Isohanni M, Nieminen P
Department of Psychiatry, University of Oulu, Finland.
Acta Psychiatr Scand. 1992 Dec;86(6):495-501. doi: 10.1111/j.1600-0447.1992.tb03304.x.
A total of 2090 treatment episodes from 1977 to 1990 at a therapeutic community for acute patients were assessed for group psychotherapy participation and its associations with some patient and program characteristics, based on polytomous logistic regression analysis. Nonparticipation (4% of all episodes) or passivity (14%) were associated mainly with the program properties (such as the quality of the ward policy, first treatment episode and short treatment time), a diagnosis of personality disorder or typical schizophrenia and inferior outcome (assessed by attainment of treatment goals). The associations of moderate activity (45%) were very active (37%) as a reference, mainly personal properties (such as male gender, young age, low social and professional background and a diagnosis of schizophrenia) and inferior outcome. The results suggest that group participation, therapeutic program, patient properties and attainment of treatment goals are interrelated. The therapeutic program and leaders' skills should be developed to facilitate individualized group participation.
基于多分类逻辑回归分析，对1977年至1990年期间在一个针对急性患者的治疗社区进行的2090次治疗疗程进行了评估，以了解团体心理治疗参与情况及其与一些患者和项目特征的关联。不参与（占所有疗程的4%）或消极参与（14%）主要与项目属性（如病房政策质量、首次治疗疗程和短治疗时间）、人格障碍或典型精神分裂症诊断以及较差的治疗结果（通过治疗目标的达成来评估）相关。以非常积极参与（37%）为参照，适度参与（45%）主要与个人属性（如男性、年轻、社会和职业背景较低以及精神分裂症诊断）和较差的治疗结果相关。结果表明，团体参与、治疗项目、患者属性和治疗目标的达成是相互关联的。应改进治疗项目和领导者的技能，以促进个性化的团体参与。
