دانلود مقاله ISI انگلیسی شماره 74446
عنوان فارسی مقاله

عود بیماری در افسردگی راجعه یک سال پس از درمان شناختی رفتاری نگهداری: نقش پایبندی، شایستگی و اتحاد درمانی درمانگر

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
74446 2013 6 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
Relapses in recurrent depression 1 year after maintenance cognitive-behavioral therapy: The role of therapist adherence, competence, and the therapeutic alliance
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Psychiatry Research, Volume 210, Issue 1, 30 November 2013, Pages 140–145

کلمات کلیدی
تبعیت؛ اتحاد؛ صلاحیت؛ نگهداری درمان شناختی ؛ نتیجه؛ عود بیماری افسردگی
پیش نمایش مقاله
پیش نمایش مقاله عود بیماری در افسردگی راجعه یک سال پس از درمان شناختی رفتاری نگهداری: نقش پایبندی، شایستگی و اتحاد درمانی درمانگر

چکیده انگلیسی

The prevention of relapse in recurrent depression is considered a central aim in cognitive-behavioral therapy, given the high risk of relapse. In this study, patients with recurrent major depressive disorder (currently remitted) received 16 sessions of Maintenance Cognitive-Behavioral Therapy (M-CBT) over a period of 8 months, in order to prevent relapse. Therapist adherence and competence, as well as the therapeutic alliance, were investigated as predictors for reducing the risk of recurrence in depression. Videotapes of 80 participants were analyzed in order to evaluate therapist adherence and competence. Additionally, the therapeutic alliance was assessed by questionnaire. No associations were found between therapist adherence or competence, and the risk of relapse 1 year after treatment. By contrast, the therapeutic alliance was a significant predictor of the time to relapse. Moreover, we found that the number of previous depressive episodes (≥5 vs. ≤4) was a significant moderator variable. This indicates that the alliance-outcome relationship was particularly important when patients with five or more previous depressive episodes were taken into account, in comparison to patients with four or fewer episodes. For the psychotherapeutic treatment of recurrent depression and the prevention of relapse, sufficient attention should be paid to the therapeutic alliance.

خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.