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首页> 外文期刊>International journal of cognitive therapy >Cognitive Mechanisms of Change in CBT for Adolescent Depression: Associations among Client Involvement, Cognitive Distortions, and Treatment Outcome
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Cognitive Mechanisms of Change in CBT for Adolescent Depression: Associations among Client Involvement, Cognitive Distortions, and Treatment Outcome

机译:青少年抑郁症的CBT改变的认知机制:客户参与,认知失真和治疗结果之间的关联

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摘要

A substantial body of evidence has supported the efficacy of cognitive-behavioral therapy (CBT) for adolescent depression. Fewer studies have addressed mechanisms that contribute to positive youth CBT outcomes. The CBT model holds that adolescents acquire skills through active involvement in sessions and completion of homework assignments between sessions. Skill acquisition including cognitive modification is assumed to contribute to reductions in depressive symptoms. This study examined hypothesized associations among client involvement in cognitive therapy tasks, change in cognitive distortions, and reductions in depressive symptoms with a sample of 44 clinically depressed adolescents. Results partially supported the CBT model. Specifically, change in cognitive distortions prospectively predicted reductions in depressive symptoms, whereas change in depressive symptoms did not predict change in cognitive distortions. Neither in-session involvement nor between-session homework adherence predicted changes in cognitive distortions or depressive symptoms. The importance of cognitive modification for depression reduction in CBT for adolescent depression is highlighted.
机译:大量证据支持认知行为疗法(CBT)对青少年抑郁症的疗效。很少有研究探讨了有助于青年CBT积极成果的机制。 CBT模型认为,青少年通过积极参与会议以及完成会议之间的家庭作业来获得技能。假定包括认知能力在内的技能习得有助于抑郁症状的减轻。这项研究以44名临床抑郁的青少年为样本,研究了服务对象参与认知治疗任务,认知扭曲变化和抑郁症状减轻之间的假设关联。结果部分支持了CBT模型。具体而言,认知失真的变化可预测抑郁症状的减轻,而抑郁症状的变化则无法预测认知失真的变化。会话中的参与和会话中的家庭作业依从性都不能预测认知扭曲或抑郁症状的变化。强调认知改造对降低青少年抑郁症CBT中抑郁症的重要性。

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