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首页> 外文期刊>International journal of cognitive therapy >Psychological Mindedness and Alexithymia Predict Symptom Reduction in Cognitive Behavior Therapy for Major Depressive Disorder
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Psychological Mindedness and Alexithymia Predict Symptom Reduction in Cognitive Behavior Therapy for Major Depressive Disorder

机译：心理思想和思想isitymia预测重症抑郁症认知行为治疗的症状降低

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摘要

Cognitive behavior models present major depressive disorder (MDD) as a failure in emotional processing associated with disrupted metacognitive skills. Self-observation, a metacognitive ability, plays a vital role in emotion regulation. Studies have noted the role of mindfulness in cognitive behavioral therapy (CBT); however, few address psychological mindedness, the interest and ability to understand behaviors, thoughts, and feelings, or alexithymia, the inability to identify and describe emotions. Seventyone depressed outpatients with mean age M= 42.5; (SD = 13.7) received 14 CBT sessions. Longitudinal regression showed that baseline psychological mindedness significantly predicted symptom reduction across the course of treatment (β = - 8.43, 95% CI - 14.33, - 2.52, p = 0.01). Baseline alexithymia was unrelated to remission, yet positively correlated with symptom reduction through treatment. Treatment response may correlate more strongly with analytical than affective metacognitive ability, though affective skills increased during treatment. Further research can improve our understanding of processing affective information in depression and disruptions in emotion regulation and inform the selection of CBT strategies.
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  • 作者

    Ronit Kishon; Lupo Geronazzo-Alman; Maren Westphal; Ying Chen; Dovid Green; Aditi Sarda; Melanie Love; Bryan Cheng; Jonathan W. Stewart; Steven D. Hollon;

  • 作者单位

    Department of Psychiatry New York State Psychiatric Institute Columbia University 1051 Riverside Drive New York NY 10032 USA;

    Department of Psychiatry New York State Psychiatric Institute Columbia University 1051 Riverside Drive New York NY 10032 USA;

    Department of Psychology Pace University Pleasantville NY 10570 USA;

    Department of Psychiatry New York State Psychiatric Institute Columbia University 1051 Riverside Drive New York NY 10032 USA;

    Fordham University 451 East Fordham Rd. Bronx NY USA;

    Department of Psychiatry New York State Psychiatric Institute Columbia University 1051 Riverside Drive New York NY 10032 USA;

    Teachers College Columbia University 525 West 120th New York NY 10027 USA;

    Teachers College Columbia University 525 West 120th New York NY 10027 USA;

    Department of Psychiatry New York State Psychiatric Institute Columbia University 1051 Riverside Drive New York NY 10032 USA;

    Department of Psychology Vanderbilt University 2201 West End Ave Nashville TN 37235 USA;

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  • 正文语种 eng
  • 中图分类 心理学;
  • 关键词

    CBT; Depression; Psychologicalmindedness; Alexithymia; Emotion regulation; Metacognition;

    机译：CBT;抑郁症;心理迹象;ALEXITISMIA;情绪调节;元拍;

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