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The Road to Cognitive Skill Acquisition: Psychometric Evaluation of the Competencies of Cognitive Therapy Scale. 认知技能习得之路:认知治疗量表能力的心理测量评估。

IF 2.5 Q2 PSYCHOLOGY, CLINICAL

AMERICAN JOURNAL OF PSYCHOTHERAPY

Pub Date : 2022-06-15 DOI: 10.1176/appi.psychotherapy.20210002

John F Buss, Lauren A Rutter, Jacqueline Howard, Lorenzo Lorenzo-Luaces

Objective: Cognitive therapy (CT) skills are an index of treatment progress. They predict changes in patients' acute depressive symptoms and symptom relapses. However, the psychometric properties of the various measures of CT skills are poorly understood. This study aimed to investigate the factor structure of the Competencies of Cognitive Therapy Scale-Self Report (CCTS-SR) and assess its concurrent validity.

Methods: The psychometric properties of the CCTS-SR were explored by using data from a panel of online respondents (N=410). The fit of a one-factor solution was explored by using a confirmatory factor analysis. Exploratory bifactor analyses (EBFA) were then conducted to determine other possible factor structures.

Results: The one-factor solution did not fit the data well. Results of the EBFA suggested that the factor structure of the CCTS-SR may be characterized by a single underlying dimension capturing the general use of CT skills as well as by more specific factors the authors labeled "behavioral activation" and "CT comprehension." The variance captured by the factor initially labeled as CT comprehension was correlated with measures of depression and emotional dysregulation, suggesting that these items do not capture CT comprehension and should be removed from the scale.

Conclusions: The CCTS-SR seems to be characterized by more than a single factor, and items that seemingly compose CT comprehension (i.e., items 13 and 14) may need to be removed. Although the CCTS-SR may be a valid index of therapy progress, more attention needs to be paid to its psychometric properties.

目的:认知治疗(CT)技能是治疗进展的一个指标。它们预测了患者急性抑郁症状和症状复发的变化。然而，对各种CT技能测量的心理测量特性了解甚少。本研究旨在探讨认知治疗量表-自我报告(CCTS-SR)胜任力的因素结构，并评估其并发效度。方法:利用在线调查问卷(N=410)的数据，探讨CCTS-SR的心理测量特性。通过验证性因子分析探讨了单因素解的拟合性。然后进行探索性双因素分析(EBFA)以确定其他可能的因素结构。结果:单因素方案拟合效果不佳。EBFA的结果表明，CCTS-SR的因素结构可能具有单一的潜在维度，即捕获CT技能的一般使用，以及作者标记为“行为激活”和“CT理解”的更具体的因素。最初标记为CT理解的因素所捕获的方差与抑郁和情绪失调的测量相关，这表明这些项目不包含CT理解，应该从量表中删除。结论:CCTS-SR的特征似乎不止一个因素，似乎构成CT理解的项目(即项目13和14)可能需要删除。虽然CCTS-SR可能是治疗进展的有效指标，但其心理测量特性需要更多的关注。

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引用次数: 2

Remembering Silvano Arieti 40 Years Later. 40年后纪念西尔瓦诺·阿里埃蒂。

IF 2.5 Q2 PSYCHOLOGY, CLINICAL

AMERICAN JOURNAL OF PSYCHOTHERAPY

Pub Date : 2022-05-09 DOI: 10.1176/appi.psychotherapy.20210039

M. Ruffalo

Silvano Arieti is known for his comprehensive psychodynamic and biological theory of schizophrenia and mental illness. His writings continue to inform modern psychiatric theory and psychotherapeutic approaches to schizophrenia.

西尔瓦诺·阿里埃蒂以其精神分裂症和精神疾病的综合心理动力学和生物学理论而闻名。他的著作继续为精神分裂症的现代精神病学理论和心理治疗方法提供信息。

引用次数: 0

Addressing Challenging Moments in Psychotherapy: Clinical Wisdom for Working With Individuals, Groups and Couples. 应对心理治疗中的挑战时刻：与个人、团体和夫妇合作的临床智慧。

