| Summary: | 碩士 === 高雄醫學大學 === 行為科學研究所碩士班 === 94 === Depression is one of the most serious mental health problems, with substantial human suffering as well as society burden, and presently still needing more effective treatments. Considerable evidence from the domestic and foreign studies have demonstrated the efficacy of cognitive-behavioral therapy (CBT) in the treatment of depression and its relapse prevention. But depression not only affects the cognition of individuals, but also has major emotional symptoms. The emotional abilities of depressive patients indeed show certain deficiencies, for example: they tend to remember and recall negative information, and use rumination and avoidance to regulate emotion. Therefore, targeting emotional experiences of depressive patients as the intervention focus, this study developed a group therapy treatment which combined cognitive reconstruction of CBT and promotion of emotion abilities. The purposes were to investigate whether the intervention could help improve the emotional abilities and reduce symptoms, and to explore the relations between the improved emotional abilities and reduced symptoms.
The staged emotion-focused cognition therapy group in this study (stage II) and the emotional growth group (Lin, 2006) consisted of the whole two-stage treatment program. Seventeen depressive patients have completed the whole treatment program, and their pre-, mid-, and post-treatment symptom scores were compared to evaluate the group treatment effect.
The results showed that in term of symptoms, staged emotion-focused cognition therapy group was helpful to promote patients’self-esteem; in terms of emotional abilities, it was helpful to promote patients’emotional regulation ability (ie, the degree of avoiding thinking of problems was reduced), and the emotional utilization and reflection abilities (ie, the emotional efficacy was improved). Furthermore, the whole treatment program was helpful to reduce depression and promote self-esteem; and also helpful to promote the patients’emotional awareness and expression abilities (ie, the degree of difficulty identifying feelings was reduced), emotional regulation abilities (ie, rumination was reduced), and the emotional utilization and reflection abilities (ie, the emotion efficacy and emotion refection was improved). Also, Hierarchical regression analyses indicated that the improvement of different emotional abilities had significant correlations with the improvement of symptoms, such as, difficulty identifying feelings, difficulty describing feelings, emotional efficacy were important treatment change factors.
In conclusion, integrating emotional intelligence model and CBT theory, the staged emotion-focused cognition therapy group was indeed helpful to reduce depressive patients’ symptoms and promote their emotional abilities. Nevertheless, the whole treatment program with longer continued therapy indeed provided more significant treatment effects. Lastly, the treatment change factors discovered in this study offered important guidance for future intervention planning and research direction such as pathology of mood disorders.
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