欢乐的变化与认知行为治疗结果有关吗?研究新出现的治疗目标

IF 2.6 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Pub Date : 2023-12-01 Epub Date: 2023-08-14 DOI:10.1037/pst0000498
Daniella Spencer-Laitt, Laura J Long, Lauren S Woodard, Brittany A Jaso, Nicole D Cardona, Saige R Fong, Todd J Farchione
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引用次数: 0

摘要

关于认知行为疗法(CBT)对积极情绪的影响的研究越来越多,本研究是对这些研究的进一步拓展。更具体地说,我们探讨了认知行为疗法如何促进积极和消极情绪表-扩展表(PANAS-X)中 "快乐 "分量表的增加,该分量表是一种捕捉积极情绪(包括快乐和兴奋)的自评情感测量方法,以及 "快乐 "的变化如何与同时出现的症状变化相关联。我们利用了一项随机等效试验的数据,该试验比较了情绪障碍跨诊断治疗统一方案(UP)(一种跨诊断 CBT)与各种成熟的单一障碍方案(SDP)和候补对照的疗效。首先,我们根据基线和治疗后的积极情感(PA)和消极情感(NA),生成了接受 CBT(UP 或 SDP)或候补对照的患者的情感特征,并与临床参考样本进行了比较。我们发现,大多数接受 CBT 治疗的患者的情感特征从高 NA/低 PA 转变为低 NA/高 PA。此外,接受 CBT 治疗的患者比候补对照组的患者更有可能实现这一结果。然后,我们研究了 PANAS-X Joviality 子量表,以前对该量表的研究非常有限。快乐度的变化与焦虑(B = -0.81,p = .00)和抑郁(B = -0.94,p = .00)症状的改善相关。焦虑症更严重的人快乐度增加得更快,而抑郁症不严重的人快乐度增加得更慢。我们讨论了这些初步结果可能产生的临床影响,包括治疗创新的作用,即在增加积极情绪,特别是与快乐相关的情绪的同时,减少消极情绪。(PsycInfo Database Record (c) 2023 APA, 版权所有)。
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Are changes in joviality associated with cognitive behavioral treatment outcomes? Examining an emerging treatment target.

The present study expands on the growing body of research on the effects of cognitive behavioral therapy (CBT) on positive affect. More specifically, we explore how CBT may promote increases in the Joviality subscale of the Positive and Negative Affect Schedule-Expanded Form (PANAS-X), a measure of self-rated affect that captures positive emotions, including joy and excitement, and how change in joviality may be associated with concurrent symptom change. We utilized data from a randomized equivalence trial comparing the efficacy of the unified protocol (UP) for transdiagnostic treatment of emotional disorders, a transdiagnostic CBT, against various well-established single disorder protocols (SDP) and waitlist control. First, we generated affect profiles for patients receiving CBT (either UP or SDP) or waitlist control, based on their baseline and posttreatment positive affect (PA) and negative affect (NA), compared with a clinical reference sample. We found that the affect profile for most patients receiving CBT shifted from high NA/low PA to low NA/high PA. Further, participants receiving CBT were more likely than individuals in the waitlist control to achieve this outcome. We then examined the PANAS-X Joviality subscale, which has been subject to very limited previous research. Change in joviality was associated with improvement in symptoms of both anxiety (B = -0.81, p = .00) and depression (B = -0.94, p = .00). Joviality increased more rapidly in individuals with more severe anxiety but not severe depression. We discuss the possible clinical implications of these preliminary results, including the role of treatment innovations incorporating a focus on increasing positive affect, particularly the emotions associated with joviality, while simultaneously decreasing negative affect. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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来源期刊
Psychotherapy
Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
4.60
自引率
12.00%
发文量
93
期刊介绍: Psychotherapy Theory, Research, Practice, Training publishes a wide variety of articles relevant to the field of psychotherapy. The journal strives to foster interactions among individuals involved with training, practice theory, and research since all areas are essential to psychotherapy. This journal is an invaluable resource for practicing clinical and counseling psychologists, social workers, and mental health professionals.
期刊最新文献
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