Müller D R, Roder V, Brenner H D
Universitätsklinik für Sozial- und Gemeindepsychiatrie, Universitäre Psychiatrische Dienste, Bern.
Nervenarzt. 2007 Jan;78(1):62-73. doi: 10.1007/s00115-005-1974-x.
Over the past 24 years, research groups in eight different countries have conducted 28 independent evaluation studies on Integrated Psychological Therapy (IPT) including 1,329 schizophrenia patients. The present study examines the effectiveness of IPT under different treatment conditions by means of a meta-analytic review. The most salient results indicate favourable mean effect sizes for IPT in comparison to control groups (placebo-attention conditions, standard care). Moreover, the superiority of IPT continues to increase during an average catamnestic phase of 8.1 months. The method obtains similarly favourable effects in different functional areas (neurocognition, social behaviour, psychopathology) and different assessment formats (expert ratings, self-reports, psychological tests). The comparison of different settings of IPT and control groups shows the superiority of IPT in any given therapy or site condition. The analysis of subsamples of inpatients, outpatients, and patients in varying rehabilitation phases reveals similarly favourable effects. Comparing only high-quality studies yields comparable results. In summary, the present meta-analysis corroborates evidence that IPT is an 'empirically validated treatment' according to American Psychiatric Association guidelines.
在过去24年里,来自八个不同国家的研究团队针对综合心理疗法(IPT)开展了28项独立评估研究,涉及1329名精神分裂症患者。本研究通过荟萃分析回顾,考察了IPT在不同治疗条件下的有效性。最显著的结果表明,与对照组(安慰剂-关注条件、标准护理)相比,IPT的平均效应量较为有利。此外,在平均8.1个月的随访期内,IPT的优势持续增加。该方法在不同功能领域(神经认知、社会行为、精神病理学)和不同评估形式(专家评分、自我报告、心理测试)中均取得了类似的良好效果。IPT与对照组不同设置的比较表明,在任何给定的治疗或场所条件下,IPT都具有优势。对住院患者、门诊患者以及处于不同康复阶段患者的子样本分析显示了类似的良好效果。仅比较高质量研究也能得出类似结果。总之,本次荟萃分析证实了根据美国精神病学协会指南,IPT是一种“经实证验证的治疗方法”。