This study aimed to investigate change in insight into maladaptive interpersonal patterns over the course of psychotherapy, as well as the specificity of insight as a change mechanism in dynamic treatments. A total of 100 patients received up to 16 sessions of either cognitive or dynamic therapy for major depressive disorder in a randomized clinical trial. Assessments of insight (Insight into Conflictual Relationship Patterns scale) and depression severity (Hamilton Depression Inventory) took place at the beginning of treatment, at month 2, and month 5. Patient insight significantly improved over the course of dynamic treatments. Gains in insight from the beginning to month 2 of treatment were a significant predictor of decreases of depressive symptoms from month 2 to month 5 of treatment in the dynamic, but not in the cognitive treatment group, despite a nonsignificant interaction. Results provide support for insight as a change factor in dynamic therapies. Better self-understanding of dysfunctional interaction patterns could help patients to find more adaptive ways of behaving, to form more satisfying relationships, and to improve their depression. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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洞察力作为重度抑郁症动态治疗变化的机制。

本研究旨在调查在心理治疗过程中对适应不良的人际关系模式的洞察力的变化，以及洞察力作为动态治疗变化机制的特异性。在一项随机临床试验中，共有 100 名患者接受了多达 16 次针对重度抑郁症的认知或动态治疗。洞察力评估（洞察冲突关系模式量表）和抑郁严重程度（汉密尔顿抑郁量表）在治疗开始时进行，在第 2 个月和第 5 个月。患者的洞察力在动态治疗过程中显着提高。从治疗开始到第 2 个月的洞察力是动态治疗第 2 个月到第 5 个月抑郁症状减轻的重要预测因素，但在认知治疗组中则不然，尽管交互作用不大。结果为洞察力作为动态治疗的变化因素提供了支持。更好地了解功能失调的互动模式可以帮助患者找到更具适应性的行为方式，形成更令人满意的关系，并改善他们的抑郁症。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。