Philips Björn, Wennberg Peter, Werbart Andrzej, Schubert Johan
Institute of Psychotherapy, Stockholm County Council, and Psychotherapy Section Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Psychol Psychother. 2006 Mar;79(Pt 1):89-106. doi: 10.1348/147608305X52649.
The aims of this naturalistic study are to present patient characteristics and analyse various outcome measures at termination for psychoanalytic psychotherapies with young adults. Patients (n = 134) between 18 and 25 years were included, of whom 92 received individual and 42 group therapy. One third had a self-reported personality disorder. The patients were considerably more troubled than Swedish norm groups at intake and they showed improvement on all outcome measures during therapy. However, the post therapy means did not fully reach the norm group means. The largest positive changes (pre- versus post-therapy) were with respect to the patients' overall health and functioning. Changes were more moderate in self-reported symptoms, self-concept, and self-representation, while changes in interpersonal problems and object representations were small. The results of this study are discussed in the context of advantages and disadvantages of naturalistic versus randomized controlled study designs.
这项自然主义研究的目的是呈现患者特征，并分析针对年轻成年人的精神分析心理治疗结束时的各种结果指标。纳入了18至25岁的患者（n = 134），其中92人接受个体治疗，42人接受团体治疗。三分之一的患者自我报告患有个性障碍。患者在入院时比瑞典正常人群更困扰，并且在治疗期间所有结果指标上都有所改善。然而，治疗后的均值并未完全达到正常人群的均值。（治疗前与治疗后相比）最大的积极变化体现在患者的整体健康和功能方面。自我报告的症状、自我概念和自我表征方面的变化较为适度，而人际问题和客体表征方面的变化较小。本研究结果在自然主义与随机对照研究设计的优缺点背景下进行了讨论。
