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Predictors of treatment outcome in cognitive behavioral therapy for intermittent explosive disorder: A preliminary analysis.
Journal of Consulting and Clinical Psychology ( IF 4.5 ) Pub Date : 2023-10-19 , DOI: 10.1037/ccp0000858 Nicole K Ciesinski 1 , Martha K Zajac 2 , Michael S McCloskey 1
Journal of Consulting and Clinical Psychology ( IF 4.5 ) Pub Date : 2023-10-19 , DOI: 10.1037/ccp0000858 Nicole K Ciesinski 1 , Martha K Zajac 2 , Michael S McCloskey 1
Affiliation
OBJECTIVE
The present study examined potential treatment outcome predictors of a multicomponent cognitive behavioral intervention for intermittent explosive disorder (IED).
METHOD
The sample (n = 64; 22 female) consisted of individuals with a current diagnosis of IED that completed treatment across three study trials. Treatment outcome predictors assessed included demographic variables, psychiatric comorbidity, symptom severity, and treatment motivation/engagement. Treatment outcomes were (a) change in number of past-week aggressive acts from pretreatment to posttreatment and (b) presence of IED diagnosis at posttreatment.
RESULTS
Results indicated those who endorsed lower trait anger were more likely to remit from IED diagnosis at posttreatment. No other variables were found to significantly predict treatment outcome.
CONCLUSIONS
These findings support the notion that cognitive behavioral therapy can be effective for a wide range of individuals with IED, with little variation in efficaciousness based on presence of demographic characteristics, comorbid disorders, or treatment motivation/engagement. This seems to be particularly the case for individuals with lower levels of trait anger. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
中文翻译:
间歇性狂暴症认知行为疗法治疗结果的预测因子:初步分析。
目的 本研究检查了间歇性爆炸症 (IED) 多组分认知行为干预的潜在治疗结果预测因子。方法 样本 (n = 64;22 名女性) 由当前诊断为 IED 的个体组成,这些个体在三项研究试验中完成了治疗。评估的治疗结果预测因子包括人口统计学变量、精神合并症、症状严重程度和治疗动机/参与度。治疗结果是 (a) 从治疗前到治疗后过去一周攻击性行为数量的变化,以及 (b) 治疗后出现 IED 诊断。结果 结果表明,那些支持较低特质愤怒的人更有可能在治疗后从 IED 诊断中缓解。未发现其他变量可显著预测治疗结果。结论这些发现支持认知行为疗法对广泛的 IED 患者有效的观点,根据人口统计学特征、合并症或治疗动机/参与度的存在,疗效几乎没有变化。对于特质愤怒水平较低的个体来说,情况似乎尤其如此。(PsycInfo 数据库记录 (c) 2024 APA,保留所有权利)。
更新日期:2023-10-19
中文翻译:
间歇性狂暴症认知行为疗法治疗结果的预测因子:初步分析。
目的 本研究检查了间歇性爆炸症 (IED) 多组分认知行为干预的潜在治疗结果预测因子。方法 样本 (n = 64;22 名女性) 由当前诊断为 IED 的个体组成,这些个体在三项研究试验中完成了治疗。评估的治疗结果预测因子包括人口统计学变量、精神合并症、症状严重程度和治疗动机/参与度。治疗结果是 (a) 从治疗前到治疗后过去一周攻击性行为数量的变化,以及 (b) 治疗后出现 IED 诊断。结果 结果表明,那些支持较低特质愤怒的人更有可能在治疗后从 IED 诊断中缓解。未发现其他变量可显著预测治疗结果。结论这些发现支持认知行为疗法对广泛的 IED 患者有效的观点,根据人口统计学特征、合并症或治疗动机/参与度的存在,疗效几乎没有变化。对于特质愤怒水平较低的个体来说,情况似乎尤其如此。(PsycInfo 数据库记录 (c) 2024 APA,保留所有权利)。