Rudolf Gerd, Jakobsen Thorsten, Micka Ralph, Schumann Eicke
Psychosomatische Universitätsklinik Heidelberg, Thibautstrasse 2, 69115 Heidelberg, Germany.
Z Psychosom Med Psychother. 2004;50(1):37-52. doi: 10.13109/zptm.2004.50.1.37.
Therapy outcome is analysed according to the main diagnoses in a 5 years' sample of psychodynamic inpatient psychotherapy (n=461) and controlled in a 6-9 months follow-up (n=312). Therapy effects, as measured in a pre-post comparison of the patients' self-rating, are generally good and especially noticeable for affective and anxiety disorders, whereas the effects for somatoform disorders are relatively low. The opposite tendencies are seen in follow-up, i.e. relapses in anxiety and affective disorders, and further improvement in somatoform disorders. A surprisingly positive outcome is shown for personality disorders and especially for severe personality disorders (e.g. Borderline). Regardless of the diagnoses, 80% of the patients show a high degree of satisfaction with their treatment and its outcome.
根据5年精神动力学住院心理治疗样本（n = 461）中的主要诊断对治疗结果进行分析，并在6 - 9个月的随访中（n = 312）进行对照。通过患者自评的前后比较来衡量，治疗效果总体良好，在情感和焦虑障碍方面尤为显著，而在躯体形式障碍方面效果相对较低。随访中出现了相反的趋势，即焦虑和情感障碍复发，而躯体形式障碍则进一步改善。人格障碍，尤其是严重人格障碍（如边缘型人格障碍）显示出令人惊讶的积极结果。无论诊断如何，80%的患者对他们的治疗及其结果表示高度满意。
