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惊恐障碍简短认知行为团体治疗后的防御机制:一年随访

Defense mechanisms after brief cognitive-behavior group therapy for panic disorder: one-year follow-up.

作者信息

Heldt Elizeth, Blaya Carolina, Kipper Leticia, Salum Giovanni A, Otto Michael W, Manfro Gisele G

机构信息

Anxiety Disorders Program, Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Brazil.

出版信息

J Nerv Ment Dis. 2007 Jun;195(6):540-3. doi: 10.1097/NMD.0b013e318064e7c4.

Abstract

Changes in defense mechanisms have been shown in long-term psychodynamic treatment. The aim of this study was to examine the changes that occurred after brief cognitive-behavior group therapy in the defense style of panic disorder patients that had failed to respond to pharmacotherapy. Forty-seven patients participated in the study and severity of panic disorder was evaluated by Clinical Global Impression. Defense mechanisms were evaluated by the Defense Style Questionnaire. Patients decreased the use of maladaptive defenses after cognitive-behavior group therapy, and the change in immature defenses was maintained at 1-year follow-up evaluation (p = 0.022). These modifications were associated with reduction of symptoms (F = 0.359; p = 0.047). These findings are consistent with the hypothesis that defense styles are malleable in short-term treatment and are, at least partially, symptom-state dependent.

摘要

长期心理动力治疗中已显示出防御机制的变化。本研究的目的是检查在对药物治疗无反应的惊恐障碍患者中,短期认知行为团体治疗后防御方式的变化。47名患者参与了该研究,通过临床总体印象评估惊恐障碍的严重程度。通过防御方式问卷评估防御机制。认知行为团体治疗后患者减少了适应不良防御的使用,在1年的随访评估中,不成熟防御的变化得以维持(p = 0.022)。这些改变与症状减轻相关(F = 0.359;p = 0.047)。这些发现与以下假设一致,即防御方式在短期治疗中具有可塑性,并且至少部分取决于症状状态。

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