Comorbidity of generalized anxiety and depression is common in clinical populations. Understanding how change in generalized anxiety and depression are related during counseling may help improve treatment. College student data (N = 51,922) from university and college counseling centers across the United States were used to examine relationships between change in generalized anxiety and depression across 12 counseling sessions using bivariate dual change score models. Results suggested greater improvement in depression was related to greater improvement in generalized anxiety across sessions, but greater improvement in generalized anxiety was related to less improvement in depression across sessions. This same pattern of results generalized to individuals who attended counseling with concerns in anxiety only, depression only, and both anxiety and depression. Although there were general improvements in generalized anxiety and depression across counseling sessions, greater improvement in depression at earlier sessions appeared to be a leading indicator of greater improvement in generalized anxiety at later sessions. Implications and future directions are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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咨询过程中广泛性焦虑和抑郁的动态变化。

广泛性焦虑和抑郁的共病在临床人群中很常见。了解咨询期间广泛性焦虑和抑郁的变化如何相关可能有助于改善治疗。来自美国各地大学和学院咨询中心的大学生数据 (N = 51,922) 用于使用双变量双重变化评分模型检查 12 次咨询会议中广泛性焦虑和抑郁变化之间的关系。结果表明，抑郁症的更大改善与跨疗程的广泛性焦虑的更大改善有关，但广泛性焦虑的更大改善与跨疗程的抑郁症改善较少有关。同样的结果模式也适用于那些只关心焦虑、抑郁、以及焦虑和抑郁。尽管在整个咨询过程中广泛性焦虑和抑郁都有普遍改善，但早期会话中抑郁症的更大改善似乎是后期会话中广泛性焦虑得到更大改善的领先指标。讨论了影响和未来的方向。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。