IF 2.5 Q2 PSYCHOLOGY, CLINICAL

AMERICAN JOURNAL OF PSYCHOTHERAPY

Pub Date : 2022-05-09 DOI: 10.1176/appi.psychotherapy.20220026

F. Weiss

引用次数: 0

Compassion Is Our Mantra. 慈悲是我们的咒语。

IF 2.5 Q2 PSYCHOLOGY, CLINICAL

AMERICAN JOURNAL OF PSYCHOTHERAPY

Pub Date : 2022-04-26 DOI: 10.1176/appi.psychotherapy.20210026

J. Kaitz, Kurt D Lebeck, C. Catalfamo

引用次数: 0

A Historical Reflection: We Are All Passing Through. 历史反思:我们都是过客。

IF 2.5 Q2 PSYCHOLOGY, CLINICAL

AMERICAN JOURNAL OF PSYCHOTHERAPY

Pub Date : 2022-04-18 DOI: 10.1176/appi.psychotherapy.20220001

T. Karasu

引用次数: 0

The Platinum Anniversary of The American Journal of Psychotherapy. 《美国心理治疗杂志》白金周年纪念。

IF 2.5 Q2 PSYCHOLOGY, CLINICAL

AMERICAN JOURNAL OF PSYCHOTHERAPY

Pub Date : 2022-04-18 DOI: 10.1176/appi.psychotherapy.20220002

Bruce J Schwartz, S. Wetzler

引用次数: 0

If You Don't Ask, They Don't Tell: The Cultural Formulation Interview and Patient Perceptions of the Clinical Relationship. 如果你不问，他们不会说:文化形成访谈和患者对临床关系的看法。

IF 2.5 Q2 PSYCHOLOGY, CLINICAL

AMERICAN JOURNAL OF PSYCHOTHERAPY

Pub Date : 2022-04-18 DOI: 10.1176/appi.psychotherapy.20210040

Neil Krishan Aggarwal, Danny R. Chen, R. Lewis-Fernández

SYNOPSISMore than half of participating patients expressed mistrust or ambivalence toward clinicians related to differences in cultural background using the Cultural Formulation Interview, which can help enhance communication and trust and help clinicians to anticipate treatment barriers.

在文化制定访谈中，超过一半的参与患者对临床医生表达了与文化背景差异有关的不信任或矛盾心理，这有助于加强沟通和信任，并帮助临床医生预测治疗障碍。

引用次数: 3

Depression Among University Students With Attention-Deficit Hyperactivity Disorder Symptoms: A Study of Interpersonal Counseling. 大学生注意缺陷多动障碍抑郁症状的人际咨询研究。

IF 2.5 Q2 PSYCHOLOGY, CLINICAL

AMERICAN JOURNAL OF PSYCHOTHERAPY

Pub Date : 2022-03-29 DOI: 10.1176/appi.psychotherapy.2021.20210028

Y. Sawamura, R. Taketani, Hitomi Hirokawa-Ueda, Takuro Kawakami, Haruka Sakane, Koki Teramoto, Ami Yamamoto, H. Ono

OBJECTIVEUniversity students with symptoms of attention-deficit hyperactivity disorder (ADHD) often experience depression. This study examined whether interpersonal counseling (IPC) could be an effective treatment for depression among students with ADHD symptoms.METHODSParticipants were assigned to either an IPC (N=5) or control (N=7) group. Depression was assessed by using the Self-Rating Depression Scale (SDS) at baseline, postintervention, and at 4-, 8-, and 12-week follow-ups.RESULTSNo significant changes in the SDS total score were observed for either group at each postintervention point. However, the IPC group showed a large effect size at the 4- and 12-week follow-ups. A significant intergroup difference was observed after 4 weeks. No significant intergroup difference was observed after 12 weeks, but there was a large effect size.CONCLUSIONSIPC appeared to have effects at 4 weeks postintervention. Because this was an exploratory study, further research is necessary.

目的有注意力缺陷多动障碍（ADHD）症状的大学生经常经历抑郁症。这项研究考察了人际咨询（IPC）是否可以有效治疗有多动症症状的学生的抑郁症。方法将参与者分为IPC组（N=5）或对照组（N=7）。在基线、干预后以及随访4、8和12周时，使用抑郁自评量表（SDS）评估抑郁。结果在干预后的每个时间点，任何一组的SDS总分都没有观察到显著变化。然而，IPC组在4周和12周的随访中显示出较大的效果。4周后观察到显著的组间差异。12周后没有观察到显著的组间差异，但有很大的影响。结论SIPC在干预后4周出现效果。因为这是一项探索性研究，所以有必要进行进一步的研究。

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引用次数: 1

Interpersonal Psychotherapy and Mentalizing-Synergies in Clinical Practice. 人际心理治疗与临床实践中的心理协同作用。

