症治疗中的预后作用补充材料
IF 5.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-08-24 DOI: 10.1037/ccp0000835.supp
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引用次数: 0
Supplemental Material for The Role of Therapy Delivery and Clinic Organizational Factors in Explaining Therapist Effects for Trauma-Focused Psychotherapies in the Veterans Health Administration 关于治疗提供和临床组织因素在解释退伍军人健康管理局创伤心理疗法治疗师效果中的作用的补充材料
IF 5.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-08-24 DOI: 10.1037/ccp0000832.supp
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引用次数: 0
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