Andreoli A V, Muehlebach A, Gognalons M, Abensur J, Grimm S, Frances A J
Department of Psychiatry, University of Geneva Medical School, Switzerland.
Compr Psychiatry. 1992 Nov-Dec;33(6):388-96. doi: 10.1016/0010-440x(92)90061-t.
We investigated whether process variables (therapeutic alliance and insight) measured at the termination of crisis intervention predict long-term treatment compliance and 2-year outcome. Thirty-seven consecutive depressed psychiatric patients assigned to outpatient crisis intervention (CCI) were assessed with both questionnaires and standardized instruments at intake, 1 week, and CCI termination (mean, 6 weeks). Thirty-one subjects (84%) were also evaluated at 1-year and 2-year follow-up. We found that working alliance and development of insight predicted positive global change and symptom improvement at 1 and 2 years' follow-up. Furthermore, the observed correlation between process measures and 2-year outcome was found to be independent of age, sex, symptoms severity at intake, improvement of symptoms at CCI termination, premorbid adjustment, DSM-III-R axis I/axis II diagnosis, and therapeutic alliance at intake.
我们调查了在危机干预结束时所测量的过程变量（治疗联盟和领悟）是否能够预测长期治疗依从性和两年后的治疗结果。连续37名被分配到门诊危机干预（CCI）的抑郁症精神病患者在入院时、1周时以及危机干预结束时（平均6周），均通过问卷和标准化工具进行了评估。31名受试者（84%）在1年和2年随访时也接受了评估。我们发现，工作联盟和领悟的发展能够预测在1年和2年随访时的积极整体变化和症状改善。此外，研究发现过程测量与两年后治疗结果之间的相关性独立于年龄、性别、入院时的症状严重程度、危机干预结束时的症状改善情况、病前适应情况、DSM-III-R轴I/轴II诊断以及入院时的治疗联盟。
