OBJECTIVE The role of affective experiences (AE) in cognitive-behavioral therapy (CBT) has rarely been investigated. We examined between- and within-person effects of AE on coping in CBT for family caregivers and interactions with therapeutic alliance and resource activation. METHODS 67 family caregivers rated AE, therapeutic alliance, resource activation, and coping after each of 12 sessions of telephone-based CBT. We examined direct session-to-session effects of AE on coping in structural equation modeling and interactions of AE with therapeutic alliance and resource activation in multilevel models. RESULTS AE did not directly predict coping. Instead, within-person effects of AE interacted with simultaneous within-person emotional bond. Given strong emotional bond, AE positively predicted coping, whereas given weak emotional bond, AE negatively predicted coping. Further, cross-level interactions of between-person AE and within-person agreement on collaboration and resource activation indicated that these positively predicted coping only in dyads with high between-person AE. CONCLUSION AE may enhance coping when complemented with strong emotional bond. Further, within-person effects of agreement on collaboration and resource activation seem to rely on a certain degree of between-person AE. Results are discussed in relation to current findings on emotional processing in CBT.

中文翻译：

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情感体验对 CBT 应对的人与人之间和人内部的影响：直接影响以及与治疗联盟和资源激活的相互作用。

目的 情感体验（AE）在认知行为治疗（CBT）中的作用很少被研究。我们研究了 AE 对家庭护理人员应对 CBT 的影响以及与治疗联盟和资源激活的相互作用。方法 67 名家庭护理人员在 12 次基于电话的 CBT 疗程后对 AE、治疗联盟、资源激活和应对方式进行评分。我们研究了 AE 对结构方程模型中应对的直接影响，以及 AE 与多层次模型中的治疗联盟和资源激活的相互作用。结果 AE 不能直接预测应对情况。相反，AE 对人的内部影响与同时发生的人内部情感纽带相互作用。如果情感联系较强，AE 会积极预测应对方式，而如果情感联系较弱，AE 会消极预测应对方式。此外，人与人之间 AE 的跨级别交互以及人内关于协作和资源激活的协议表明，这些积极预测仅在人与人之间 AE 较高的二人组中进行应对。结论 当辅以强烈的情感纽带时，AE 可以增强应对能力。此外，协作和资源激活协议的人内效应似乎依赖于一定程度的人际AE。研究结果与 CBT 情绪处理的最新发现相关进行讨论。