Z. V. Segal et al. (2006) demonstrated that depressed patients treated to remission through either antidepressant medication (ADM) or cognitive-behavioral therapy (CBT), but who evidenced mood-linked increases in dysfunctional thinking, showed elevated rates of relapse over 18 months. The current study sought to evaluate whether treatment response was associated with gains in decentering-the ability to observe one's thoughts and feelings as temporary, objective events in the mind-and whether these gains moderated the relationship between mood-linked cognitive reactivity and relapse of major depression. Findings revealed that CBT responders exhibited significantly greater gains in decentering compared with ADM responders. In addition, high post acute treatment levels of decentering and low cognitive reactivity were associated with the lowest rates of relapse in the 18-month follow-up period.

译文

Z。五.Segal等人 (2006) 证明,抑郁症患者通过抗抑郁药物 (ADM) 或认知行为疗法 (CBT) 治疗缓解,但证明了功能障碍思维的情绪相关增加,显示出超过18个月的复发率升高。当前的研究试图评估治疗反应是否与偏心的增加有关-观察一个人的思想和感觉作为暂时的,客观的心理事件的能力-以及这些增加是否缓解了与情绪相关的认知反应与重抑郁症复发之间的关系。调查结果显示,与ADM响应者相比,CBT响应者在偏心方面表现出更大的收益。此外,在18个月的随访期内,急性治疗后高水平的偏心和低认知反应性与最低的复发率相关。

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