Hoffart Asle, Hedley Liv Margaret, Thornes Kåre, Larsen Sigrid Marie, Friis Svein
Research Institute, Modum Bad, Vikersund, Norway.
Cogn Behav Ther. 2006;35(3):174-82. doi: 10.1080/16506070600862518.
The aims of this study were to examine whether therapists' emotional reactions to their patients mediate the effect of personality disorders and interpersonal problem behaviours on the outcome of treatment, focusing on an Axis I disorder; and whether therapists' reactions mediate the effect of personality disorders on the course of interpersonal problems. Therapists completed a checklist of emotional reactions to individual patients after the end of residential cognitive or guided mastery therapy for 46 inpatients with panic disorder with agoraphobia. The severity of DSM-III-R personality disorder was related to therapists' insecurity feelings, but not to interest and anger. A higher level of therapists' insecurity feelings was related to less reduction in self-reported agoraphobic avoidance during treatment, whereas therapists' emotions were unrelated to symptomatic course after treatment. Therapists' insecurity feelings appeared partly to mediate the relationship between patients' severity of personality disorder and persistence of patients' interpersonal dominance and nurturance problems.
本研究的目的是，聚焦于一种轴I障碍，考察治疗师对患者的情绪反应是否会介导人格障碍和人际问题行为对治疗结果的影响；以及治疗师的反应是否会介导人格障碍对人际问题进程的影响。在对46名患有广场恐惧症的惊恐障碍住院患者进行住院认知或指导性掌握治疗结束后，治疗师完成了一份针对个体患者的情绪反应清单。DSM-III-R人格障碍的严重程度与治疗师的不安全感有关，但与兴趣和愤怒无关。治疗师较高水平的不安全感与治疗期间自我报告的广场恐惧症回避减少较少有关，而治疗师的情绪与治疗后的症状进程无关。治疗师的不安全感似乎部分介导了患者人格障碍严重程度与患者人际支配和养育问题持续存在之间的关系。
