Introduction: This study examined whether motivation moderated the relation between self-criticism and depression over one year in a sample of adults receiving cognitive-behavior therapy (CBT). Methods: Participants (N = 38) completed measures of pre-treatment self-criticism (Time 1), autonomous/controlled motivation for engaging in CBT at the beginning of treatment (Time 2), and interviewer-rated depression at Time 1, and one year after baseline (Time 3). Results: Multiple regression analyses of moderator effects showed that patients higher in self-criticism with lower autonomous motivation for CBT had higher levels of depressive symptoms one year later. The effect of controlled motivation was nonsignificant. Discussion: Our findings support the buffering hypothesis that engaging in CBT because it is personally meaningful may protect patients high in self-criticism from experiencing the poorer treatment outcomes associated with their specific vulnerability. However, given the small sample size, the results will need to be replicated within larger samples to ensure generalizability.

中文翻译：

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自主动机在一年内调节自我批评与抑郁症状的关系：自然主义环境中认知行为治疗患者的纵向研究

简介：本研究在接受认知行为治疗 (CBT) 的成年人样本中检验了动机是否在一年内缓和了自我批评与抑郁之间的关系。方法：参与者（N = 38）完成了治疗前自我批评（时间 1）、治疗开始时参与 CBT 的自主/控制动机（时间 2）和面试官在时间 1 评定的抑郁的测量，以及基线后一年（时间 3）。结果：调节效应的多元回归分析表明，自我批评较高且 CBT 自主动机较低的患者一年后的抑郁症状水平较高。受控动机的影响不显着。讨论：我们的研究结果支持缓冲假设，即参与 CBT 因为它对个人有意义，可以保护自我批评程度高的患者免于经历与其特定脆弱性相关的较差治疗结果。然而，鉴于样本量小，结果将需要在更大的样本中重复，以确保普遍性。