ABSTRACT

The application of Cognitive Behavioural Therapy (CBT) skills are believed to be a mechanism of therapeutic change in treatment. Research has shown that the application of CBT skills affects outcomes, however, the way these relationships may change during treatment has not been explored. In this study, a naturalistic observational approach is used to examine the relationships between patients’ wellbeing, symptoms, and the application of CBT skills throughout treatment. It is hypothesized that the application of CBT skills would lead to an increase in patients reported wellbeing, and a decrease in symptoms. Additionally, it was hypothesized that the application of CBT skills affects wellbeing and symptoms at different points in therapy. A sample of 584 patients in a two-week CBT treatment completed session-to-session measures of wellbeing, symptoms, and their application of CBT skills. Results of an autoregressive cross-lagged path analysis indicated that in the early stages of treatment the application of CBT skills predicted patient wellbeing but not symptoms. At the later stages of therapy, the application of CBT skills predicted both patient wellbeing and symptoms. At no point in treatment did patient wellbeing or symptoms predict the later application of CBT skills. Implications and future directions for research are discussed.

摘要

认知行为疗法（CBT）技能的应用被认为是治疗中治疗变化的一种机制。研究表明，CBT技能的应用会影响结果，但是，尚未探讨这些关系在治疗过程中可能改变的方式。在这项研究中，采用自然主义的观察方法来检查患者的健康状况，症状与整个治疗过程中CBT技能的应用之间的关系。假设使用CBT技能将导致报告的患者健康增加，症状减轻。此外，假设CBT技能的应用会在治疗的不同点影响健康和症状。在为期两周的CBT治疗中，对584名患者进行了抽样，完成了每次健康，症状，以及他们对CBT技能的应用。自回归交叉滞后路径分析的结果表明，在治疗的早期阶段，应用CBT技能可预测患者的健康状况，但不能预测症状。在治疗的后期，应用CBT技能可预测患者的健康状况和症状。在治疗的任何时候，患者的健康状况或症状均不能预测CBT技能的后续应用。讨论的意义和未来的研究方向。在治疗的任何时候，患者的健康状况或症状均不能预测CBT技能的后续应用。讨论的意义和未来的研究方向。在治疗的任何时候，患者的健康状况或症状均不能预测CBT技能的后续应用。讨论的意义和未来的研究方向。