Canuto Alessandra, Meiler-Mititelu Corina, Herrmann François, Giannakopoulos Panteleimon, Weber Kerstin
Division of Geriatric Psychiatry, University Hospitals of Geneva, Geneva, Switzerland.
Int J Geriatr Psychiatry. 2008 Jan;23(1):22-6. doi: 10.1002/gps.1829.
Termination in group psychotherapy is an essential phase of the psychotherapeutic process, yet its clinical determinants remain largely unknown, especially in elderly patients. The aim of this study was to assess how patients' personality traits influence their way of leaving a short-term psychotherapy group as well as a larger therapeutic community program.
Personality traits were assessed with the NEO Five-Factor Inventory in 24 elderly depressed outpatients. Patients' terminations from the group as well as from the community were ranked into four classes according to their appropriateness (completeness of experience and ability to deal with feelings of separation).
Neuroticism was not related to the quality of termination. In contrast, agreeableness and openness to experience were strongly associated with successful termination. Conscientiousness and extraversion may have a differential impact depending on the type of group (group psychotherapy versus therapeutic community).
Personality traits may be important clinical determinants of the quality of termination process in both group psychotherapy and therapeutic community settings for elderly depressed patients.
团体心理治疗中的结束阶段是心理治疗过程的一个重要阶段，但其临床决定因素在很大程度上仍不为人所知，尤其是在老年患者中。本研究的目的是评估患者的人格特质如何影响他们离开短期心理治疗团体以及更大规模治疗社区项目的方式。
使用NEO五因素问卷对24名老年抑郁症门诊患者的人格特质进行评估。根据患者从团体以及社区治疗中退出的适宜性（体验的完整性和处理分离情绪的能力）将其分为四类。
神经质与结束治疗的质量无关。相比之下，宜人性和经验开放性与成功结束治疗密切相关。尽责性和外向性可能根据团体类型（团体心理治疗与治疗社区）产生不同影响。
对于老年抑郁症患者，人格特质可能是团体心理治疗和治疗社区环境中结束治疗过程质量的重要临床决定因素。
