ABSTRACT

Objective

As changes in mental representations have been discussed as mechanisms of change in psychotherapy, the question arises whether recollections of childhood abuse and neglect are altered as well and how they relate to symptom changes.

Method

Individuals in psychosomatic inpatient treatment (N = 488, 60.5% women) filled out the Childhood Trauma Questionnaire (CTQ) and Patient Health Questionnaire (PHQ-9). Changes in both were investigated with correlations and t-tests. Linear regression analysis was used to test whether CTQ changes predicted symptom changes. Network analysis was performed to ascertain structural connections between somatic and emotional-cognitive depression symptoms and CTQ subscales before and after treatment.

Results

After treatment (duration in days: M = 52.83, SD = 20.94), patients reported fewer depression symptoms (d = 0.84), while CTQ scores increased slightly (d = 0.11). Changes in the CTQ predicted recovery from depression symptoms in a statistically significant way (β = .133, p = .001). We did not observe changes in the overall network structure between baseline assessment and discharge.

Conclusion

The findings suggest that the evaluation of past experiences can change over multiple weeks of psychotherapy. Further, these updated mental representations, indicating a greater recognition of past adversity, may contribute to symptom relief.

中文翻译：

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以新的眼光看待过去：住院心理治疗前后儿童虐待和忽视报告的变化及其与抑郁症状变化的相关性

摘要

客观的

由于心理表征的变化已被作为心理治疗变化的机制进行讨论，因此出现了一个问题，即童年虐待和忽视的回忆是否也发生了变化，以及它们与症状变化有何关系。

方法

接受心身住院治疗的个体（N  = 488，60.5% 为女性）填写了儿童创伤问卷 (CTQ) 和患者健康问卷 (PHQ-9)。两者的变化都通过相关性和 t 检验进行了调查。线性回归分析用于测试 CTQ 变化是否预测症状变化。进行网络分析以确定治疗前后躯体和情绪认知抑郁症状与 CTQ 分量表之间的结构联系。

结果

治疗后（持续时间：M  = 52.83，SD  = 20.94），患者报告的抑郁症状较少 ( d  = 0.84)，而 CTQ 分数略有增加 ( d  = 0.11)。CTQ 的变化以统计学显着的方式预测抑郁症状的恢复（β  = .133，p  = .001）。我们没有观察到基线评估和出院之间整体网络结构的变化。

结论

研究结果表明，对过去经历的评估可能会在数周的心理治疗中发生变化。此外，这些更新的心理表征表明对过去的逆境有了更大的认识，可能有助于缓解症状。