Cognitive change processes in psychotherapy

心理治疗中的认知改变过程

基本信息

批准号：
6654872
负责人：
KARI M EDDINGTON
金额：
$ 5.04万
依托单位：
DUKE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2002
资助国家：
美国
起止时间：
2002-09-08 至 2004-10-07
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6654872
关键词：
attitude behavior modification behavior test behavioral /social science research tag belief cognitive behavior therapy coping human subject human therapy evaluation major depression mental disorder chemotherapy patient oriented research questionnaires self care social behavior social change

项目摘要

DESCRIPTION: Research has shown that cognitive therapy (CT) is one of the most effective treatments for depression. However, surprisingly little is known about the processes of change during, and after, a course of treatment with CT or about what factors, both specific and nonspecific to CT, are associated with such change. The proposed research will examine two potentially important factors in the change process: acquisition and application of cognitive skills taught in CT, and social-cognitive changes. Few published studies have considered the specific issues involved in measuring these potentially significant processes. No adequately standardized measures of skill acquisition/mastery in CT are currently available. Furthermore, the measures that have been used previously to assess CT skill acquisition are vulnerable to demand characteristics. The proposed research will compare several methods for assessing skill acquisition and application and will contrast those indices to two well-established measures of social-cognitive style (need for cognition and integrative complexity). Individuals with major depression will be randomly assigned to 3 conditions: CT, self-regulation therapy SRT), or pharmacotherapy. A battery of questionnaires will be administered at pre- and post-treatment and at a 6-month follow-up, including measures of depression and other psychological symptoms, use of different types of coping skills (including cognitive strategies), and cognitive content, such as beliefs and attitudes. Several proposed measures of skill acquisition and application also will be administered. Specific hypotheses about the expected role of skill acquisition and social cognition in relation to outcome are formulated and tested.

描述：研究表明，认知疗法（CT）是最多的有效治疗抑郁症。但是，令人惊讶的是知之甚少关于在CT期间和之后的变化过程或有关CT的特定和非特异性因素与哪些因素有关这样的变化。拟议的研究将研究两个可能重要的变化过程中的因素：获得和应用认知技能在CT和社会认知变化中教授。很少有研究考虑了测量这些可能的特定问题重要的过程。没有足够标准化的技能措施目前可在CT中获得收购/掌握。此外，这些措施以前用于评估CT技能获取的这些需求特征。拟议的研究将比较几种评估技能的获取和应用，并将这些指数与两种公认的社会认知风格衡量标准（需要认知和综合复杂性）。患有严重抑郁症的人将是随机的分配给3个疾病：CT，自我调节疗法SRT）或药物治疗。在治疗前后，将进行一系列问卷调查，在6个月的随访中，包括抑郁症和其他心理症状，使用不同类型的应对技巧（包括认知策略）和认知内容，例如信念和态度。提出的几种技能获取和应用措施也将是管理。关于技能获取的预期作用的具体假设与结果有关的社会认知得到了制定和测试。