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[精神分裂症、分裂情感性障碍及其他精神障碍患者的住院精神科及心理治疗结果]

[Results of inpatient psychiatric and psychotherapeutic treatment of patients with schizophrenia, schizoaffective and other psychotic disorders].

作者信息

Leichsenring Falk, Dumpelmann Michael, Berger Julia, Jager Ulrich, Rabung Sven

机构信息

Niedersaechsisches Landeskrankenhaus Tiefenbrunn, Department of Psychotherapy, Psychiatry and Psychosomatic Medicine, D-37124 Rosendorf, Germany.

出版信息

Z Psychosom Med Psychother. 2005;51(1):23-37.

Abstract

OBJECTIVES

At the Tiefenbrunn hospital, patients suffering from severe psychiatric and psychosomatic disorders are treated. The treatment concept is psychodynamically oriented. Psychopharmacological treatments are included if necessary. This article reports the results of the treatment of a sample of patients with schizophrenic and other psychotic disorders (ICD-10: F20-F25).

METHODS

An unselected sample of N = 33 patients was studied upon admission and before discharge with a set of routinely administered standardized instruments.

RESULTS

According to the data, all of these patients were severely disturbed: Upon admission to the clinic, they showed high pathological values in the Beeintrachtigungs- Schwere-Score (degree of impairment score; Schepank 1995), the Symptom Checklist SCL-90-R (Franke 1995), the Inventory of Interpersonal Problems (Horowitz et al. 1994), as well as a high degree of comorbid disorders. A comparison of the data at admission and at discharge shows that these patients improved significantly and substantially concerning symptoms, interpersonal problems, contentedness with life and individually formulated target problems.

DISCUSSION

The results of the present study are discussed with regard to both the treatment of psychotic patients and the results of other studies.

摘要

目标

在蒂芬布伦医院,对患有严重精神和身心障碍的患者进行治疗。治疗理念以心理动力学为导向。必要时会采用心理药物治疗。本文报告了对一组精神分裂症及其他精神障碍患者(国际疾病分类第十版:F20 - F25)的治疗结果。

方法

对N = 33例未经过挑选的患者样本在入院时和出院前使用一系列常规管理的标准化工具进行研究。

结果

根据数据,所有这些患者均受到严重困扰:入院时,他们在功能损害严重程度评分(Schepank,1995年)、症状自评量表SCL - 90 - R(Franke,1995年)、人际问题清单(Horowitz等人,1994年)上呈现出较高的病理值,且共病情况严重。入院时和出院时的数据比较表明,这些患者在症状、人际问题、生活满意度以及个体化制定的目标问题方面有显著且实质性的改善。

讨论

本研究结果将结合精神病患者的治疗以及其他研究的结果进行讨论。

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