Puschner Bernd, Kraft Susanne, Bauer Stephanie
Department of Psychiatry II, Ulm University, Germany.
J Pers Assess. 2004 Dec;83(3):223-34. doi: 10.1207/s15327752jpa8303_06.
We used a comprehensive longitudinal data set from Germany to examine trajectories of symptom distress depending on interpersonal problems at study intake measured via the Inventory of Interpersonal Problems-64 (IIP-64; Horowitz, Strau, & Kordy, 1994). Participants (N=622) underwent mid- or long-term outpatient psychotherapy (either psychodynamically oriented psychotherapy, cognitive behavioral therapy, or analytic psychotherapy). Data comprises up to 5 assessments during a 2-year period and was analyzed via hierarchical linear modeling. In the analytic psychotherapy subgroup, initial symptom level was higher in submissive patients. Initial interpersonal problems were not predictive of the rate of symptom change during therapy. Only in psychodynamic treatments, low affiliation positively affected treatment outcome. Interpersonal problems at intake were not related to the number of utilized sessions and utilization rate across treatment subgroups. We discuss the findings and outline future research topics.
我们使用了来自德国的一个全面的纵向数据集，以根据通过人际问题清单-64（IIP-64；霍洛维茨、施特劳和科尔迪，1994年）在研究入组时测量的人际问题来检查症状困扰的轨迹。参与者（N = 622）接受了中期或长期门诊心理治疗（心理动力学取向心理治疗、认知行为治疗或分析性心理治疗）。数据包括在两年期间多达5次评估，并通过分层线性模型进行分析。在分析性心理治疗亚组中，顺从患者的初始症状水平较高。初始人际问题并不能预测治疗期间症状变化的速率。仅在心理动力学治疗中，低亲和性对治疗结果有积极影响。入组时的人际问题与各治疗亚组的使用疗程数和使用率无关。我们讨论了研究结果并概述了未来的研究主题。
