Treatment of Depression from a Self-Regulation Perspective: Basic Concepts and Applied Strategies in Self-System Therapy

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• 作者：Timothy J. Strauman ; Kari M. Eddington
• 关键词：Depression ; Comorbidity ; Anxiety ; Regulatory focus theory ; Self ; discrepancy theory ; Self ; regulation ; Self ; system therapy
• 刊名：Cognitive Therapy and Research
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：41
• 期：1
• 页码：1-15
• 全文大小：
• 刊物类别：Behavioral Science
• 刊物主题：Quality of Life Research; Clinical Psychology; Cognitive Psychology;
• 出版者：Springer US
• ISSN：1573-2819
• 卷排序：41

文摘

Self-regulation models of psychopathology provide a theory-based, empirically supported framework for developing psychotherapeutic interventions that complement and extend current cognitive-behavioral models. However, many clinicians are only minimally familiar with the psychology of self-regulation. The aim of the present manuscript is twofold. First, we provide an overview of self-regulation as a motivational process essential to well-being and introduce two related theories of self-regulation which have been applied to depression. Second, we describe how self-regulatory concepts and processes from those two theories have been translated into psychosocial interventions, focusing specifically on self-system therapy (SST), a brief structured treatment for depression that targets personal goal pursuit. Two randomized controlled trials have shown that SST is superior to cognitive therapy for depressed clients with specific self-regulatory deficits, and both studies found evidence that SST works in part by restoring adaptive self-regulation. Self-regulation-based psychotherapeutic approaches to depression hold significant promise for enhancing treatment efficacy and ultimately may provide an individualizable framework for treatment planning.