INTERPRETATIONS AND OUTCOME IN TWO PSYCHOTHERAPIES

两种心理治疗的解释和结果

• 批准号: 2244979
• 负责人: PAUL F CRITS-CHRISTOPH
• 金额: $ 23.53万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-05-01 至 1998-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2244979
• 关键词: audiotape; cognitive behavior therapy; conflict; emotional adjustment; human subject; human therapy evaluation; interpersonal relations; longitudinal human study; major depression; psychiatrist; psychotherapy; relapse /recurrence; social adjustment

Although different forms of psychotherapy have proven effective as treatments for depression, little is known about the mechanisms through which these psychosocial interventions achieve their effects. This competing continuation of R01-MH40472 (previously titled, "What are the Benefits of Interpretive Techniques") requests five years of support for examining the relation between the accuracy of therapists' interventions and measures of attrition, alliance, outcome, and relapse within cognitive (CT) and interpersonal (IPT) treatments for major depressive disorder. Based upon previous studies, our hypothesis is that therapist accuracy during the early phase of treatment predicts retention, the formation of a positive therapeutic alliance, and early symptomatic improvement in both CT and IPT. Therapist accuracy during the later phase of treatment is hypothesized to predict change in social functioning and maintenance of symptom remission for both CT and IPT. Using tapes from the Treatments of Depression Collaborative Research Program (Elkin et al., 1989), three early treatment sessions and three late treatment sessions will be rated for patients' interpersonal themes and for the extent to which therapists address the relevant themes. The Penn Helping Alliance Counting Signs method will be used to assess the therapeutic alliance. Outcome and relapse will be determined from scores on the Beck Depression Inventory, Hamilton Rating Scale for Depression, and the LIFE interview. Data are available on 72 patients for analysis of attrition, 64 for analysis of change in alliance and outcome, and 60 for relapse over 18 months following the acute (16 week) treatment phase. This program of research is designed to advance our understanding of the role of therapist interventions in CT and IPT in inducing change. In addition, this study will contribute to knowledge of the factors that predict outcome and relapse in treatments for depression. Findings from the research can direct revisions to treatment manuals and training programs for therapists, thereby improving treatments for depression.

尽管不同形式的心理治疗已被证明是有效的 对于抑郁症的治疗，人们对其机制知之甚少 这些心理社会干预措施达到了其效果。 这 R01-MH40472 的竞争延续（以前的标题是“什么是 解释技术的好处”）要求五年的支持 检查治疗师干预的准确性之间的关系 以及消耗、联盟、结果和复发的衡量标准 重度抑郁症的认知（C​​T）和人际关系（IPT）治疗 紊乱。 根据之前的研究，我们的假设是治疗师 治疗早期阶段的准确性预测保留， 形成积极的治疗联盟，以及早期症状 CT 和 IPT 均有所改善。 后期治疗师的准确性 假设治疗阶段可以预测社会变化 CT 和 IPT 的功能和症状缓解的维持。 使用抑郁症治疗合作研究的磁带 计划（Elkin 等，1989），三个早期治疗疗程和三个 较晚的治疗疗程将根据患者的人际主题进行评分 以及治疗师处理相关主题的程度。 这 宾夕法尼亚大学帮助联盟计数标志方法将用于评估 治疗联盟。 结果和复发将取决于 贝克抑郁量表、汉密尔顿评定量表的分数 抑郁症和《生活》采访。 72 名患者的数据可用 用于消耗分析，64 用于联盟变化分析， 结果，急性发作后 18 个月内复发为 60（16 周） 治疗阶段。 该研究计划旨在加深我们对 治疗师在 CT 和 IPT 中的干预在诱导改变中的作用。 在 此外，这项研究将有助于了解影响因素 预测抑郁症治疗的结果和复发。 调查结果来自 该研究可以指导治疗手册和培训的修订 治疗师项目，从而改善抑郁症的治疗。