IF 2.5 Q2 PSYCHOLOGY, CLINICAL

AMERICAN JOURNAL OF PSYCHOTHERAPY

Pub Date : 2022-03-02 DOI: 10.1176/appi.psychotherapy.20210024

R. Law, P. Ravitz, Clare M. Pain, P. Fonagy

Interpersonal psychotherapy (IPT) is an evidence-supported, relationally focused treatment for people living with depression and other psychiatric disorders in the context of stressful life events. Mentalizing, also relationally focused, promotes the ability to perceive, understand, and interpret human behavior in terms of intentional mental states of others or oneself, in order to support social leaning. IPT and mentalization-based treatments (MBT) both seek to improve interpersonal effectiveness, albeit with different emphases in the therapeutic process, with IPT promoting interpersonal problem solving and MBT promoting understanding of the obstacles to this outcome. In this article, the authors propose that the central intentions of IPT and mentalizing are essentially linked and complementary; understanding others and oneself in relationships facilitates interpersonal problem resolution and symptomatic recovery and enhances resilience. The clinical synergies of IPT and mentalizing are elaborated and illustrated through a case example of treatment for a socially isolated woman with depression and interpersonal sensitivities.

人际心理治疗（IPT）是一种有证据支持的、以关系为重点的治疗方法，适用于生活压力事件背景下的抑郁症和其他精神障碍患者。心理化，也以关系为中心，促进从他人或自己的有意心理状态来感知、理解和解释人类行为的能力，以支持社会倾向。IPT和基于心理化的治疗（MBT）都寻求提高人际有效性，尽管在治疗过程中侧重点不同，IPT促进人际问题的解决，MBT促进对这一结果障碍的理解。在本文中，作者提出IPT和心理化的中心意图本质上是相互联系和互补的；在人际关系中理解他人和自己有助于人际问题的解决和症状的恢复，并增强韧性。IPT和心理化的临床协同作用通过一个治疗社交孤立女性抑郁症和人际关系敏感症的案例进行了阐述和说明。

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引用次数: 2

Supportive Evidence: Brief Supportive Psychotherapy as Active Control and Clinical Intervention. 支持性证据:简要支持性心理治疗作为主动控制和临床干预。

IF 2.5 Q2 PSYCHOLOGY, CLINICAL

AMERICAN JOURNAL OF PSYCHOTHERAPY

Pub Date : 2022-03-02 DOI: 10.1176/appi.psychotherapy.2021.20210041

J. Markowitz

OBJECTIVESupportive psychotherapy has long had an undeservedly weak reputation. This review aims to describe the use of manualized, time-limited brief supportive psychotherapy (BSP) and its testing in clinical trials across three decades. Although numerous clinical descriptions of supportive psychotherapy exist, its use is reportedly widespread, and several supportive psychotherapies have been used in psychotherapy trials, BSP is the first and sole supportive psychotherapy manualized for research. BSP was designed as a nondirective, affect-focused, bare-bones common-factors treatment.METHODSCollecting data from the nine randomized controlled trials involving BSP, eight of them published, the author presents a narrative summary of findings.RESULTSEight trials addressed mood disorders and one addressed social anxiety disorder. Sample size varied. Most BSP trials resulted in "dead heat" comparable outcomes. BSP generally showed large effect sizes for improvement on the primary outcome variable (range d=0.62-1.01). Delivering it won over some therapists from exposure-based backgrounds.CONCLUSIONSDespite its perennial role as an unfavored control condition, BSP held its own in competition with more symptom-focused therapies, usually producing a dead-heat outcome. The findings indicate the importance of psychotherapeutic common factors and the potency of BSP as an active treatment condition.

长期以来，支持性心理治疗的名声一直不太好。这篇综述的目的是描述使用手动，时间限制简短支持性心理治疗(BSP)及其测试在临床试验中跨越三十年。尽管存在许多支持性心理治疗的临床描述，但据报道其应用广泛，并且在心理治疗试验中使用了几种支持性心理疗法，BSP是第一个也是唯一一个用于研究的支持性心理治疗。BSP被设计为一种非指导性的、以情感为中心的、基本的共同因素治疗。方法收集涉及BSP的9项随机对照试验的数据，其中8项已发表，作者对结果进行叙述性总结。结果8项试验针对情绪障碍，1项针对社交焦虑障碍。样本量各不相同。大多数BSP试验的结果都是“死热”的可比结果。BSP对主要结局变量的改善通常显示出较大的效应量(范围d=0.62-1.01)。这句话赢得了一些有暴露背景的治疗师的支持。结论:尽管BSP长期以来一直是一种不利的对照条件，但它在与更多以症状为重点的治疗方法的竞争中仍有自己的优势，通常会产生死热结果。研究结果表明心理治疗共同因素的重要性和BSP作为积极治疗条件的效力。

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引用次数: 2

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