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影响资深精神分析师私人心理治疗患者变化的因素:一项疗效研究。

Factors affecting change in private psychotherapy patients of senior psychoanalysts: an effectiveness study.

作者信息

Friedman Richard C, Garrison Webb B, Bucci Wilma, Gorman Bernard S

机构信息

Weill Medical College, the Payne Whitney Clinic, New York, NY 10024, USA.

出版信息

J Am Acad Psychoanal Dyn Psychiatry. 2005 Winter;33(4):583-610. doi: 10.1521/jaap.2005.33.4.583.

DOI:10.1521/jaap.2005.33.4.583
PMID:16448339
Abstract

Each of 51 experienced psychiatrist/psychoanalysts was queried about the clinical characteristics of every private psychotherapy patient presently in treatment: 551 patients were included in the study; 88% of patients had an Axis I disorder, 59% had Axis I and Axis II disorders concurrently, and 11% Axis II only. Of these patients, 44% had been prescribed psychotropic medication on a daily basis for at least 2 weeks during the present treatment. Patients treated for the longest time (5 years or more) were the most seriously psychiatrically disturbed. Patients improved with psychotherapy, and the improvement was related to the duration of treatment. The combined impact of diagnosis status, treatment duration, and treatment modalities provided a consistent pattern of treatment effectiveness.

摘要

研究人员向51位经验丰富的精神科医生/精神分析师询问了他们目前正在治疗的每位私人心理治疗患者的临床特征:共有551名患者纳入研究;88%的患者患有轴I障碍,59%的患者同时患有轴I和轴II障碍,11%的患者仅患有轴II障碍。在这些患者中,44%在当前治疗期间每天服用精神药物至少2周。治疗时间最长(5年或更长时间)的患者精神障碍最严重。患者通过心理治疗有所改善,且改善与治疗持续时间有关。诊断状态、治疗持续时间和治疗方式的综合影响呈现出一致的治疗效果模式。

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