ABSTRACT

Objective

Innovative moments (IMs) are moments in which the previous problematic pattern of meaning is challenged. Studies have shown that IMs are associated with good psychotherapy outcomes. A three-level hierarchy of IMs was observed in recent studies, with level 1 IMs being more elementary and levels 2 and 3 being more complex and associated with treatment success. However, studies with manualized protocol treatments are thus far lacking. This study analyzed the longitudinal progression of IMs in the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) and explored its associations with changes in psychological distress.

Methods

Data were collected from a Portuguese university-based outpatient clinic and included 18 cases with positive outcomes. Nine sessions of each case were coded with the IM coding system (N=162).

Results

Multilevel analyses showed a significant increase in all IM levels across treatments. The decrease in psychological distress predicted an increase in level 2 IMs in the same session.

Conclusion

The evolution of IMs is similar to what was found previously in other studies. Contrary to what was found in previous studies, IMs did not predict outcomes in the following session, whereas the reduction in psychological distress predicted the emergence of level 2 IMs.

中文翻译：

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使用情绪障碍跨诊断治疗统一方案治疗的康复病例中的创新时刻

摘要

客观的

创新时刻 (IM) 是对先前有问题的意义模式提出挑战的时刻。研究表明，即时消息与良好的心理治疗结果有关。在最近的研究中观察到 IM 的三级层次结构，1 级 IM 更基本，2 级和 3 级更复杂，与治疗成功相关。然而，迄今为止缺乏手动方案治疗的研究。本研究分析了情绪障碍跨诊断治疗统一协议 (UP) 中 IMs 的纵向进展，并探讨了其与心理困扰变化的关系。

方法

数据来自葡萄牙大学的门诊诊所，包括 18 例阳性结果。每个案例的九个会话使用 IM 编码系统进行编码（N = 162）。

结果

多水平分析显示所有治疗的 IM 水平显着增加。心理压力的减少预示着同一会话中 2 级即时消息的增加。

结论

IM 的演变与之前在其他研究中发现的相似。与先前研究中发现的相反，IM 并不能预测下一次会议的结果，而心理困扰的减少预示着 2 级 IM 的出现。